Verified and unverified costs
Verified costs count towards your thresholds, while unverified costs don’t.
Verified costs are when you pay your doctor’s fee before you make a claim from us. When this happens, your gap amount and out of pocket costs count towards your thresholds.
Unverified costs are when you don’t pay your doctor’s fee before you claim from us. When this happens, your gap amount and out of pocket costs don’t count towards your thresholds.
You can use your Medicare Online Account to get a statement of your unverified costs.
If you have unverified costs, you’ll need to pay them, and give us the receipt. We can then add these costs to your Medicare Safety Nets threshold.
Page last updated: 3 July 2019
This information was printed 17 June 2021 from https://www.servicesaustralia.gov.au/individuals/services/medicare/medicare-safety-nets/what-are-thresholds/verified-and-unverified-costs. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.