High Cost Claim Indemnity Scheme (HCCS)
Under this scheme the government funds 50% of the amount of claims that exceed the HCCS threshold, up to the limit of a medical practitioner’s indemnity.
Applications for claims under the HCCS can only be made by:
- an eligible Medical Indemnity Insurer (MII)
- an eligible Medical Defence Organisation (MDO).
If you don’t represent an eligible MII or MDO, you can’t apply to claim under the HCCS.
The HCCS reimburses MDOs and MIIs 50% of the eligible costs above the HCCS threshold up to the practitioner’s indemnity limit.
The HCCS threshold is determined by the date you were first notified of an incident or claim.
The Medical Indemnity Act 2002 is the legislation that applies to the HCCS.
Read the Medical Indemnity Act 2002 on the Federal Register of Legislation website.
A HCCS application can only be made for eligible claims against certain medical practitioners. Applications can only be submitted by a representative of an eligible MII or MDO.
You need to use the Medical Indemnity Online Claims (MIOC) service in HPOS to submit an application under the HCCS.
Page last updated: 30 October 2020
This information was printed 19 October 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/services/medicare/high-cost-claim-indemnity-scheme-hccs. 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.