To be eligible for the High Cost Claim Indemnity Scheme (HCCS) you must meet certain criteria.
The HCCS covers incidents:
- if the date the incident was first notified by the member or policy holder to the Medical Defence Organisations or Medical Indemnity Insurers was on or after 1 January 2003
- the claim exceeds the applicable threshold amount.
High Cost Claims Scheme thresholds
|Notification date||HCCS threshold|
|1 January 2003 to 21 October 2003 (inclusive)||$2,000,000|
|22 October 2003 to 31 December 2003 (inclusive)||$500,000|
|1 January 2004 to 30 June 2018 (inclusive)||$300,000|
|On or after 1 July 2018||$500,000|
A HCCS claim may be eligible if the:
- claim is or was made against a practitioner
- claim relates to an incident or a series of related incidents in the course of, or in connection with, the practice by the practitioner of a medical profession
- incident or a series of related incidents occurs or occurred in Australia or it’s external territory.
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Page last updated: 23 October 2019
This information was printed 8 July 2020 from https://www.servicesaustralia.gov.au/organisations/health-professionals/services/medicare/high-cost-claim-indemnity-scheme/you-need-know/eligibility. 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.