Transparent $45 Pricing Policy — Accessible Care for All Australians
Understanding our transparent $45 maximum out-of-pocket pricing model
How Our Mixed-Billing Model Works
Consultation Fee: $45 maximum out-of-pocket (all appointments)
FOR MEDICARE-ELIGIBLE PATIENTS:
- You pay the full consultation fee upfront at booking ($96.25 initial, $72.05 review)
- We process your Medicare claim as "Patient Claim (Private)"
- Medicare deposits your rebate directly into your bank account within 1-2 business days
- Initial consultations: You receive $51.25 back → Your final cost: $45
- Follow-up consultations: You receive $27.05 back → Your final cost: $45
FOR NON-MEDICARE-ELIGIBLE PATIENTS:
- You pay $45 total (no Medicare claim lodged)
- We absorb the Medicare rebate difference ourselves ($27.05-$51.25 per consultation)
- Simple, straightforward pricing with no hidden fees
This is called "mixed billing" — it's completely legal, transparent, and allows us to keep care accessible for everyone.
Patient-First Healthcare
As Nurse Practitioners, we believe:
- Quality clinical care should be accessible to all Australians, regardless of Medicare eligibility
- Transparency builds trust — you know exactly what you're paying upfront
- Healthcare should never force patients to choose between quality and affordability
- Supporting our patients means we're building a sustainable, patient-centred clinic
THE FINANCIAL REALITY:
We're absorbing between $27.05 and $51.25 per consultation for non-Medicare-eligible patients. This is our commitment to accessibility over profit.
Medicare Changes & Our Response
Following Medicare telehealth changes effective November 1st, 2025, we've implemented a transparent $45 maximum out-of-pocket pricing model for all weight loss consultations.
Our Commitment: All consultations are $45 maximum out-of-pocket for transparent, accessible healthcare regardless of Medicare eligibility status.
This pricing model ensures compliance with current Medicare regulations while maintaining accessible care for all Australians.
Compliance & Transparency
We comply with all MBS requirements:
- Document eligibility carefully for every Medicare claim
- Obtain informed financial consent before consultations
- Follow all AHPRA advertising and billing regulations
- Provide itemised receipts for all consultations
Before booking, we inform you:
"Our telehealth fee is $45 maximum out-of-pocket. If you are eligible under Medicare telehealth rules, we will charge the full consultation fee ($96.25 or $72.05) and process your Medicare rebate so you receive $27.05-$51.25 back within 1-2 days. If you are not eligible, you will pay $45 and no rebate applies."
Medicare Questions?
Our team can help you understand your Medicare entitlements and billing processes.
Email: office@downscale.com.au
ABN: 23 693 026 112
ACN: 693 026 112
Medicare Provider Number: Available upon request