11/04/2019                                                                            
                                    
                                                                            
                                            Why is a referral needed? 
A referral is necessary to make sure Medicare Benefits are paid at specialist or consultant referred rates, rather than at unreferred rates. In other words, patients do not need a referral to see a specialist, but they do need one to attract the relevant Medicare rebate. 
What must be in a referral?
The Health Insurance Regulations state that a practitioner must ‘consider the need for the referral’, and then must provide the specialist any information about the patient’s condition that the referring practitioner considers necessary. The referral must be given in writing, dated, and signed by the referring practitioner, unless in an emergency.
Notably, however, although the regulations make note of referrals being addressed to a “specialist or consultant physician”, the legislation does not specify whether the referral must identify by name the recipient of the referral.
In the absence of this information, it is generally understood that this is not a Medicare requirement. So although it is accepted and desirable medical practice to refer to a named specialist where possible, it is not a current legal requirement.Our specialised GP at the AMPM DOCTORS HIGH ROAD clinic provides specialist referrals fast ,quick and easy and has appointments available 📞9️⃣4️⃣5️⃣7️⃣9️⃣0️⃣4️⃣4️⃣ for a bulk billed appointment.Monday to Saturday.