The MBS lists a rebate amount for each Medicare Item.
Example: A short consultation with a Doctor = Medicare rebate of $15.36
However, doctors or specialists may charge more than the listed MBS amount.
The difference between was is charged and the MBS rebate is call the “Medicare Gap”
- The Doctor charges $45
- Medicare provides a rebate of $15.35
- Medicare Gap = $29.65 (our of pocket expense).