CLOSING THE GAP

The "medical gap" is the difference between the Medicare benefit paid by Medicare and health insurance and the doctor's actual fee.

Until recently Medicare determined how much a health fund could pay for medical services provided in hospital. But the Government has changed this and now allows Funds to pay higher benefits to bridge the "medical gap."

All funds now include cover in most of their hospital products which make it possible for doctors to reduce or eliminate the "gap" and more and more doctors are now providing this service to their patients. As with all benefit questions, you should always discuss your situation with your own health fund before treatment if possible.

To find out how your health fund can help you enjoy quality health services without unexpected financial surprises, click on the link to your health fund, listed below:

(*This information was last reviewed and updated on 29 September 2009. For the latest list of funds with their approved gap schemes and product details, please click here.)