Do I need a referral to see a dermatologist?
No. You can see a dermatologist without a referral.
However, a valid referral is required to claim a Medicare rebate for specialist services.
Why is a referral important?
Under Medicare requirements, a referral is made for the investigation, opinion, treatment or management of a particular condition or problem.
Your referral also provides your dermatologist with relevant clinical information, which may include:
the reason for referral;
your medical history;
current medications and allergies; and
relevant investigation or test results.
Your dermatologist may correspond with your referring practitioner regarding your diagnosis, treatment or ongoing management.
What happens if I attend without a referral?
You can still attend your appointment, but Medicare benefits cannot be claimed for specialist services provided without a valid referral.
You will therefore be responsible for the dermatologist’s full consultation fee.
Does my referral cover every skin concern?
No.
Under Medicare requirements, a referral covers a single course of treatment for the referred condition.
If you develop a new or unrelated condition, a new referral is required for Medicare benefits to be claimed for the assessment or treatment of that condition.
What about an indefinite referral?
An indefinite referral remains valid for the ongoing care and management of the condition or conditions for which it was issued.
It does not automatically cover new or unrelated conditions that arise in the future.
If you are unsure whether your referral covers the reason for your upcoming appointment, please contact our reception staff before attending.
