Information for Supplementary Benefit Practitioners
Many supplementary benefits practitioners are opted-out of the Medical Services Plan (MSP). This means they are allowed to charge patients more for a service than is set out in the Payment Schedule.
Opted-out practitioners must advise their patients, prior to the treatment being performed:
MSP Guidelines for Hard and Soft Opt Out Status (PDF 89K) - requirements for opting out of MSP and implications for billing.
Payment Schedules and Billing Guides
Only those MSP beneficiaries with premium assistance status qualify for MSP coverage of acupuncturist, physiotherapy, massage therapy, chiropractic, naturopathy and non-surgical podiatry services. To verify a patient's eligibility for these benefits, use the Teleplan online eligibility check feature or call Coverage Enquiries. The MSP fee items for eligible beneficiaries are:
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