Refined Health
Healthcare that
works for you
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Lisa ORourke

Consultant General Practitioner
Dr Lisa O’Rourke brings 25+ years’ experience in women’s health, skin cancer, neurodiversity and weight management to support your goals.
Medicare

Medicare

Eligibility
Medicare Requirements
You must be in Australia during your telehealth appointment.

Medicare only covers telehealth services when both you and the clinician are physically in Australia at the time of the consultation.

Your Medicare rebate may depend on whether you’ve seen us in person.

For many types of telehealth appointments, Medicare requires that you have:had a face-to-face appointment at Calen Health in the past 12 months,

OR

be registered with Calen Health under MyMedicare. If one of these applies, you will usually be eligible for a Medicare rebate for telehealth.

Some patients are eligible even without an in-person visit

Medicare allows telehealth rebates for certain patients even if you have not seen us face-to-face before.These include (but are not limited to):

- Babies under 12 months of age
- People experiencing homelessness
- People in isolation or quarantine
- People affected by natural disasters
- Urgent after-hours care
- Sexual or reproductive health consultations
- Pregnancy counselling
- Blood-borne virus care
- Aboriginal and Torres Strait Islander patients receiving care through eligible Aboriginal health services.

If any of these apply, please let us know when booking.

The doctor or nurse practitioner will always decide if telehealth is clinically appropriate

Telehealth is great for many situations, but sometimes an in-person visit is safer or more effective, especially when a physical examination is required.

If telehealth isn’t suitable for your needs, we’ll help you arrange an in-person appointment instead.

Medicare eligibility cannot always be confirmed before your appointment

Because Medicare rules are complex and rebates depend on your personal situation, we may not be able to confirm your eligibility until your clinician has assessed you during the consultation.

We will always do our best to inform you beforehand, but we cannot guarantee Medicare or insurer rebates for telehealth or in-person appointments.

Your responsibilities

To avoid unexpected fees:Please make sure your Medicare details are up to date.Check that you are registered with Calen Health in MyMedicare if you want easier access to telehealth rebates.

Let us know if you think you qualify for one of the exemption categories above.If you are unsure, our team is here to help guide you.

Fees and out-of-pocket costs

If your telehealth appointment is not eligible for a Medicare rebate, you may need to pay privately.

We will always explain fees and provide informed financial consent before your appointment.

Have more questions?

Our reception team is happy to help.

Please call us or send an enquiry and we’ll guide you through the process.