Thanks Ian and sorry for the late reply.Thank you for answering in such detail. My GP has started charging $75 for a face to face consult ($41.40 rebate). He is yet to charge me for Telehealth, but I am expecting that to change at some point.
In the past I have switched GP’s when they have started changing extra for consults, but I trust my GP and I will be staying put for now. That may change if I do find another clinic locally that bulk bills. I will add that this medical centre has multiple GP’s on site as well as a dentist and psychologist.
I do have a question though… If you are claiming that you were profitable enough without having to add extra charges, and freezing charges had no impact on bulk billing, then why are we seeing more and more clinics with extra consult charges?
You said there are less GP’s coming through. So larger clinics are struggling to find staff? Is that what it is? Or are larger clinics just getting greedy?
SIA is a chain of clinics all over Melbourne, including one around about a 10 minute walk from where I live. They charge $76 for a consult (plus the $41.40 rebate) if you pre-book. No extra charges for walk ins. But for walk ins they can’t promise you will get seen immediately. Who has the time for that?
Assuming SIA have the same business model at every clinic, do you think they are being fair or greedy?
It ultimately comes down to the clinic's philosophy, and preparedness to work a bit harder. There's a bit of left and right in me. I'm a capitalist, but I also believe in Australia that access to health care shouldn't be dependent on the size of your bank account. It was also a business decision for us opening in solely a private fee regional town. It's hard to compete against a clinic charging $0. We also didn't want to be one of those clinics where you get a knock on the door at the 19 minute mark saying if you stay longer, you'll be charged the long appointment rate. A bit grubby.
As mentioned previously, it's supply and demand. Oversupply of GPs means lots of competition, so one way of differentiating is to bulk-bill. An undersupply means clinics can do whatever the *smile* they want. I spoke to a couple of accountants who specialise in medical and they encouraged us to change to private billing, but it never sat right for us.
Hard to say about SIA...I guess they don't need to BB in today's climate, and if they're making good coin, why change.
I hope this answers your questions.