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Rates and reimbursements

Rates and reimbursements

There are different payment limits/rates that guide the amount Comcare will reimburse for services provided or benefits claimed in relation to a compensable claim. Comcare has established payment limits for medical treatment that is compensable under the SRC Act.  Other rates, known as statutory rates, are set by the Safety, Rehabilitation and Compensation Act 1988 (SRC Act) and Comcare is unable to pay above the prescribed amount.

The rates are reviewed and updated, as appropriate:

  • Medical practitioner rates (e.g. anaesthetics, GPs, certificate cost, occupational physician, orthopaedic surgeon, psychiatrist, specialists). Comcare has adopted the list of services and fees published by the Australian Medical Association (AMA). A comprehensive list of the AMA’s rates can be purchased via the Australian Medical Association website.
  • Allied health rates (e.g. acupuncture, feldenkrais, massage, osteopathic, psychologist, chiropractic, occupational therapy, physiotherapy)
  • Household help rates (e.g. gardening, cleaning)
  • Statutory rates (e.g. death benefits, permanent impairment, AWOTEFA)
Last updated: 20 Mar 2014