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Bulk Billed Telehealth GP Consultation for Eligible Patients @ Abby Health (Previously bulkbilling.doctor)

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Unsure how they fund this as usually a previous appointment with the provider is required for Medicare to fund telehealth, they must have a special agreement.

Have used them multiple times, mainly when specialist is unavailable to provide scripts. They're almost never on time so keep that in mind.

Q: Is my appointment covered by Medicare bulk billing?
A: Some appointments may be eligible for Medicare bulk billing depending on your location and type of consultation. During booking, we'll let you know if you qualify.

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Comments

  • +13

    I booked with them twice before and I wasn't particularly impressed with the outcome aside from being bulk billed. The person on the other end was a nurse not a Dr, and while they had good communication skill I think I was misdiagnosed twice. One of their misdiagnosis made me shift my lifestyle quite alot so it was pretty annoying. It's more challenging for them to see things through a webcam so they cannot be as effective as being in person.

    • +2

      I more only use them for repeats when my specialist isn't available, much better to use a bulk billing in person doctor where possible otherwise

    • +1

      Reminds me of all the medical cannabis clinics that you pay a doctor for a Telehealth consult but you end up speaking to some random person.

      I'm pretty sure this is against the law or guidelines or something like that

    • The person on the other end was a nurse not a Dr

      That should be illegal, right?

      • +9

        Unfortunately the Doctor title isn’t protected under Australian legislation. So anyone can call themselves a doctor.

        Medicare has further supported this by allowing NPs access to bulk billing and rebates without conditions whereas a doctor is unable to access a rebate unless they’ve seen the patient in-person in the preceding 12 months.

        • That cant be right, then how does the service doctor doctor work?

          • +1

            @CeraVe: There are provisions for doctors to access Medicare rebates for "after hours" consultations only (from memory, 6pm to 7am and weekends).

    • They would’ve been a nurse practitioner.

    • +2

      The only reason to use a clinic like this is to get a prescription you already know you need. Don’t rely on them for actual diagnosis lol

    • Isnt misdiagnosis sort of negligent. Btw i would of assumed they would of contact your refgular gp also to follow up what they diagnosed?

  • +11

    Use them if you simply just want a Dr certificate for sick leave from work or school.

    • +14

      You can now use digital statutory declarations for sick and carer's leave.

      https://www.abc.net.au/news/2024-06-18/using-digital-statuto…

        • +13

          can't determine if my sickness renders me unfit for my usual duties

          How does a GP usually determine if your sickness renders you unfit for your usual duties?

        • +1

          Stat Dec "medical condition"

          Done.

        • +4

          what an odd thing to say. you are declaring you are unwell. you are not asked to make a diagnosis or capacity to work

      • +2
  • +1

    Q: Is my appointment covered by Medicare bulk billing?
    A: Some appointments may be eligible for Medicare bulk billing depending on your location and type of consultation. During booking, we'll let you know if you qualify.

    Wha tBS

    • -1

      I can't find where mods found this, according to https://www.abbyhealth.app/help-centre/who-is-eligible-for-b… anyone in Australia with Medicare is eligible

      • +10

        There has to be an established clinical relationship for them to be eligible for bulk billed telehealth
        https://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/38CA335B16BB8661CA25897300829588/$File/PDF%20Version%20-%20Factsheet%20Telehealth%20Medical%20Practitioners%20in%20General%20Practice.pdf

        • Upvote because you're right.

        • +1

          As they are NPs there is no pre-exisiting relationship requirement, which is ridiculous.

  • Who Can Access Bulk Billing?
    ✅ Australian residents with a valid Medicare card.
    ✅ Patients physically located in Australia at the time of their consultation.
    ✅ Telehealth consultations booked through Abby Health.

    Who Is NOT Eligible for Bulk Billing?
    🚫 Patients who do not have a Medicare card.
    🚫 Anyone outside of Australia at the time of their appointment.
    🚫 Patients seeking services not covered by Medicare, such as certain specialist referrals or elective treatments.

    Can't find where mods found the eligibility criteria they added to post? This page says as long as you're in Australia with a Medicare card https://www.abbyhealth.app/help-centre/who-is-eligible-for-b…

    • -4

      I like how they used ChatGPT to write that. It has its digital fingerprints all over it, including the lines for breaking up the text. At least match up the font to the general website font.

  • +22

    Medicare rules state that GPs (medical doctors who have completed further FRACGP specialisation) are not able to access telehealth rebates unless the patient has been seen face-to-face in the previous 12 months.
    There is however no such restriction for Nurse Practitioners, which is why there have been multiple lucrative 'online weight loss prescription' clinics etc popping up all over the country. The government will be closing this loophole I believe in November this year.

    This company likely uses NPs (for the rebate) but promotes them as 'Drs' (which is not a protected title), and probably has a couple of actual Drs employed as backup.

    There is much frustration in the GP community as there is often poor/no clinical handover, for example if their patient is started on a medication (which the GP could have prescribed) but were not aware of interactions with their regular medications etc and has led to harm.
    This is echoed by the current chaos in UK's NHS, where multiple high profile deaths have happened because patients thought they were seeing a Dr but turned out to be a non-doctor working at their 'top of scope' (see Emily Chesterton, Pamela Marking).

    • +1

      I got a doctor for my recent appointment, a nurse the one before. The nurse didn't even know how to do a PBS authority so wasn't fun…

    • +8

      This.

      Don’t support this UK-isation of our public health system.

      Use a real GP with a medical degree, not a Nurse Practitioner with a nursing degree using a Doctor title for your medical needs.

    • +9

      This should be the top comment. The general public doesnt realise 'Dr' is not a protected title so when they see a doctor, they think a physician, not a nurse practitioner. Has led to deaths and harm in the NHS.

    • +1

      These "physician associates" in UK with only 2 years of medical training can easily be mistaken (and at one point, even advertised) as doctors/ physicians, and even specialists:

      https://www.reddit.com/r/doctorsUK/comments/1dggcrs/official…

      https://x.com/doctor_oxford/status/1802016145811067028/photo…

      That's atrocious.

  • My local gp bulk bills telehealth now

    • Some do but only if you've seen them within the last year in person, my primary doctor is my psychiatrist so for repeats I use this service sometimes

      Physical stuff I still go see a local GP but there's a gap.

      • +4

        I find it super strange that you can go in and see a doctor and have it bulk billed but you can't in a lot of circumstances make Telehealth appointment with that same doctor just to renew prescriptions or have a quick conversation. Doesn't matter if it's five minutes or 10 minutes if I want to be bulk build at my doctors clinic I need to go in which is pretty frustrating sometimes

        • My primary doctor is my psychiatrist - he bulk bills telehealth too but appointments are less available. Usually takes 1-2 weeks for an urgent appointment.

          One of my meds is PBS approved for only 1 script with 0 repeats, so I have to use telehealth to get that one if I don't have a psychiatrist appointment in time.

          • @Dyl: Can totally understand one of my PBS medications is only one prescription 0 repeats. i usually get it quarterly

            • @Sammy Boi: if it's not expensive, and you don't hit your safety net, it may be worth getting a private prescription for a year's worth. I do that for a few things that are the same/similar price private as pbs

              • @cynicor: Is that to save time instead of visiting every month for same medication

  • +7

    I use https://13sick.com.au/ for out of hours. It depends on your normal practice being subscribed.

    Always a doctor, always quick, at least for me.

    • thank you. this is good to know

    • +1

      I tell people the same and I 'm a part owner of a GP Practice. 13SICK are good for this sort of stuff and bulk-bill everyone so long as they have a Medicare Card. They'll even forward a report of the consult on to your local GP afterward too, so next time you need to visit your regular GP, they'll be up to date.

      Just one clarification about them though - most of the time their phone and video Telehealth consults are only available after 6pm until 8am the next morning, as technically they are an online a locum service.

  • +12

    I would only trust real GPs. Honestly, people are under valuing their health. They would happily drop $100-$200 on a round of drinks or a hair cut but nope….. not healthcare.

    Edit: I used to go to a private billing clinic before when bulk billing was prevalent. I did receive better healthcare.

    Am annoyed now by the stories I hear from people that every mediocre GP is also doing private billing so it is very hard to find a good GP nowadays.

    • +3

      Your last paragraph sums up why im annoyed with the system. Its impossible to see a decent GP (long wait times) and paying for subpar service is frustrating and really makes me less inclined to see a GP nowdays

      • +5

        I'd encourage you to write to your local MP to support returning Medicare rebates back to pre-freeze inflation-adjusted amounts; it is after all the patient's rebate (not the GP's) and has been a tax-in-stealth - same effect as non-adjusted income tax brackets.
        The Labor announcement is a step in the right direction but will have nowhere near of an impact as they promised.

    • +4

      Am annoyed now by the stories I hear from people that every mediocre GP is also doing private billing so it is very hard to find a good GP nowadays.

      This is the perfect reason to look at the Medicare policies of the major parties as we go into an election.

      GP rebates have remained steady since early last decade but the costs of operating a GP clinic haven’t (all the receptionist, nurses, rent, utilities, etc have gone up with inflation but the GP rebate hasn’t).

    • +2

      personally i get much better service from bulk billed doctors. last time i paid, i waited an hour past my appointment time in a room full of other coughing, sick people. still got rushed out the door after 3 minutes despite paying for 15

      • This is exactly my point, I used to go to a private billing practice and have been getting better healthcare. This was like 4-10 years ago since I've been going to private billing practices. There are bulk billing practices around them and obviously patients choose to pay for a reason because the "free" one is just around the corner at that time.

        Nowadays every GP is charging a fee, no one can differentiate between quality of GPs.

        • Plenty of bb doctors near me. Guess I'm lucky. They tend to be doctors trained overseas who say funny things at times

          • @belongsinforums: Curious what things they say btw?

            • @ATTS: "oh you're suicidal? You should get pregnant!"

            • @ATTS: Chinese doctors are still trained in and still practice TCM. I saw an ad for scorpion elixir in a Chinese hospital. I saw a IV filled with tea

              • @belongsinforums: When do u think chinese medicine is better than Western medicine?
                I think both have merits, though i think chinese medicine can interact badly with some western medicine?

                • @ATTS: I'd rather put leeches on my skin than eat a swallow's nest

                  • @belongsinforums: Oh u mean like drinking birds nest? If so i do enjoy it lol

    • +1

      Bulk bill is about volume. The LNP tried to kill it by freezing rebates for 9 years. They really dont want social healthcare.

  • +1

    Does anyone know if this mob will do refill prescriptions and do they just send the e-script to their app?

    • +1

      I'm pretty sure they do based on this FAQ - https://www.abbyhealth.app/help-centre/how-do-i-get-a-repeat….
      After the consult, they sent me a link for the script via SMS a couple weeks ago.

    • +1

      Just tried exactly this. Went alright.

      Needed a refill of one of my regular prescriptions.
      Started with a call, that then transitioned to a video call so that she could see my previous medications packaging.

      Was relatively seamless, and was bulkbilled.
      Would use to replace my actual GP, only to supplement them.

      Out of Updoc, Instascripts and Abby, this has been my best experience so far (low bar).

  • +2

    Used them a couple weeks ago to get a quick prescription.
    The whole consultation was less than a minute, doctor basically called to get verbal confirmation on some stuff and got my script 5 mins later.
    Great if you cbf going to an actual GP, most GPs in my area are not even bulk billed anymore.

    • Pretty much my situation. GPs in my area are nearly all non bulk billed. The amount of tax i pay really shouldnt make seeing a doctor this expensive.. certanly not what i grew up with. But weve some how screwed that up and now offering nurses on shitty calls online. What a disgrace.

  • +14

    just another dial a doc with questionable qualifications and clinical governance
    mostly staffed by Nurse Pracs, some of their "GPs" are unfellowed, ie. not real GPs
    I have lots of respect for NPs, but they need to practice within their scope and undifferentiated telehealth is prone to disasters

    • +5

      Just the NHS-isation of the health system. Cheaper financially but the cost is more harm to patients (see NHS case reports)

    • It assigns an NP or GP based on what you select - repeat prescriptions is usually an NP, any new issues is usually a GP.

      The ones I've had practice at actual clinics too.

  • +2

    the government funds an after hours GP helpline - call healthdirect 1800022222 and after speaking to the nurse they will direct you to an actual GP who can prescribe.
    a lot of states have virtual emergency/urgent care services that is free of charge - VIC, QLD and SA all have virtual ED services.

    • +1

      It's more a solution for non-urgent telehealth where you're usual provider doesn't provide telehealth and/or has gaps. It's fit for purpose for what I use it for.

    • -2

      While they do have free virtual ED services, you'll be waiting upwards of 6 hours for a response, if they even connect/respond at all.

      • not in my experience..obviously busier on weekends/public holidays…but usually seen within between 30min, to longest was 1-2hrs. depends on the acuity too as they are triaged

        • -1

          We triaged a patient last week (with a baby who'd had a 48-hour long temperature) directly to the W&CH virtual ED service at 8.30am and they called our GP practice back at 4.30pm later the same day to see if a doctor could see their little one after-hours, because they were still waiting to speak to a doctor………. One of our GP's did a home visit for them on the way home from work and had to arrange an ambulance to get called out.

          • +1

            @infinite: i'm in a different state.. victoria seems to do a lot better with theirs

  • +6

    Nurse practitioners fulfill a role in certain niches, but definitely not in general practice in metropolitan areas, including via telehealth.

    Always insist on a doctor.

    • -1

      It assigns an NP or GP based on what you request the appointment for. Just repeats is usually an NP, if it's a new issue it's usually a GP.

  • +2

    "Hi, everybody!"

    ―Dr. Nick Riviera's catchphrase

  • I have been going to the same GP for years. They bulk bill but regardless of the appointment time they are always running late from 20 mins - 90 mins. The one time I missed an appointment I got a bill for $90.

    At least this lot can give you an appointment time and keep it. As for the personal touch I will have to live without it.

  • +4

    Except for very rare circumstances you can’t get a specialist General Practitioner telehealth consult subsidised (which includes bulk billed) without a pre-existing clinical relationship in the last 12 months as per Medicare. These will be NP’s pretending to be doctors, or questionable doctors who haven’t done the 3+ years of Specialist GP training.

    • There's usually multiple doctors at any GP clinic who haven't done or completed the 3 years of GP specialty training.

      The registrars practice almost exactly the same as any other GP in the clinic, they'll be called a GP and the practice will advertise them as a GP (even though they shouldn't) and you won't be told they are a registrar either unless you specifically ask.

      • At least the GP registrars have actually done a MD or MBBS though, which is better than a NP pretending to be a doctor.

        (Not saying it is fine for GP clinics to hide the fact their registrars are registrars, but they are still more qualified to practice medicine than a NP).

  • I’ve only used them once but I was left disappointed. My regular GP was closed for the holidays and I needed a prescription refill. After multiple calls with them because they kept calling back for more details, and being told multiple times they will process it, they eventually called me to say they can’t prescribe what I was asking for.

  • +3

    At best this is deceptive, having a NP see you not a GP, at worst this is medicare fraud (if a doctor bulk-bills you). These services and others like it probably also make the cost to see GPs worse in the long run.

  • -3

    I've had doctors and nurses practitioners here. The NP I had was the single best appointment I've had in 10 years with any medical professional. I came in for a repeat of my skin cream, but she asked how's my sleep at the end of the appoint. I told her I gave up on my sleep a long time ago, and get insomnia and restless legs.

    She prescribed me two medications with minimal side effects that were effective, whereas the Indian doctor I saw in person who gave me two minutes of his time and had a $40 gap payment prescribed me one with known side effects of compulsive gambling, spending and sex amongst others. Never took the medication, never saw that doctor again.

    I would trust a nurse practitioner that is with patients day in day out over 90 percent of the paper qualified doctors out there.

    • +1

      Sorry what medication gives you side effects of compulsive gambling, spending and sex amongst others?!

      • Some parkinson's meds. Probably given for restless legs and maybe, maybe not, the more sensible prescription as it was aiming to treat the cause.

        • What is the name of this drug for “sex amongst others”?

        • initiating premipexole over a 10min telehealth consultation. good god

          • @May4th: No that was done by the Indian doctor in 2 minutes in a standard doctors practice. The nurse prescribed a blood pressure medication that also helps to relax you along with 10mg melatonin (max dose) sustained release.

            • @Growth: I’d suggest that you see you a GP for a thorough review. While melatonin is generally safe, at that dose it can sometimes be considered a hypnotic, and if something happens at work and your employer finds out it won’t end well. Not to mention there is no medical indication for that dose long term (unless you have certain neurodevelopmental disorders). Let's not talk about the BP med that 'relaxes' you…

              A GP has extensive specialised training to diagnose and manage, and optimise long term preventative care. Problem is nowadays, the ‘thinking’ part is under-appreciated by the general public, and people only want quick fixes without diving into the root cause. In reality, the invisible thinking part is often the hardest aspect of GP.

              One example: people don’t go to the GP saying they have a heart attack. They go in saying they have x or y symptoms, which could be also be caused by dozens of other conditions, which the GP will then need to skillfully tease out. An online course coupled with several years working as a non-doctor won't suffice for provision of high quality patient care, if they did not even study the basic foundations of medicine in medical school.

              Just my 2c.

              • -1

                @lemonr: Had insomnia 15 years, melatonin 10mg is weak compared to other alternatives, I could take it and run 20kms without feeling any effects of it. It's just enough to dull down racing thoughts, not hypnotic.

                Clonidine works by decreasing your heart rate and relaxing the blood vessels so that blood can flow more easily through the body. It reduces the restless legs from an 8/10 to a 1/10 or 0/10.

                Just like any profession you've got good practitioners who care about their patients and jobs and poor ones who just want to get through the day.

                The point of my post is that my experience with with this online health clinic was excellent and I'd recommend it to anyone.

    • Is bad gp common?,and how to find a good gp ? i would of thought they would discuss side effects of every medication/ treatment etc

  • +5

    Successive governments have continued to underfund Medicare and these poor quality services are a result of it. For our future healthcare (maintaining a high quality primary health service) we should ask for more from our tax.

    For those that are getting poor quality services from specialist qualified GPs (completed FRACGP) and bulked billed - this is because Medicare only funds about 5 minutes of that professional service.

    If you are getting poor quality services from trained GPs but are paying an out of pocket - vote with your feet - just like any other service.

    • +2

      I've seen reports on the new incentive from the Labour government and simple calcs seem that a privately billing centre would still outstrip the increased Medicare rebates.

      • Regional bulk billing incentives on top may make it viable; we may see more regional doctors bulk billing.

        Both clinics where I live are $40+ gap fees currently.

      • Correct the announced Medicare changes is a welcomed change to government sentiment towards GP services. On the surface appears generous but devil in details - most practices that already charge a gap do not benefit. There needs to be focused funding of long term continuous complex care to improve healthcare delivery.

    • From an outsider, the increase in cost and lack of bulk billing seems to be consistent with the increase in "medical centres", where it appears that the GPs are either subcontractors or renting the premises and administration?

      I'm in suburban Melbourne and there are barely any local GPs with 1 or 2 in a practice any more.

      These "medical centres" are often part of a group or chain with multiple sites.

      I'm highly suspicious of the profit margins and real dilemmas of GPs when corporations are involved for profit

      • +2

        all GPs are contractors. solo GPs are no longer viable. there is definitely a rise in corporatisation of primary care usually at the detriment of patients as well as GP autonomy where management is KPI and profit (of the clinic) focused. some corporates are so toxic they literally had to rebrand themselves to attract GPs (cough, Primary HC)

        • Thanks for your reply, appreciate it. Can a GP make a healthy living from just the medicare rebates (just bulk bill) if there were no costs for rent, staff, advertising, security, administration, etc.?

          • +1

            @Big L: good question, not a straight forward one to answer. it depends on what you mean by 'healthy living'
            by no cost I assume you mean the doctor takes 100% of billings which of course will never happen in a real world. (bearing in mind they still have to pay indemnity insurance and college registration which can be up to 10k a year).

            medicare (barring any future election related changes) currently pays $40 per consult, so if you see 4 patients an hour that's $160. bear in mind it's without super, sick or annual leave which typically adds 30%+ to your package. which is still a very healthy living well above average wage, however paltry compared their specialist peers who charges as much as $400 or more for an appointment

    • Could u explain the 5 min part?

  • +1

    FYI, they call you directly on your number and not through app. They don’t do repeats on prescriptions either. The e-script is sent via sms as a link.

    Also, I requested a video chat but I got voice chat only, Therefore I didn’t get the full experience as a first time user.

    Note, the rules will change in next few months so the nurse practitioners won’t be able to bulk bill anymore. It’s probably good that they are closing this loophole as it’s costing Medicare a packet!

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