Simple mistake at your next GP visit could lead to unexpected expenses

Navigating the Australian healthcare system can sometimes feel like a maze, and for those over 60, understanding the costs associated with visiting a general practitioner (GP) is crucial.

A recent survey from the peak body for GPs has revealed that out-of-pocket costs for GP visits are higher than ever, with the average gap payment for a 20-minute consultation now at $36.86 in 2024.


According to the Royal Australian College of General Practitioners’ 2024 Health of the Nation report, this increased from $34.91 the previous year.

The increase in costs is hitting the most vulnerable patients the hardest, particularly those living with chronic complex illnesses who require longer consultations.


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Out-of-pocket costs for GP visits in Australia reached an all-time high, averaging $36.86 for a 20-minute consultation in 2024. Credit: Shutterstock


The college’s president, Dr Nicole Higgins, expressed concern, stating, 'The gap is the highest it’s ever been.'

This is especially troubling for our senior community, who often rely on frequent medical consultations to manage their health.

The report also highlighted a rise in longer consultations due to mental health presentations, with 71 per cent of GPs reporting mental health as a top reason for patient consults, a significant increase from 61 per cent in 2017.


This reflects a growing need for mental health support among Australians, a need that must be met with adequate resources and affordable care.

In response to these rising costs, the college advocated for a 20 per cent increase to all Medicare rebates for 20-minute and longer consults, with additional increases for rural and remote communities.

When Medicare was introduced 40 years ago, it covered 85 per cent of the cost of a GP visit.

Today, coverage has plummeted to 45 per cent, a decline attributed to successive governments' decade-long Medicare freeze and insufficient indexation, compounded by inflation in the health sector.


Despite the government tripling the bulk billing incentive for pensioners, children, and healthcare card holders, which led to one in four GPs bulk billing more consults, patients still need to pay more attention to their out-of-pocket expenses.

This is a reminder that while bulk billing can alleviate some costs, it is not a panacea for the financial burden of healthcare.

Encouragingly, the report did find some positive trends in the GP workforce.

In 2025, the college exceeded its recruitment targets for young doctors in rural and urban training programs, indicating a renewed interest in general practice.

This is a welcome development, as the GP workforce is aging.


Two out of five GPs indicate retirement plans within the next five years.

However, the report also illuminated the growing administrative workload for GPs, which increased from 60 per cent in 2023 to 70 per cent in 2024.

This administrative burden is why GPs are considering leaving the profession soon.

Furthermore, the report called for an overhaul of the My Health Record system, which was criticised for its incomplete records and poor usability.

Nearly one-third of GPs rarely or never use electronic medical records, suggesting a need for a more efficient health data system that could save billions and reduce patients' out-of-pocket costs.


Dr Christopher Harrison from the University of Sydney’s School of Public Health emphasised the importance of bulk billing in ensuring an efficient and accessible healthcare system.

‘Bulk billing removes financial barriers that may push patients to delay care or to seek it from an emergency department, which costs the system far more,’ he said.

‘The increases to the bulk-billing incentive items payments were a step in the right direction. These results support other evidence that they have made a difference.’

‘However, more needs to be done to incentivise the bulk billing of people of working age who are not covered by the current incentive items.’

According to a report from the Royal Australian College of General Practitioners, the percentage of GPs who bulk bill all their patients has dropped by half over the past year.

The report also highlighted a decline in GP job satisfaction, with overall satisfaction falling from 70 per cent in 2022 to 66 per cent in 2023. You can read more about it here.
Key Takeaways
  • Out-of-pocket costs for visiting general practitioners in Australia are at an all-time high, with a survey showing an average gap of $36.86 for a 20-minute consult in 2024.
  • The Royal Australian College of General Practitioners reports a rise in longer consultations, especially for mental health, and calls for a 20% increase in all Medicare rebates for longer consults.
  • Despite some improvement in GP workforce numbers, rising administrative burdens are causing concern, with many GPs indicating plans to retire in the next five years.
  • The college suggests that savings from a more efficient health data system could help reduce out-of-pocket patient costs amid calls for the government to overhaul the My Health Record system.
Have you experienced rising healthcare costs? Feel free to share your stories and tips with us in the comments below.
 
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I guess I’m one of the lucky ones being an aged pensioner but I do the the government need to focus on getting our Medicare back to the 85% gap otherwise we are no longer the lucky country. They also need to provide places for these re- offending kids such as such as a controlled station or military type training in remote areas in several states as they cannot be charged and jailed as adults and there needs to be consequences then if they abscond then jail they have to be taught self respect and respect for others and pride in achievements. We are one Country so these rules apply to all who live in it whether immigrants, Indigenous, or Aussies born here. The theft,rampage,and violence needs to stop. Had I behaved in that way I would have been strapped by my parents it was not tolerated i do understand there are some bad eggs which cannot be helped so the penal system is for them. “
 
I guess I’m one of the lucky ones being an aged pensioner but I do the the government need to focus on getting our Medicare back to the 85% gap otherwise we are no longer the lucky country. They also need to provide places for these re- offending kids such as such as a controlled station or military type training in remote areas in several states as they cannot be charged and jailed as adults and there needs to be consequences then if they abscond then jail they have to be taught self respect and respect for others and pride in achievements. We are one Country so these rules apply to all who live in it whether immigrants, Indigenous, or Aussies born here. The theft,rampage,and violence needs to stop. Had I behaved in that way I would have been strapped by my parents it was not tolerated i do understand there are some bad eggs which cannot be helped so the penal system is for them. “
It starts with the parents at home , there should be some sort of penalty for the parents....also some form of shaming the offender to see the error of their ways and some guidance for rehabilitation (not softly) Kids are not children at 16 anymore by 12 they are old enough to know right from wrong...
 
Last time l visited my dr was only around two months ago. I was charged $87 l am on a disability pension. I nearly fell back wards. It use to be $54 l didn't question it. I just thought my drs may not have pension payments now. I think l was out of pocket $37 after the Medicare rebate.
I have a friend who's dr still bulk bills but is rushed out the door. I must say my dr is fantastic but some times the wait is ridiculous.
Kind regards to all Vicki
 
The problem is that many GPs have to make the choice to charge a gap, or risk going out of business. Many practices are closing down, and longer consultations which are required for women's health, mental health issues, and complex problems, are poorly remunerated under Medicare. This affects female GPs in general more than males and contributes to the gender gap in GP's earnings. Theoretically, females should earn the same as males, but they earn far less, even accounting for part-time work.
 
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There is too much inconsistency with how the doctors charge the elderly. My husband goes to a different surgery to me and he is charged the full fee and it is paid immediately and then he gets a refund of approx half from medicare. My surgery does not charge me. My husband is in his late 80's.
When this surgery started it was in the days of bulk billing so that they got a number of people from other surgeries and now they have changed
 
There is too much inconsistency with how the doctors charge the elderly. My husband goes to a different surgery to me and he is charged the full fee and it is paid immediately and then he gets a refund of approx half from medicare. My surgery does not charge me. My husband is in his late 80's.
When this surgery started it was in the days of bulk billing so that they got a number of people from other surgeries and now they have changed
My dr's were the same.
Regards Vicki
 
I am not sure how this works but it may be possible for some people with chronic health issues who have frequent visits to their GP to investigate being put on a "Plan" I see my GP at least once a fortnight and am bulk billed for every visit, I can also receive Appointments for Podiatry and Physiotherapy if needed or wanted at a very reduced rate, medicare pay a gap rebate for each of those visits. I understand that my varied chronic health issues are the reason for "The Plan" but am not sure how it works, I have not questioned it, just accepted that there is a no or a greatly reduced fee for my GP or allied health visits. Perhaps a question for your GP at your next visit? I am not on a pension by the way so that is not the reason for being put on a "Plan" whatever the reason my GP has for this I am grateful.
 
The problem is that many GPs have to make the choice to charge a gap, or risk going out of business. Many practices are closing down, and longer consultations which are required for women's health, mental health issues, and complex problems, are poorly remunerated under Medicare. This affects female GPs in general more than males and contributes to the gender gap in GP's earnings. Theoretically, females should earn the same as males, but they earn far less, even accounting for part-time work.
My GP practice charges me the same amount whether I see a female GP or a male GP. Are you meaning that Medicare has a gender gap?
 
Absolutely!!! Impossible to locate any BulkBillers now. My Dr charges $120 for 15mins consult, longer is $230.

Doctors state AlbaSleazy and LABOR Medicare payment worked out to be little more than $1. A ONE DOLLAR INCREASE is NOT what AlbaSleazy promised.
Doctors NEVER cost this much under Liberal govts!!!

Found two doctors charging $70 but it was a THREE WEEK WAIT to get appointment!!
Thanks LABOR - for NOTHING!!
 
Further to my previous message above. We are both aged pensioners. I get podiatry free my husband at his last visit was advised that he would have to pay in future and he would get a refund of part from medicare.
They need to make up their minds. This has all come about since the Labour Government changed the rules
 
I am not sure how this works but it may be possible for some people with chronic health issues who have frequent visits to their GP to investigate being put on a "Plan" I see my GP at least once a fortnight and am bulk billed for every visit, I can also receive Appointments for Podiatry and Physiotherapy if needed or wanted at a very reduced rate, medicare pay a gap rebate for each of those visits. I understand that my varied chronic health issues are the reason for "The Plan" but am not sure how it works, I have not questioned it, just accepted that there is a no or a greatly reduced fee for my GP or allied health visits. Perhaps a question for your GP at your next visit? I am not on a pension by the way so that is not the reason for being put on a "Plan" whatever the reason my GP has for this I am grateful.
They’re called Gp Care Plans. There are two including one for allied health (only five visits annually total) and also mental health plans. Medicare is going to cease one item that now covers allied health and change the system but they haven’t told Gp practices what the new system will be. It has now been deferred till next year as it was threatening to cause chaos. Only patients with a chronic illness are eligible.
 
My GP practice charges me the same amount whether I see a female GP or a male GP. Are you meaning that Medicare has a gender gap?
No. Female GPS are expected to see more women’s health and mental health patients The Medicare rebates are not commensurate with the time spent. Doctors who do quick bulk billed consultations , possibly six patients per hour, make a much higher hourly rate than those who eg see two patients for half an hour or more each in an hour. hour. Interestingly even female surgeons and some other specialists make less than males.
 
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No. Female GPS are expected to see more women’s health and mental health patients The Medicare rebates are not commensurate with the time spent. Doctors who do quick bulk billed consultations , possibly six patients per hour, make a much higher hourly rate than those who eg see two patients for half an hour or more each in an hour. hour. Interestingly even female surgeons and some other specialists make less than males.
My neighbour's daughter is training to be a Urologist surgeon, so that's disappointing for her too. My cousin is a retired Nephrologist who looked after patients with kidney transplants. In comparison, he would have received a good pay. Here I was none the wiser. Thanking you for the info.
 
They’re called Gp Care Plans. There are two including one for allied health (only five visits annually total) and also mental health plans. Medicare is going to cease one item that now covers allied health and change the system but they haven’t told Gp practices what the new system will be. It has now been deferred till next year as it was threatening to cause chaos. Only patients with a chronic illness are eligible.
Great that she’s doing urology. It is highly paid.
My neighbour's daughter is training to be a Urologist surgeon, so that's disappointing for her too. My cousin is a retired Nephrologist who looked after patients with kidney transplants. In comparison, he would have received a good pay. Here I was none the wiser. Thanking you for the info.
I’m glad to hear she’s doing urology. They do get paid well. Plus we need more. female surgeons.
 

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