Cost to see a psychiatrist (Australia)

Psychiatrists are medical doctors who are experts in diagnosing and treating mental illness. You can expect a high level of skill in the services they provide.

How much does it cost to see a psychiatrist?

If you see a psychiatrist in a public hospital or community health service, you generally won’t have to pay.

If you see a psychiatrist for a private appointment (in their rooms), you may have to pay a fee (sometimes called a gap fee or out-of-pocket cost).

Private medical specialists charge fees because they are running their own practices with all the associated costs this involves.

The RANZCP does not recommend or set a schedule of fees. They are decided by individual psychiatrists.

Call the psychiatrist’s clinic to ask about fees before your first appointment.

Also check what fees apply if you can't get to an appointment or cancel at short notice.

Your private psychiatrist can provide you with a copy of their fees before your first appointment. This can be mailed or emailed to you.

Can I get a Medicare rebate when I see a psychiatrist?

Yes. Medicare usually covers some of the cost of seeing a psychiatrist.

The amount you receive from Medicare will depend on:

• the type of appointment
• how long the consultation is
• if you require services not covered by Medicare (for example court reports or firearms reviews).

You may be asked to pay the full amount for the appointment on the day.

Often you can claim your Medicare rebate on the spot and have a refund in your bank account the same day (minus the doctor’s gap).

According to 2014–2015 Australian Department of Health data, the average psychiatrist fee for a 45–75 minute consultation was $267.

Medicare will rebate $156.15 of this amount (see table below for examples).

Do psychiatrists bulk-bill?

Some psychiatrists may bulk-bill. This means you don’t have to pay any money for the appointment.

Each psychiatrist has their own criteria for who they bulk-bill. For example, they might bulk-bill people who have Health Care Cards.

Check if you qualify for bulk-billing by calling the clinic before your appointment.

Find a psychiatrist near you who offers bulk-billing

Does private health insurance cover psychiatrists?

Private health insurance won’t cover your private appointment with a psychiatrist.

It may cover you for psychiatrist visits during a stay in a private hospital. It is important to check your level of health cover if your psychiatrist recommends hospital care.

More about private health insurance and mental health

I’m having trouble paying – what options do I have?

If you are having trouble paying for psychiatric appointments:

• Tell the clinic receptionist that you are having difficulties – they may be able to organise a payment plan for you.
• Discuss this with your psychiatrist.

Medicare Safety Net

The Medicare Safety Net provides extra rebates once your out-of-pocket medical costs reach $453.20 in a calendar year. After you spend this amount, Medicare will pay extra rebates.

Once you reach the Safety Net, your cost per appointment might drop.

Extended Medicare Safety Net

The Extended Safety Net provides more rebates on top of what you might already be getting under the standard Safety Net.

If you are a concession card holder or a family receiving Family Tax Benefit A, once your out-of-pocket medical costs reach $656.30 you will qualify for the Extended Safety Net.

For people who don’t qualify for concession, the threshold is $2056.30.

More about the Medicare Safety Net

How many times will I see my psychiatrist?

You might only need to see a psychiatrist once or twice per year.

In other cases, you may need to have regular appointments with a psychiatrist for management of a long-term illness. The Medicare safety nets are designed to help you cover these ongoing costs.

Your psychiatrist may also refer you to see a psychologist or allied health professional for psychological treatment. In this case, there are Medicare rebates available through the Better Access and ATAPS programs.

Better Access

Better Access provides Medicare rebates for appointments with allied health professionals. This could be a psychologist, a mental health-trained GP, a registered social worker or other approved professional. It does not cover psychiatrist visits.

A psychiatrist can directly refer you under the Better Access Scheme by writing a referral letter.

Better Access provides up to 6 Medicare-rebated sessions. You can get 4 more sessions if your psychiatrist or GP thinks it’s necessary.

More about the Better Access program

Primary Health Networks (PHNs) mental health care services

PHNs provide a range of services for people with a diagnosed mental illness, including access to a psychologist, nurse, occupational therapist, social worker or Aboriginal and Torres Strait Islander health worker. Services may be available for people in hardship, living remotely or who have suffered serious trauma (for example homelessness, bushfire or earthquake).

Talk to your GP or psychiatrist about services available in your area.