We can help pay for this treatment in the first 90 days after your accident. You do not need to contact us for approval first if:
- you have a TAC claim number
- your doctor or other health professional recommends it, and
- it is for your accident injuries.
To get this treatment, you will need a referral from your doctor.
We may contact you or your provider to check your progress and see if you are getting the support you need. This will help us make sure your treatment is helping your recovery. It will allow us to make decisions about what treatment we can pay for and how long we can pay for it.
How to get an x-ray or scan
- If your doctor recommends an x-ray or scan, they can give you a referral to go to an imaging centre.
- Your doctor can recommend an imaging centre, or you can also search for an imaging centre online.
- Call and make an appointment. Tell them you are a TAC client, you have a referral and who the referral is from. Ask if they charge at TAC rates. If the provider charges more, they may ask you for a 'gap payment' to make up the difference
- Go to your appointment and give the provider your TAC claim number.
When you need to ask for TAC approval:
Please contact us for approval if it is:
- close to or more than 90 days since your accident and we haven’t already approved more treatment, or
- more than 6 months since you’ve had any treatment or service paid for by the TAC.
How we pay for treatment
There are two ways we can pay for your approved treatments and services:
- we pay your provider at the TAC rate
- you pay your provider, and we repay you at the TAC rate.
To ask for a reimbursement, scan or take a photo of your receipt. Send it to us with the ‘Reimbursement form’ button under 'Upload documents' on myTAC, or by email to firstname.lastname@example.org and we will repay you.
We will pay for your treatment at the TAC rate . If your provider charges more than the TAC rate, you may need to pay the difference. This is known as a 'gap payment'.
If your provider charges you a gap payment, you may be able to seek reimbursement for some of this through:
- Medicare or your private health insurance
- The TAC.
Please note, in most cases, we are unable to reimburse you for a gap payment. This is because we have paid for your treatment or service at a rate we have determined is reasonable. You may still ask for a reimbursement from the TAC and we will let you know our decision.
What are x-rays and scans (also known as medical imaging)?
- An x-ray uses very small amounts of radiation to create two-dimensional pictures of your bones.
- A CT scan uses x-rays and digital computer technology to create detailed pictures, including bone, blood vessels and soft tissue.
- An ultrasound uses high-frequency sound waves to take pictures of your internal organs, musculoskeletal and vascular systems.
- An MRI uses a magnetic field and radio waves to take pictures of the soft tissue inside your body.
Information for health and service providers
If you are a doctor, please refer to our TAC Provider Guidelines.
Medical services reimbursement rates
The TAC has adopted the Medicare Benefits Schedule (MBS) items, explanations, definitions, rules and conditions for services provided by medical practitioners. When invoicing for medical services, medical practitioners are expected to adhere to the MBS rules unless otherwise specified by the TAC on the Reimbursement Rates for Medical Services information page or its medical policies.
The Reimbursement Rates for Medical Services must be read in conjunction with:
- Medicare Benefits Schedule (MBS)
- Clarification of Medicare Benefits Schedule (MBS) rules
- Other policies outlined within the Medical Practitioners section of our website
Important: The Excel spreadsheet below was updated on 27 August with the 1 August MBS updates and includes the temporary MBS COVID19 telehealth items payable by the TAC.
Please refer to our telehealth information page for further information about TAC funded telehealth.
- Reimbursement Rates for Medical Services performed between 1 July 2019 and 30 June 2020 XLSX, 0.15MB
- Reimbursement Rates for Medical Services performed between 1 July 2018 and 30 June 2019 XLSX, 0.17MB
- Reimbursement Rates for Medical Services performed between 1 July 2017 and 30 June 2018 XLSX, 0.16MB
At the time of production this publication contained up to date information as released by Medicare Australia (Medicare). The relevant publication will be updated to reflect any further changes that are implemented by Medicare each year. Please check our website for the latest version.
If you have any questions about these publications or the reimbursement rates, please contact the TAC on 1300 654 329. Alternatively, e-mail email@example.com.
Doctors and diagnostics
We’re here to help you get your life back on track after your transport accident. To help you recover we will pay for medical services provided by a doctor within Australia.
In the first 90 days after your accident, the TAC can help pay for this treatment without the need for you to contact us for approval first.
When you need to contact us for approval
You or your provider need to contact the TAC for approval of this treatment if:
- It is approaching or more than 90 days since your accident and we have not approved further treatment or services, or
- It has been more than 6 months since you’ve had any treatment or service paid for by the TAC.
When we can pay for doctors and diagnostics
In the first 90 days after your accident, you can see your doctor for treatment and care for your injuries without the need for you to contact us first.
After the first 90 days, you will need TAC approval to see your doctor.
We will also pay for your doctor to meet with your employer, once you both feel it’s time to talk about returning to work. Your doctor can visit your workplace to see if you will be able to manage or if you will need some help. If this is more than 90 days after your accident, you will need TAC approval first.
Other services you can access
Your doctor may recommend other services for you, such as pathology and imaging services. This will help them decide on the best treatment for your injuries. We will pay for these services.
When needed, we will work with your treating team to help them manage the medical services and supports you need.
We may contact your doctor to discuss your progress or request an assessment to make sure that:
We will also pay for your doctor to meet with your employer, once you both feel it’s time to talk about returning to work. Your doctor can visit your workplace to see if you will be able to manage or if you will need some help.
Treatments and services we can’t pay for
We can’t pay for services that:
What is the role of my doctor?
Your doctor (also known as a General Practitioner or GP) plays an important part in your recovery. They will:
- Manage and coordinate your care and recovery.
- Prescribe the medication you need.
- Send you to see other health professionals or specialists.
- Give you health information and education.
- Help you get back to work.
- Give you any certificates and reports you need.
For more information, see:
How treatments and services are paid for
We pay for your medical treatment:
- Directly to your doctor, when you have given them your TAC claim number, or
- If you have to pay, use myTAC to send a copy of your receipt to us and we will repay you.
We pay for your services in line with our responsibilities under the Transport Accident Act 1986.
How much we will pay
We will pay for your treatment and services according to our fee schedule. If your provider charges more than the TAC rate, you may need to pay the difference. For a list of TAC rates, see:
For accidents that happened before 14 Febuary 2018, we can only pay for these services once any required medical excess has been reached. Find out if the medical excess applies to you.
If you are a doctor, please refer to our TAC Provider Guidelines.