Medical services/doctor appointments

We can pay for this treatment immediately after your transport accident. You don't need to contact us for initial approval.

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 doctor’s treatment

  1. If it’s been more than 6 months since you had any treatment paid for by the TAC, call us to find out if we can pay for more treatment
  2. You may already have a doctor that you see. If not, you can search for a doctor online.
  3. Call and make an appointment. Tell them you are a TAC client. 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
  4. Go to your appointment and give the receptionist your TAC claim number.

How to pay for treatment

In most cases, we will pay your provider. If you have to pay, 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 info@tac.vic.gov.au 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 you need to pay a gap, you may be able to recover some of the cost through Medicare or private health insurance.

What does a doctor do?

Your doctor or GP plays an important role in helping you recover.

Your doctor can:

  • Refer you to other health professionals and specialists.
  • Organise diagnostic tests, such as x-rays, blood tests, MRIs and CT scans.
  • Prescribe any medication you need.
  • Provide any certificates and reports you need.
  • Help you get back to work.

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 in the Reimbursement Rates for Medical Services booklet or its medical policies.

The Reimbursement Rates for Medical Services must be read in conjunction with:

The government recently announced a temporary expansion of telehealth MBS items to help reduce the risk of community transmission of COVID-19 and provide protection for patients and health care providers. These services are for non-admitted patients and geographical restrictions do not apply.

The TAC will fund these temporary telehealth items for services provided by medical specialists, such as GPs, consulting physicians and psychiatrists at the TAC rates below until 30 September 2020.

The TAC expects its providers to only use telehealth when it is clinically appropriate to do so and relates to a client’s accident injuries. Telehealth services must be provided in line with the TAC Clinical Framework.

These items are effective from 13 March 2020 unless specified otherwise. 

General Practitioner attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Standard GP Attendance
Video-conference attendances
Attendance for an obvious problem (existing MBS item 3) 91790 $29.29
Attendance less than 20 minutes (existing MBS item 23) 91800 $61.35
Attendance at least 20 minutes (existing MBS item 36)  91801 $112.93
Attendance at least 40 minutes (existing MBS item 44)  91802 $166.29
Telephone attendances (for when video-conferencing is not available) 
Attendance for an obvious problem (existing MBS item 3) 91795 $29.29
Attendance less than 20 minutes (existing MBS item 23)  91809 $61.35
Attendance at least 20 minutes (existing MBS item 36)  91810 $112.93
Attendance at least 40 minutes (existing item MBS 44)  91811 $166.29
Health assessment for people of Aboriginal or Torres Strait Islander decent
Video-conference attendances
GP health assessment (existing MBS item 715) 92004 $364.60
Telephone attendances (for when video-conferencing is not available)
GP health assessment (existing MBS item 715) 92016 $364.60
Chronic Disease Management
Video-conference attendances
GP management plan, prepare (existing MBS item 721) 92024 $252.65
GP team care arrangement, co-ordinate development (existing MBS item 723) 92025 $199.08
GP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 729) 92026 $87.80
GP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 731) 92027 $87.80
GP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 732) 92028 $126.33
Telephone attendances (for when video-conferencing is not available)
GP management plan, prepare (existing MBS item 721) 92068 $252.65
GP team care arrangement, co-ordinate development (existing MBS item 723) 92069 $199.08
GP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 729) 92070 $87.80
GP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 731) 92071 $87.80
GP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 732) 92072 $126.33
Pregnancy support
Video-conference attendances
GP pregnancy support item, more than 20 minutes (existing MBS item 4001) 92136 $140.24
Telephone attendances (for when video-conferencing is not available)
GP pregnancy support item, more than 20 minutes (existing MBS item 4001) 92138 $140.24
Urgent After Hours
Video-conference attendances
GP urgent after hours, unsociable (existing MBS item 599) 92210 $204.97
Telephone attendances (for when video-conferencing is not available)
GP urgent after hours, unsociable (existing MBS item 599) 92216 $204.97

Other Medical Practitioner attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Video-conference attendances
Attendance of not more than 5 minutes - metro (existing MBS item 52) 91792 $29.12
Attendance of more than 5 minutes but not more than 25 minutes - metro (existing MBS item 53) 91803 $55.60
Attendance of more than 25 minutes but not more than 45 minutes - metro (existing MBS item 54)  91804 $100.14
Attendance of more than 45 minutes - metro (existing MBS item 57) 91805 $160.68
Attendance of not more than 5 minutes - regional (existing MBS item 179) 91794 $36.33
Attendance of more than 5 minutes but not more than 25 minutes - regional (existing MBS item 185) 91806 $79.51
Attendance of more than 25 minutes but not more than 45 minutes - regional (existing MBS item 189) 91807 $153.86
Attendance of more than 45 minutes - regional (existing MBS item 203) 91808 $226.36
Telephone attendances (for when video-conferencing is not available) 
Attendance of not more than 5 minutes - metro (existing MBS item 52) 91797 $29.12
Attendance of more than 5 minutes but not more than 25 minutes - metro (existing MBS item 53) 91812 $55.60
Attendance of more than 25 minutes but not more than 45 minutes - metro (existing MBS item 54) 91813 $100.14
Attendance of more than 45 minutes - metro (existing MBS item 57) 91814 $160.68
Attendance of not more than 5 minutes - regional (existing MBS item 179) 91799 $36.33
Attendance of more than 5 minutes but not more than 25 minutes - regional (existing MBS item 185) 91815 $79.51
Attendance of more than 25 minutes but not more than 45 minutes - regional (existing MBS item 189) 91816 $153.86
Attendance of more than 45 minutes - regional (existing MBS item 203) 91817 $226.36
Health assessment for people of Aboriginal or Torres Strait Islander decent
Video-conference attendances
OMP health assessment (existing MBS item 228) 92011 $438.08
Telephone attendances (for when video-conferencing is not available)
OMP health assessment (existing MBS item 228) 92023 $438.08
Chronic Disease Management
Video-conference attendances
OMP management plan, prepare (existing MBS item 229) 92055 $297.73
OMP team care arrangement, coordinate development (existing MBS item 230) 92056 $235.94
OMP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 231) 92057 $145.25
OMP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 232) 92058 $145.25
OMP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 233) 92059 $148.74
Telephone attendances (for when video-conferencing is not available)
OMP management plan, prepare (existing MBS item 229) 92099 $297.73
OMP team care arrangement, coordinate development (existing MBS item 230) 92100 $235.94
OMP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 231) 92101 $145.25
OMP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 232) 92102 $145.25
OMP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 233) 92103 $148.74
Pregnancy support
Video-conference attendances
OMP pregnancy support item, more than 20 minutes (existing MBS item 792) 92137 $158.15
Telephone attendances (for when video-conferencing is not available)
OMP pregnancy support item, more than 20 minutes (existing MBS item 792) 92139 $158.15
Urgent after hours
Video-conference attendances
OMP urgent after hours, unsociable (existing MBS item 600) 92211 $454.52
Telephone attendances (for when video-conferencing is not available)  
OMP urgent after hours, unsociable (existing MBS item 600) 92217 $454.52

Specialist, Consultant Physican, Psychiatrist, Geriatrician, Public Health Physician and Neurosurgeon attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Specialist : Video-conference attendances
Specialist. Initial attendance  (existing MBS item 104) 91822 $163.12
Specialist. Subsequent attendance  (existing MBS item 105) 91823 $81.81
Specialist : Telephone attendances (for when video-conferencing is not available)
Specialist. Initial attendance  (existing MBS item 104)  91832 $163.12
Specialist. Subsequent attendance  (existing MBS item 105) 91833 $81.81
Consultant physician : Video-conference attendances
Consultant physician. Initial attendance  (existing MBS item 110)  91824  $279.77
Consultant physician. Subsequent attendance  (existing MBS item 116) 91825  $140.03
Consultant physician. Minor attendance (existing item MBS 119)  91826  $72.17
* Consultant physician. Treatment and management plan - Initial assessment – at least 2 morbidities - at least 45 minutes duration (existing item MBS 132). 
*Effective 6 April 2020.           
92422 $450.03
* Consultant physician. Treatment and management plan - Review – at least 2 morbidities - at least 20 minutes duration (existing item MBS 133).
*Effective 6 April 2020.
92423 $225.26
Consultant physician : Telephone attendances (for when video-conferencing is not available)
Consultant physician. Initial attendance  (existing MBS item 110)  91834  $279.77
Consultant physician. Subsequent attendance  (existing MBS item 116) 91835  $140.03
Consultant physician. Minor attendance (existing item MBS 119) 91836  $72.17
* Consultant physician. Treatment and management plan - Initial assessment – at least 2 morbidities - at least 45 minutes duration (existing item MBS 132). 
*Effective 6 April 2020.
92431 $450.03
* Consultant physician. Treatment and management plan - Review – at least 2 morbidities - at least 20 minutes duration (existing item MBS 133).
*Effective 6 April 2020.
92432 $225.26
Consultant psychiatrist : Video-conference attendances
* Consultant psychiatrist diagnosis and assessment and management plan - at least 45 minutes in duration (existing item MBS 291)
*Effective 6 April 2020.
92435 $752.75
* Consultant psychiatrist diagnosis and assessment and management plan - 30 to 45 minutes (existing item MBS 293)
*Effective 6 April 2020.
92436 $470.56
* Consultant psychiatrist attendance, more than 45 minutes, new patient (or 2 years between last service for existing patient) (existing item MBS 296)
*Effective 6 April 2020.
92437 $432.85
Consultant psychiatrist. Consultation, not more than 15 minutes, fewer than 50 attendances (existing MBS item 300) 91827 $70.90
Consultant psychiatrist. Consultation, 15 to 30 minutes, fewer than 50 attendances (existing MBS item 302) 91828 $141.44
Consultant psychiatrist. Consultation, 30 to 45 minutes, fewer than 50 attendances (existing MBS item 304)  91829 $207.29
Consultant psychiatrist. Consultation, 45 to 75 minutes, fewer than 50 attendances (existing MBS item 306)  91830 $285.97
Consultant psychiatrist. Consultation, more than 75 minutes, fewer than 50 attendances (existing MBS item 308)  91831 $348.42
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving group of 2 to 9 unrelated patients or a family group of more than 3 patients (existing MBS item 342)
*Effective 20 April 2020.
92455 $80.83
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 3 patients (existing MBS item 344)
*Effective 20 April 2020. 
92456 $107.21
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 2 patients (existing MBS item 346)
*Effective 20 April 2020.
92457 $158.37
* Consultant psychiatrist attendance, interviewing a person other than a patient, 20 to 45 minutes, initial diagnosis (existing item MBS 348)
*Effective 6 April 2020.
92458 $206.42
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 45 minutes, initial diagnosis (existing item MBS 350)
*Effective 6 April 2020.
92459 $285.02
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 20 minutes, continuing management (existing item MBS 352)
*Effective 6 April 2020.
92460 $206.42
Consultant psychiatrist : Telephone attendances (for when video-conferencing is not available)
* Consultant psychiatrist diagnosis and assessment and management plan - at least 45 minutes in duration (existing item MBS 291)
*Effective 6 April 2020.
92475 $752.75
* Consultant psychiatrist diagnosis and assessment and management plan - 30 to 45 minutes (existing item MBS 293)
*Effective 6 April 2020.
92476 $470.56
* Consultant psychiatrist attendance, more than 45 minutes, new patient (or 2 years between last service for existing patient) (existing item MBS 296)
*Effective 6 April 2020.
92477 $432.85
Consultant psychiatrist. Consultation, not more than 15 minutes, fewer than 50 attendances (existing MBS item 300)  91837 $70.90
Consultant psychiatrist. Consultation, 15 to 30 minutes, fewer than 50 attendances (existing MBS item 302) 91838 $141.44
Consultant psychiatrist. Consultation, 30 to 45 minutes, fewer than 50 attendances (existing MBS item 304) 91839 $207.29
Consultant psychiatrist. Consultation, 45 to 75 minutes, fewer than 50 attendances (existing MBS item 306) 91840 $285.97
Consultant psychiatrist. Consultation, more than 75 minutes, fewer than 50 attendances (existing MBS item 308) 91841 $348.42
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving group of 2 to 9 unrelated patients or a family group of more than 3 patients (existing MBS item 342)
*Effective 20 April 2020.
92495 $80.83
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 3 patients (existing MBS item 344)
*Effective 20 April 2020.
92496 $107.21
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 2 patients (existing MBS item 346)
*Effective 20 April 2020.
92497 $158.37
* Consultant psychiatrist attendance, interviewing a person other than a patient, 20 to 45 minutes, initial diagnosis (existing item MBS 348)
*Effective 6 April 2020.
92498 $206.42
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 45 minutes, initial diagnosis (existing item MBS 350)
*Effective 6 April 2020.
92499 $285.02
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 20 minutes, continuing management (existing item MBS 352)
*Effective 6 April 2020.
92500 $206.42
Geriatric Medicine : Video-conference attendances
* Geriatric Medicine Comprehensive assessment and development of a management plan – patient 65 years or older - 60 minutes duration or more (existing item MBS 141)
*Effective 6 April 2020.
92623 $772.01
* Geriatric Medicine Subsequent attendance to review/revise the initial management plan as necessary – patient 65 years or older - 30 minutes duration or more (existing item MBS 143)
*Effective 6 April 2020.
92624 $484.42
Geriatric Medicine : Telephone attendances (for when video-conferencing is not available)
* Geriatric Medicine Comprehensive assessment and development of a management plan – patient 65 years or older - 60 minutes duration or more (existing item MBS 141)
*Effective 6 April 2020.
92628 $772.01
* Geriatric Medicine Subsequent attendance to review/revise the initial management plan as necessary – patient 65 years or older - 30 minutes duration or more (existing item MBS 143)
*Effective 6 April 2020.
92629 $484.42
Public Health Physician Services : Video-conference attendances
* Public health physician, level A attendance (existing MBS item 410)
*Effective 20 April 2020.
92513 $40.50
* Public health physician, level B attendance, less than 20 minutes (existing MBS item 411)
*Effective 20 April 2020.
92514 $84.79
* Public health physician, level C attendance, at least 20 minutes (existing MBS item 412)
*Effective 20 April 2020.
92515 $155.86
* Public health physician, level D attendance, at least 40 minutes (existing MBS item 413)
*Effective 20 April 2020.
92516 $229.76
Public Health Physician Services : Telephone attendances (for when video-conferencing is not available)
* Public health physician, level A attendance (existing MBS item 410)
*Effective 20 April 2020.
92521 $40.50
* Public health physician, level B attendance, less than 20 minutes  (existing MBS item 411)
*Effective 20 April 2020.
92522 $84.79
* Public health physician, level C attendance, at least 20 minutes (existing MBS item 412)
*Effective 20 April 2020.
92523 $155.86
* Public health physician, level D attendance, at least 40 minutes (existing MBS item 413)
*Effective 20 April 2020.
92524 $229.76
Neurosurgery attendances : Video-conference attendances
* Neurosurgeon, initial attendance (existing MBS item 6007)
*Effective 20 April 2020.
92610 $251.39
* Neurosurgeon, minor attendance (existing MBS item 6009)
*Effective 20 April 2020.
92611 $81.81
* Neurosurgeon, subsequent attendance, 15 to 30 minutes (existing MBS item 6011)
*Effective 20 April 2020.
92612 $163.12
* Neurosurgeon, subsequent attendance, 30 to 45 minutes (existing MBS item 6013)
*Effective 20 April 2020.
92613 $229.94
* Neurosurgeon, subsequent attendance, more than 45 minutes (existing MBS item 6015)
*Effective 20 April 2020.
92614 $292.68
Neurosurgery attendances : Telephone attendances (for when video-conferencing is not available)
* Neurosurgeon, initial attendance (existing MBS item 6007)
*Effective 20 April 2020.
92617 $251.39
* Neurosurgeon, minor attendance (existing MBS item 6009)
*Effective 20 April 2020.
92618 $81.81
* Neurosurgeon, subsequent attendance, 15 to 30 minutes (existing MBS item 6011)
*Effective 20 April 2020.
92619 $163.12
* Neurosurgeon, subsequent attendance, 30 to 45 minutes (existing MBS item 6013)
*Effective 20 April 2020.
92620 $229.94
* Neurosurgeon, subsequent attendance, more than 45 minutes (existing MBS item 6015)
*Effective 20 April 2020.
92621 $292.68

Mental Health attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
General Practitioners (credentialed with CEM) : Video-conference attendances
GP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2700) 92112 $106.85
GP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2701) 92113 $157.25
GP to review a mental health plan (existing MBS item 2712) 92114 $206.42
GP mental health consult, more than 20 minutes (existing MBS item 2713) 92115 $136.27
GP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2715) 92116 $135.63
GP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2717) 92117 $199.77
FPS treatment of 30 to 40 minutes (existing MBS item 2729)  91818 $158.19
FPS treatment of more than 40 minutes (existing MBS item 2731) 91819 $226.41
General Practitioners (credentialed with CEM) : Telephone attendances (for when video-conferencing is not available)
GP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2700) 92124 $106.85
GP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2701) 92125 $157.25
GP to review a mental health plan (existing MBS item 2712) 92126 $206.42
GP mental health consult, more than 20 minutes (existing MBS item 2713) 92127 $136.27
GP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2715) 92128 $135.63
GP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2717) 92129 $199.77
FPS treatment of 30 to 40 minutes  (existing MBS item 2729)  91842 $158.19
FPS treatment of more than 40 minutes (existing MBS item 2731)  91843 $226.41
Other Medical Practitioners : Video-conference attendances
OMP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 272) 92118 $147.96
OMP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 276) 92119 $217.88
OMP to review a mental health plan (existing MBS item 277) 92120 $147.96
OMP mental health consult, more than 20 minutes (existing MBS item 279)  92121 $187.95
OMP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 281) 92122 $276.83
OMP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 282) 92123 $191.43
FPS treatment of 30 to 40 minutes (existing MBS item 371)  91820 $276.15
FPS treatment of more than 40 minutes (existing MBS item 372) 91821 $395.25
Other Medical Practitioners : Telephone attendances (for when video-conferencing is not available)
OMP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 272) 92130 $147.96
OMP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 276) 92131 $217.88
OMP to review a mental health plan (existing MBS item 277) 92132 $147.96
OMP mental health consult, more than 20 minutes (existing MBS item 279) 92133 $187.95
OMP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 281) 92134 $276.83
OMP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 282) 92135 $191.43
FPS treatment of 30 to 40 minutes  (existing MBS item 371) 91844 $276.15
FPS treatment of more than 40 minutes (existing MBS item 372) 91845 $395.25

Current Rates

Important: The Excel spreadsheet below was updated on 1 May and includes the MBS updates for 1 May and the temporary MBS COVID19 telehealth items payable by the TAC. Please replace any older versions you have previously downloaded.

Please note, that there could be up to a 48 hour delay before the MBS changes for 1 May take effect in Lantern Pay.

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 info@tac.vic.gov.au.

Medical services fees: GP return to work activities

Effective 1 July 2019

For Return to work case conferences held on or after 1 July 2019
Service DescriptionTAC Item NumberMaximum
Payment
Rate
GP Participation in a RTW Case Conference✝
< 20 minutes RTWCC1 $116.96
20 - 40 minutes RTWCC2 $187.05
> 40 minutes RTWCC3 $257.05
 
GP organise and coordinate a RTW Case Conference✝ RTWCC4 $245.60
GP RTW Worksite Visit (employer agreement required) RTWWV $467.17
RTW Phone call between GP & Employer RTWPC $31.50
For Return to work case conferences held between 1 July 2018 and 30 June 2019
Service DescriptionTAC Item NumberMaximum
Payment
Rate
GP Participation in a RTW Case Conference✝
< 20 minutes RTWCC1 $114.43
20 - 40 minutes RTWCC2 $183.01
> 40 minutes RTWCC3 $251.49
 
GP organise and coordinate a RTW Case Conference✝ RTWCC4 $240.29
GP RTW Worksite Visit (employer agreement required) RTWWV $457.07
RTW Phone call between GP & Employer RTWPC $30.82

Note : These items are restricted for use by General Practitioners only and should be read in conjunction with the Medical Practitioner policy and the General Practitioner Participation in RTW Activities information sheet.

The General Practitioner can either organise and coordinate or participate in a case conference, the practitioner cannot bill both items at the same case conference.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. We have some different options for you to send us forms, documents or receipts for reimbursement.

Reimbursements

  • myTAC
    Please use our app or web portal, myTAC to ask for reimbursements. Go to upload documents > reimbursement form and send us a photo of your receipt or proof of payment and a description of what you've paid for.
  • Email
    If you can't use myTAC to send your receipts, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.

Forms and documents

  • myTAC
    Please use our app or web portal, myTAC to send forms or documents. Go to upload documents > submit documents and send us a photo of your form or document.
  • Email
    If you can't use myTAC to send your forms or documents, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.

Online resources for doctors and medical appointments

Better Health Channel has a useful guide to seeing a doctor, specialist or health professional.

Asking questions at your appointments helps to get all the information you need to stay informed about your treatment.

healthdirect has some suggested questions which you might consider asking.

PainHEALTH has clinically supported information, tips, support and personal stories to help manage musculoskeletal pain.

Head to Health websitehttps://headtohealth.gov.au/

Head to Health (H2H) can help you find the information, resources, and services that most suit your needs. Whether you want to improve your overall sense of wellbeing, or you need help with something that is concerning you, or you are helping someone you care about—Head to Health can point you to great  online mental health resources.

Medical examinations for TAC clients

Summary:

This information sheet explains what to expect at TAC medical examinations that clients claiming support services are required to attend. You will also find details of what you need to bring and reimbursements (e.g. for travel or work absence related to your examination appointment) that you may be eligible to claim.

Network Pain Management provider list

Pain education and management

Summary:

These information sheets have information about the different ways to manage and learn about pain.

The different programs focus on developing strategies to return to work, reduce dependence on medication and improve mental health.

Mental health – digital resources for TAC clients

Summary:

Digital mental health services provide information, support and resources. They can provide an easy, effective alternative to seeing a health professional in person.

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.

You can get this treatment immediately after your transport accident without initial approval from the TAC.

If it’s been more than 6 months since you had any treatment or service paid for by the TAC, you need to call us to find out if we can pay for this treatment.

When we can pay for doctors and diagnostics

You can see your doctor for treatment and care straight after your accident when you have a TAC claim number. As this is a TAC approved service, there is no need to contact us 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:

  • You are getting proven, evidence-based treatment and not receiving treatment that isn’t helping you recover.
  • You are moving towards getting your life back on track or being able to live independently.

See Clinical notes and treatment reports for more information.

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:

  • Do not treat your transport accident injuries.
  • Are not reasonable, necessary or appropriate.
  • Are not clinically justified, safe and effective.

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.

For providers

If you are a doctor, please refer to our TAC Provider Guidelines.