Patient Information · Fees & Billing

Fees & billing.

Mixed billing across the groupReception confirms at booking

SMSG operates a mixed billing model across Earlwood, Bangor and Sans Souci. Each independent practitioner sets their own billing arrangements, so fees can vary from one practitioner to another. Reception confirms your specific fee and expected out-of-pocket cost when you book.

Framework

How billing works at SMSG.

Every clinician who consults from an SMSG centre is an independent practitioner. Each sets their own fee schedule and billing model. Reception at each centre knows the arrangement for every practitioner and can confirm what applies to you before your appointment.

We confirm fees with you at three points: at booking, at check-in, and at check-out. If your appointment turns out to be longer or more complex than expected, or a procedure is added during the consultation, the final fee is confirmed at check-out.

No out-of-pocket

Bulk billing.

Some consultations are bulk billed, meaning there's no out-of-pocket cost for eligible patients.

Bulk billing is generally available for routine standard consultations with our registrar GPs and some other GPs, for eligible ongoing patients seen within the last twelve months, and for health assessments and GP Chronic Condition Management Plans.

Reception can tell you whether your specific appointment with your chosen practitioner will be bulk billed when you book.

Gap and rebate

Private billing.

Where bulk billing doesn't apply, appointments are privately billed. This includes most specialised consultations, procedures, longer consultations, telehealth appointments, and appointments with practitioners who are not part of the bulk billing arrangement.

For private appointments, Medicare rebates apply where the service is eligible. Your out-of-pocket cost is the gap between the fee and the Medicare rebate.

Sub-brand billing

Aurora Women & Babies Health.

Consultations under Aurora Women & Babies Health are privately billed across the board, with two exceptions: routine baby immunisations and general consults for babies are generally bulk billed for eligible patients for most practitioners.

Individual Aurora practitioners may have specific billing arrangements for antenatal shared care, cervical screening, or other services. Reception confirms at booking.

Specialist consultations

Excelsia Specialists Centre.

Specialist consultations at Excelsia are privately billed. A GP referral is required for the Medicare rebate to apply. GP referrals are valid for twelve months. Specialist-to-specialist referrals are valid for three months. If your referral is close to expiring and you'll need ongoing care, request a renewal from your GP. Without a valid referral in place, the consultation is fully private.

How the cost works:

  • On the day, you pay the consultation fee — this can differ between appointment types.
  • We lodge your Medicare claim for you, and Medicare pays the rebate straight into your bank account — usually within a day or two.
  • The difference — your out-of-pocket “gap” — is the part we keep consistent: one set gap for your initial consultation, and one set gap for every follow-up (excluding procedural fees).

Fees vary by specialist. Reception confirms the specific fee and expected out-of-pocket cost for your chosen specialist when you book.

Cosmetic services

Sydney Cosmedic.

Cosmetic services are privately billed. Medicare rebates do not apply to cosmetic services. Fees vary by treatment and are confirmed at the consultation once the practitioner has examined the treatment area.

What to bring

Medicare, private health, and other cards.

Bring your Medicare card and any concession or private health insurance details to your first appointment. Rebates are processed on the day where possible.

We accept Health Care Cards, Pension Cards, DVA cards, and private health insurance cards where the service is covered by the relevant scheme. Some practitioners offer specific concessions for Health Care Card holders; reception can confirm what applies to your chosen practitioner.

For Workers' Compensation, CTP or Personal Injury claims, please mention this at booking. Private fees may apply prior to the claim being approved or a valid claim number being allocated (generally these may be reimbursed by employers).

Notice periods

Cancellations and non-attendance.

If you need to cancel or reschedule, please give at least 24 hours' notice where possible. Cancellation policies vary by appointment type. Procedural, specialist, and cosmetic appointments have stricter cancellation terms because they hold longer slots.

Late cancellations or non-attendance may attract a fee, particularly for longer appointments. Reception will explain any applicable fee at booking.

Per practitioner

Individual practitioner billing.

For questions about a specific practitioner's billing arrangement, reception at the practitioner's usual centre is your best point of contact. Individual practitioner profile pages carry a brief note on their general billing pattern.

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