Schedule of Benefits

1 November 2018 - Updated Access Gap Cover (AGC) Schedules

The AGC schedules below (in PDF and Excel format) are effective 1st November 2018.

The AGC schedules have been updated to incorporate a large number of MBS changes introduced by the Department of Health. 100 new items have been introduced, including 60 new spinal items, 113 items have been deleted. Access Gap Cover fees have changed on the following items: 11820, 11823, 12003, 14106, 30310, 30318, 42705, 45553 & 45641.

As further MBS changes are announced, the AGC schedules may be amended to reflect the changes.

Please choose your State schedule based on the practice address of the provider number used to make claims.

Please select the tab for the State schedules based upon the practice location of the relevant provider number.

For further information regarding AGC, please refer to the Billing and Business Guidelines.

If you have never submitted a claim using AGC, it is highly recommended that you read this file before preparing to claim. Please read the 'IMPORTANT NOTICES' and 'OTHER NOTES' sections in the Participating Funds Schedule of Benefits for additional guidelines on the use of the Schedule of Benefits.

If further assistance is required, please contact us.

VIC (PDF) AGC Schedules - Effective 1st November 2018

VIC (Excel) AGC Schedules - Effective 1st November 2018

VIC (PDF) AGC Schedules - Effective 1st July 2018

VIC (Excel) AGC Schedules - Effective 1st July 2018

VIC (PDF) AGC Schedules - Effective 1st May 2018

VIC (PDF) AGC Schedules - Effective 1st May 2018

VIC (PDF) AGC Schedules - Effective 1st May 2018

VIC (Excel) AGC Schedules - Effective 1st May 2018

VIC (PDF) AGC Schedules - Effective 1st March 2018

VIC (Excel) AGC Schedules - Effective 1st March 2018

VIC (PDF) AGC Schedules - Effective 1st January 2018

VIC (Excel) AGC Schedules - Effective 1st January 2018

VIC (PDF) AGC Schedules - Effective 16th November 2017

VIC (Excel) AGC Schedules - Effective 16th November 2017

VIC (PDF) AGC Schedules - Effective 1st November 2017

VIC (Excel) AGC Schedules - Effective 1st November 2017

VIC (PDF) AGC Schedules - Effective 1st May 2017

VIC (Excel) AGC Schedules - Effective 1st May 2017

VIC (PDF) AGC Schedules - Effective 1st January 2017

VIC (Excel) AGC Schedules - Effective 1st January 2017

VIC (PDF) AGC Schedules - Effective 1st December 2016

VIC (Excel) AGC Schedules - Effective 1st December 2016

VIC (PDF) AGC Schedules - Effective 1st November 2016

VIC (Excel) AGC Schedules - Effective 1st November 2016