Schedule of Benefits

1st May 2017 - Updated Access Gap Cover Schedules & updated benefit for MBS Item 42705

The AGC schedules below (in PDF and Excel format) which are effective 1 May 2017, have been updated and incorporate recent MBS item changes.

AHSA inadvertently allocated incorrect benefits for item 42705 (originally published on 4th May 2017).  AHSA has now reset the Access Gap Cover benefit for item 42705 to the same level as item 42702. 

As further MBS changes are announced, the Access Gap Cover 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 Access Gap Cover, please refer to the Billing and Business Guidelines.

If you have never submitted a claim using Access Gap Cover, 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 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

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

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

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

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

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

VIC (Excel) AGC Schedule - Effective 1st January 2016

VIC (PDF) AGC Schedules - Effective 1st September 2015

VIC (Excel) AGC Schedules - Effective 1st September 2015

VIC (PDF) AGC Schedules - Effective 1st July 2015

VIC (Excel) AGC Schedules - Effective 1st July 2015

VIC (PDF) AGC Schedules - Effective 1st April 2015

VIC (Excel) AGC Schedules - Effective 1st April 2015

VIC (PDF) AGC Schedules - Effective 1st January 2015

VIC (Excel) AGC Schedules - Effective 1st January 2015

VIC (PDF) AGC Schedules - Effective 1st November 2014

VIC (Schedules) AGC Schedules - Effective 1st November 2014

VIC (PDF) AGC Schedules - Effective 1st July 2014

VIC (Excel) AGC Schedules - Effective 1st July 2014

VIC (PDF) AGC Schedules - Effective 1st March 2014

VIC (Excel) AGC Schedules - Effective 1st March 2014