AGC Fee Schedules

1 August 2020 - Access Gap Cover (AGC) Fee Schedules

AHSA has updated the AGC fee schedules to accommodate changes as a result of this MBS Update. As further MBS changes are announced, the AGC fee 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 Guide and Terms and Conditions.

If you have never submitted a claim using AGC, it is highly recommended that you read these files before preparing to claim.

Click Participating Funds Contact List to download copy of the latest list of AHSA participating Funds. 

AGC benefits and the allowable patient co-payment (where the doctor charges a co-payment) are maximum fees only under the terms of AGC and are not prescribed or recommended fees. Doctors must make their own independent decisions as to whether and to what extent they participate in AGC, and also as to the level at which they set their fees.

If further assistance is required, please contact us.

WA (PDF) AGC Fee Schedules - Effective 1 August 2020

WA (Excel) AGC Fee Schedules - Effective 1 August 2020

WA (XML) AGC Fee Schedules - Effective 1 August 2020

WA (PDF) AGC Fee Schedules - Effective 1 July 2020

WA (Excel) AGC Fee Schedules - Effective 1 July 2020

WA (XML) AGC Fee Schedules - Effective 1 July 2020

WA (PDF) AGC Schedules - Effective 1 May 2020

WA (Excel) AGC Schedules - Effective 1 May 2020

WA (XML) AGC Schedules - Effective 1 May 2020

WA (PDF) AGC Schedules - Effective 1 March 2020

WA (Excel) AGC Schedules - Effective 1 March 2020

WA (XML) AGC Schedules - Effective 1 March 2020