Westerly Youth Clinic is a private billing clinic. Payment is required on the day of your appointment, with a 50% deposit collected at the time of booking.
For eligible services, Medicare rebates can be processed through our clinic, typically within 7–10 business days from the time of payment.
The amount you get back from Medicare changes, depending on how much your family has spent on eligible services in the calendar year. Please review our FAQs below to learn more about these Medicare ‘safety nets’.
If you would like a detailed estimate of fees for your upcoming appointment or more information about Medicare rebates, please don’t hesitate to contact our friendly reception team.
Please note that a $50 administration fee applies to all documents scanned and digitised by our team.
Consultation Fees
Our fees vary depending on the clinician, service type, and appointment duration. The following is a general guide:
Adolescent & Young Adult Physician / General Paediatrician
ADHD Assessment
Eating Disorder Services
* Please note: Medicare rebate amounts vary depending on the specific MBS item billed and whether the Medicare Safety Net thresholds have been reached (see below).
Eating Disorder Treatment and Management Plan (EDP)
An Eating Disorder Treatment and Management Plan (EDP) allows eligible people to access Medicare rebates for the following services over a 12 month period.
Getting an EDP involves a formal assessment from your GP, paediatrician or psychiatrist, during which they develop a written plan for your eating disorder care.
Your doctor will need to determine if you are eligible for an EDP. Most people with Anorexia Nervosa, and some with Bulimia Nervosa, Binge Eating Disorder or Other Specified Feeding and Eating Disorders (OSFED), are eligible. Those with Avoidant Restrictive Food Intake Disorder (ARFID) are not typically eligible.
Eating Disorder Treatment and Management Plan Review (EDR)
If you need more than 20 allied health sessions in a year, your EDP must be reviewed to continue receiving Medicare benefits. This involves discussing progress with you and your team, deciding what is and isn’t working, and plotting a new path forward. These reviews must be performed by either a psychiatrist or a paediatrician / adolescent medicine specialist.
If you are eligible, Medicare will contribute some money to help you pay for medical appointments. At WYC, you pay the full amount first and then we submit your claim to Medicare for you. If approved, Medicare will then deposit money into your nominated account (or that of your parent or guardian), so make sure your bank and address details are up to date with them.
Your out-of-pocket cost (‘gap fee’) is the difference between the fee charged by your doctor and the amount that Medicare pays you. If your family spends a certain amount on gap fees, they may reach the ‘safety net’ (see below) after which Medicare contributes more money towards appointments.
To see a specialist doctor and receive Medicare benefits, you will need a referral letter from your GP. These usually last about a year before they expire. You will also need a Medicare card (or access to your family’s Medicare card).
| Item | Consultation type | Rebate |
| 110 | Initial attendance | $ 148 |
| 116 | Review | $ 74 |
| 132 | Initial attendance (complex) | $ 259 |
| 133 | Review (complex, max 2 per year) | $ 130 |
| 90261 | Eating disorder treatment and management plan (EDP) | $ 259 |
| 90267 | Review of eating disorder treatment and management plan (EDR) | $ 130 |
Medicare also helps with allied health appointments but only if you can access one of the schemes listed below. There are limits on the number of allied health sessions Medicare will pay for and gap fees usually apply. Allied health includes disciplines such as psychology, occupational therapy and physiotherapy.
The Extended Medicare Safety Net provides extra funding for families who need more support. Once a family spends a certain amount on gap fees, Medicare will pay 80% of each gap fee for any family member for the rest of that calendar year. For most families, the safety net kicks in at about $2400, but it can be lower (about $770) in some circumstances. Families need to register to access the safety net.
The NDIS is separate to Medicare. If you have a disability and are eligible, the NDIS may pay for a range of services, including treatment from allied health clinicians. It does not usually pay for doctor’s visits.
Private health insurers are not allowed to cover doctor’s appointments outside of hospitals, but they may assist with allied health services.
You or your family may be eligible for financial assistance from Centrelink, such as carer’s allowance or carer’s payment.
