How do specialist gap fees work?
Specialist gap fees can be quite expensive. How are they decided, do I have to pay them and are they covered by medicare, NDIS or another program?
Gap fees are the difference between what your private insurance covers and what the specialist charges for their service. If your insurance doesn’t cover the full cost of the specialist, the difference between what your insurance covers and what the specialist charges is the ‘gap’ that you have to cover as your ‘fee’.