Calculating your gross annual billings

You must include: 

• Medicare – before any rebates. 
• private patients – where Medicare does not apply, include the full amount billed. 
• individuals or private companies – where you are not indemnified by your employer 
• Payments by:  
  • the Department of Veterans’ affairs  
  • Workers’ Compensation schemes 
  • third party and/or vehicle insurers 
• outside Australia – income earned for healthcare provided outside of Australia, where we have agreed to provide cover 
• any other medical related payments, including professional fees incentive payments. 

You do not need to include income and payments where medical indemnity is provided by your employer, including public hospital, state health department or state insurer (such as VMIA or the TMF). 

Earnings refer to the money you take home, such as your salary or drawings. Gross billings are the total amounts billed for your healthcare services, before any deductions.

Even if you are paid an hourly or sessional rate, you must declare the gross amount billed for the healthcare services you provide, not your income or earnings.

You must report your billings before any deductions are made. This includes practice management fees, administration costs, or commission. 

Yes. If healthcare services are billed under your name, you are responsible for declaring the full amount billed, even if your employer or another party manages the billing. 

You can ask your practice manager or billing team for reports. If these are unavailable, you may use an average billing figure to estimate your gross billings.

We understand this information isn't always easy to find. You can use an average billing amount for procedures where you don't have the exact figures. We are happy to discuss this on a case-by-case basis if required. 

If we have agreed to cover you for your public patient work, you will not be able to estimate your gross billings for this work. Instead, you should declare your salary only. For any other work you undertake, you should still declare your gross billings as usual. 

Yes. If you see private patients outside of your employer-indemnified work, you must declare the gross billings for those services.

You need to declare the gross billings that align with the number of patient services you provide. You cannot declare your earnings.

You must declare the full amount the patient is billed, including any medication costs, not your earnings. Where a doctor is prescribing medications for cosmetic injectables via telehealth, we understand this information isn’t always easy to access. If so, you can use an average billing amount for those procedures. We are happy to discuss this on a case-by-case basis with if required.

We understand that it may be difficult to estimate your gross billings for the year ahead. If your billings differ from what you have told us, or your circumstances change, please contact us. We will update your policy to help you ensure your indemnity remains appropriate for your practice. Please contact us as soon as you become aware. You may be required to pay an additional premium and any Premium Support Scheme subsidy previously provided may need to be refunded.  

Reporting incorrect billings may result in underinsurance, which could affect your indemnity protection. In some cases, it may be a breach of your duty of disclosure, as discussed on page 5 of the Avant Practitioner Indemnity Insurance Policy. If your billings change or were initially incorrect, please contact us as soon as possible so we can help you ensure your policy remains appropriate.  

The Premium Support Scheme (PSS) is an Australian Government scheme that helps you with the costs of your medical indemnity insurance. If you are eligible, you may receive a significant reduction in your practitioner indemnity insurance premium charged by Avant. 

Find out if you're eligible for the Premium Support Scheme.