The Premium Support Scheme

• The PSS is administered by Avant on behalf of the Australian Government.
• Avant invites you to participate in the scheme prior to each premium renewal cycle.
• If you wish to participate and ‘opt in’ to the scheme, you need to complete an opt in request form and provide an estimate of your annual gross private billings for the following premium period.
• Requests are assessed and any PSS subsidy is given as a reduction on your practitioner indemnity insurance premium for the relevant period. If you have already paid your premium, then a subsidy will be paid directly to you.
• A year after you have opted in to the PSS scheme you will be asked to provide your actual annual gross private billings for prior policy period.

Please complete an opt-in request form. To do this, you will need;

• your estimated gross private billings for the premium period in which PSS is sought
• details of any payments made to other insurers for run-off cover or retroactive cover in the premium period for which PSS is sought
• your Medicare provider number; and
• your practice address.

The Premium Support Scheme (PSS) is a government-funded scheme that is assessed in two stages:

1. Initial calculation – PSS opt-in. When you opt in, we work out a provisional subsidy. This is based on your estimated billings for the policy period.
2. Final calculation – PSS finalisation. After your policy period ends, we work out your final PSS entitlement. This uses your actual income for that period.

Your initial subsidy is based on estimated billings only. So, your eligibility and subsidy amount may change once we review your actual income. As a result, you may:

• remain eligible with no change to your subsidy
• become eligible for an increased  subsidy
• need to repay some or all of your subsidy, if your final entitlement is lower than the initial assessed subsidy

Complete and accurate information helps us. It means we can assess and finalise your PSS entitlement correctly and quickly. Missing or wrong information may delay your assessment, and we may need to contact you for more details. If you do not give us the information we ask for, it could affect your PSS finalisation. You may then need to repay some or all of your subsidy, if we later find you do not qualify, or qualify for less.

To process your PSS finalisation, send us a written declaration. It must confirm your actual income for the policy period. You must send this declaration yourself, from your authorised email address on file. We cannot accept declarations from anyone else.

Your declaration should:

1. state the policy period dates you're declaring
   • if your medical indemnity policy runs on a calendar year (CY) basis, apply for CY PSS
   • if it runs on a financial year (FY) basis, apply for FY PSS
2. include your actual income, down to the cent.

Template example:

"I confirm that my actual income for the period 1 July 2025 to 30 June 2026 was $154,321.78."

If you've applied for the rural PSS subsidy, give us your eligible rural provider number(s). We need this to confirm your eligibility, and to process your application or finalisation correctly.

Tip: Make sure the rural provider number(s) you give relate to the period you're claiming the subsidy for.

Did your category of practice change during the policy period? If so, give us your actual income separately for each period.

When you submit your declaration, include the dates each category of practice applied, and the actual income earned during each period. This helps us assess your PSS entitlement accurately.

Example:

• Actual income from 1 July 2025 to 31 December 2025: $125,250.45
• Actual income from 1 January 2026 to 30 June 2026: $148,765.90

Examples of category changes that may require this:

• changing from general practice non-procedural to general practice procedural standard
• any other change in category of practice that occurred during the policy period.