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The Premium Support Scheme

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.

Am I eligible?

You may be eligible to participate in the Premium Support Scheme if;

  • you are a medical practitioner and your gross medical indemnity cost (GMIC) (insurance premium) is more than 7.5% of your annual gross private billings or;
  • you are a Procedural General Practitioner practising in an area that is classified as a Modified Monash Model (MMM) 3-7. For information on MMM visit Department of Health and Aged Care website or;
  • you are a medical practitioner working in the public sector and do not generate private practice billings, but you incur costs to maintain cover for claims arising from past private practice or;
  • you are working primarily in the public sector, but you have cover for private practice services that you are not indemnified for under a right to private practice agreement, and your gross billings for these services are greater than $1,000 during the premium period.

Calculate your eligibility

You will need your annual gross private billings. These are the amounts you charge for the healthcare you provide before any apportionment or deduction of expenses and/or tax, during a policy period.  Refer to page 34 of the Category of Practice Guide to help you calculate this.

You will also need your annual gross insurance premium. This is the amount on your practitioner indemnity insurance tax invoice before any deductions or taxes. Do not include any high-risk loadings and optional cover you may be charged.

This is an estimate and doesn’t take into consideration individual circumstances. Please contact us for a quote.

If you work in the public system and do not generate private practice billings, but incur costs to maintain cover for claims arising from past private practice, please contact us for a quote.

Please visit the Department of Health and Aged Care website to find out more about how subsidies are calculated.

Things you need to know
  • 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.

Important documents

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