ADHD

Your psychiatrist will not accept 291 referrals for ADHD assessments, as they are required under state law to have medications prescribed and monitored by a psychiatrist until stability is reached. This is unable to be achieved via a one-off appointment.

Once medication stability is reached, your psychiatrist can transfer care to your GP who has agreed to act as Authorised Prescriber can provide ongoing medication scripts.

Typically, it takes 4 – 5 appointments (including 1 initial appointment) spread across 1 to 2 years to reach medication stability.

For ADHD initial consultations, all self-assessment forms must be completed and uploaded to your patient portal before an appointment will be offered.

Rural and remote Australians

A bulk billed service for 291 (non-ADHD) is available for Australians living in MM2 and above locations if you have not used a 291 item number in the preceding 12 months (365 days).

To check your eligibility, enter your address into the Health Workforce Locator and check the 2019 result for the “Modified Monash Model”.

Patients are liable for gap fees where they have changed address.

Rural DVA patients are also eligible for bulk billed (non-ADHD) services.

A credit card will be required, with a cancellation held against it at appointment confirmation. This fee will not be charged where the patient attends their appointment/ manages their appointment in line with Cloud Clinic by Avive cancellation policy.

Medicare rebates

To be eligible for Medicare reimbursement patients must hold a current referral from their GP or specialist. GP referrals must be dated within 12 months of your appointment, and specialist referrals within 3 months.

If you have seen a psychiatrist in the last 12 months you will need to confirm with Medicare the rebates available to you.

Please be advised that you must be in Australia to be eligible for rebates, and requests for rebates are monitored by Medicare.

Cloud Clinic by Avive is unable to procure new referrals on behalf of patients or backdate rebates.

Rebate processing

Medicare rebates will be processed the working day following your appointment. Medicare takes up to 72 hours to process rebates and will deposit rebates directly into your nominated bank account.

If you do not receive your rebate, please contact Medicare directly to check your eligibility and confirm your account details.

Medicare rebates are unable to be processed for cancelled bookings.

2026 Medicare Safety Net thresholds

Please refer to Services Australia for further information on how the Medicare safety net may lower your out-of-pocket costs.
‍
- General individuals and families: $2,699.10
- Concession & Family Tax Benefit Part A families: $861.20

We strongly encourage you to check your eligibility for the Medicare Safety Net, as it can make a significant difference to your out-of-pocket costs over the year.
‍
Family Safety Net
‍Families need to register with Medicare to combine their out-of-pocket costs. This is not automatic, even if everyone is listed on the same Medicare card.
‍
How it helps
‍Once your annual threshold is reached, Medicare may cover 80% of your out-of-pocket costs for eligible out-of-hospital services (up to Medicare benefit caps), in addition to your regular rebate.
‍
This applies to all eligible out-of-hospital Medicare services, not just those provided at our clinic.
‍
Example
‍For a standard $390 review consultation with a $134 Medicare rebate, your out-of-pocket cost is $256.
‍
Once you have reached the Medicare Safety Net threshold for the year, Medicare may cover 80% of this gap, reducing your out-of-pocket cost to $51.20 per review consultation.
‍
Important information
‍Payments to GPs, specialists and other Medicare-claimable services all count toward your Safety Net threshold.
‍
The Safety Net threshold resets on 1 January each year.

Cancellation Policy

Cancellations made less than 7 working days prior to the appointment date and time will incur a $200 cancellation fee if the booking is unable to be filled.

Cancellations made between 6 and 2 working days prior to the appointment time will be charged 50% of the booking fee.

Cancellations less than 2 working days prior to the appointment time, and no shows, will be charged the full appointment fee.
‍
This cancellation policy applies to 291 and rural DVA appointments, where cancellation fees will be charged to the credit card on file.

Cancellation fees are ineligible for Medicare rebates.