MyMedicare is a voluntary patient registration model that formalises the relationship between patients, their regular general practice, and their preferred GP. It is not health insurance and not the same as My Health Record. When a practice and patient both register, additional MBS items and incentive funding are unlocked.

Who is eligible to register for MyMedicare?

Patients with a Medicare card or DVA Veteran Card who have had 2 or more face-to-face appointments at the practice in the past 24 months, or 1 face-to-face visit for practices in remote locations. Hardship exemptions apply for people experiencing domestic violence, family violence, or homelessness. Parents/guardians and children can register at the same practice if either is eligible.

What MBS items does MyMedicare unlock?

MyMedicare unlocks longer phone consultation items for GPs: item 91900 (20+ minutes, $87.10) and item 91910 (40+ minutes, $128.35). From 1 November 2025, bulk billing incentives apply to all eligible patients (not just under-16 and concession holders). For longer telehealth (levels C, D, E), MyMedicare registration is required to access BBI. It also gives access to the General Practice in Aged Care Incentive for registered RACF patients. MBS fees are July 2026 values.

How long does a practice have to process a paper MyMedicare registration form?

The practice must complete the patient’s registration in the MyMedicare system within 7 days of the patient signing the paper form. The completed form must also be retained in the patient’s clinical records.

Do GP registrars and locums need to be registered in MyMedicare?

Yes. Practices must register GP registrars and locums in MyMedicare using their provider number to access MyMedicare-linked MBS items and incentives.

Can a patient change their preferred GP or practice in MyMedicare?

Yes. Patients can change their preferred GP within the same practice (with the patient’s consent, practice staff update in the system). They can also change practices, but must meet the eligibility requirements at the new practice unless following a GP who has moved, in which case prior visit history is recognised.

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MyMedicare Practice Guide

Everything your practice needs: eligibility, registration pathways, unlocked MBS items, bulk billing incentives, aged care funding, and compliance tools.

📋 Source: MyMedicare — Services Australia & Department of Health and Aged Care. Verified June 2026.
Your doctor or healthcare provider knows your history and circumstances — always follow their personalised advice over general information.

AUSTRALIA MBS MARCH 2026 Program Guidelines Feb 2026

Note: MyMedicare is not health insurance, and is not the same as My Health Record or My Medicare (the online claims portal). It is a voluntary registration system that links patients to their regular GP practice, unlocking additional MBS items and incentive funding.

1 What is MyMedicare 2 Benefits for your practice 3 Practice registration 4 Patient eligibility & checker 5 Registration pathways 6 MBS items unlocked 7 Triple bulk billing 8 Paper form compliance 9 Managing registrations 10 Troubleshooting FAQ

📖 What is MyMedicare?

MyMedicare is a voluntary patient registration model introduced by the Australian Government as part of primary care reform. It formalises the relationship between patients, their regular general practice, and their preferred GP.

Registration requires dual consent: both the practice and the patient must agree. Once registered, the practice receives access to additional MBS items, enhanced bulk billing incentives, and linked incentive programs including the GP in Aged Care Incentive and the Chronic Condition Management Incentive (from July 2025).

Common confusion: MyMedicare is not My Medicare (the Medicare Online claims portal accessed via myGov) and not My Health Record (which stores clinical health information). MyMedicare does not hold any clinical data. However, the patient’s registered practice and GP will appear on their My Health Record unless the patient opts out of this.

Source: health.gov.au/MyMedicare — MyMedicare Program Guidelines, February 2026

💰 Benefits for Your Practice

📞 Longer phone consultations

Unlock GP phone items 91900 ($87.10, ≥20 min) and 91910 ($128.35, ≥40 min) for registered patients. Without MyMedicare, GPs are limited to 91890 ($20.55, brief) and 91891 ($45.05, ≥6 min) by phone.

💳 Triple bulk billing incentive

From 1 November 2025, bulk billing incentives (BBI) apply to all eligible patients — not just U16 and concession card holders. For longer telehealth (levels C, D and E), MyMedicare registration is still required to access the full BBI. Standard BBI for face-to-face and Level B telehealth applies to all patients without MyMedicare. Source: MBS Online Nov 2025

🏠 GP in Aged Care Incentive

Incentive payments for providing registered RACF patients with regular visits and care planning. Only available for patients registered with MyMedicare.

❤️ Chronic Condition Management

From July 2025, the GPCCMP framework supports continuity of care for patients with chronic conditions. Existing GPMPs/TCAs remain valid until 30 June 2027, after which patients need a GPCCMP to continue accessing allied health services.

🧠 Mental health treatment plan telehealth eligibility

Since 1 November 2025, GP Mental Health Treatment Plan items (2700/2701/2715/2717 and their telehealth equivalents) are no longer exempt from the telehealth eligibility criteria. To prepare or review a plan by video, the patient must satisfy the same established-relationship rule as any other GP telehealth item — face-to-face with you (or your practice) in the last 12 months, or registered with your practice via MyMedicare. GP-delivered focussed psychological strategies items remain separately exempt. See the Mental Health Plan Tracker and Telehealth Eligibility Checker for full detail.

🌟 BBPIP — Bulk Billing Practice Incentive Program

Practices and providers registered in MyMedicare receive an incentive for bulk billing all eligible services. Payments are calculated as a percentage of eligible MBS item rebates. From November 2025, practices not yet MyMedicare-registered can access a BBPIP-specific accreditation exemption (but this does not unlock other MyMedicare incentives).

🏢 Practice Registration

Before patients can register, the practice itself must be registered in MyMedicare. Registration is voluntary and can be done at any time.

Practice eligibility requirements

The practice must be one of the following types: General Practice, Aboriginal Community Controlled Health Service (ACCHS), Aboriginal Medical Service (AMS), Mobile Practice, Outreach Practice, Sole Provider Practice, or Nurse Practitioner within a GP-led team.

The practice must be accredited (or have an active accreditation exemption). Exemptions are available for non-traditional/mobile/outreach models and, from November 2025, for BBPIP participation specifically.

Provider registration requirements

Each provider must be:

• A vocationally registered GP, non-vocationally registered GP, or GP registrar

• Hold a valid Medicare Provider Number for the registered practice

• Be working at and linked to the MyMedicare-registered practice in the Organisation Register

Registrars and locums: Yes, practices must register GP registrars and locums in MyMedicare using their provider number. This is required to access MyMedicare-linked MBS items and incentives.

How to register your practice

Registration is completed through the Organisation Register on HPOS (Health Professional Online Services) via PRODA login. The process captures all requirements including accreditation status and provider linking.

Access: Services Australia — Organisation Register

Source: MyMedicare Program Guidelines, February 2026

✅ Patient Eligibility

Patients must hold a valid Medicare card or DVA Veteran Card and meet the visit requirement:

• Metro/regional practices: 2 or more face-to-face visits at the practice in the past 24 months

• Remote practices: 1 face-to-face visit in the past 24 months

Exemptions (no visit requirement): Patients experiencing domestic and family violence, homelessness, or hardship are exempt from all eligibility requirements.

Children: Parents/guardians and children can register at the same practice if either is eligible. A parent/guardian must register a child under 14 and provide consent. Young people aged 14–17 can register and consent independently.

✅ Is this patient eligible for MyMedicare?

Answer each step. Based on Program Guidelines February 2026.

Source: MyMedicare Patient Registration FAQ; MyMedicare Program Guidelines §6.3–6.4, February 2026

🛤️ Registration Pathways

MyMedicare uses a dual consent model. Both the patient and the practice must agree. There are three pathways:

1 Patient-initiated (online)

Patient starts registration in their Medicare Online Account through the myGov app. The practice receives the request in the MyMedicare system and can accept or decline. Practices can set a default to auto-accept all requests or review individually.

Best for: Bulk enrolment. Low staff effort. Patient needs a myGov account with Medicare linked.

Limitation: Children under 14 must be registered by a parent/guardian listed on the same Medicare card.

🔗 Patient: my.gov.au → Medicare Online → MyMedicare
🔗 Staff (accept/decline): Log in to HPOS → MyMedicare

2 Practice-initiated (online)

Practice staff start the registration in the MyMedicare system. This triggers a notification in the patient’s Medicare Online Account (myGov app) which the patient must complete and consent to.

Best for: Targeted registration of specific patients. Medium staff effort.

Limitation: Patient must have online notifications enabled in myGov. Silent failure risk if notifications are off — the patient never receives the request.

🔗 Staff (start registration): Log in to HPOS → MyMedicare → Register patient

3 Paper form

Patient fills out a registration form at the practice. By signing, the patient provides consent. Practice staff must then complete the registration in the MyMedicare system within 7 days of the patient signing.

Best for: Patients without internet access, elderly, RACF residents, DVA card holders registering with their Veteran Card (DVA card registration can only be done via paper form or Medicare Online with a Medicare card).

Compliance requirement: The completed form must be retained in the patient’s clinical records. Do not send the form to Services Australia or the department — it will not be processed.

🔗 Download form: MyMedicare registration form (health.gov.au)
🔗 Staff (upload registration): Log in to HPOS → MyMedicare → Complete registration

Aged care residents: Can register via paper form or myGov app. They do not need to physically attend the practice for registration purposes.

Source: MyMedicare Practice Registration FAQ; MyMedicare Patient Registration FAQ

📍 Which pathway should you use?

Answer a few questions to get the best registration pathway for this patient.

🧞 Want to make it self-serve? We built a free, embeddable MyMedicare eligibility checker for practice websites — patients answer the same 3 questions and get pointed to myGov, without any extra reception workload. Runs entirely in the visitor's browser; no patient data is collected. Get the embed code →

💲 MBS Items Unlocked by MyMedicare

GP phone consultation items — MyMedicare required

Without MyMedicare, GPs can only bill brief (91890) and standard (91891) phone items. Registering unlocks longer phone consults equivalent to face-to-face Levels C and D:

Item	Duration	Fee	Benefit	MyMedicare?	Equivalent
91890	Brief (<6 min)	$20.55	100%	No	Item 3
91891	≥6 min	$45.05	100%	No	Item 23
91900	≥20 min	$87.10	100%	✅ Required	Item 36
91910	≥40 min	$128.35	100%	✅ Required	Item 44

GP items only: Items 91900 and 91910 can only be claimed by GPs (vocationally registered or non-VR). Non-GP medical practitioners use items 91903/91906 (≤20–45 min) and 91913/91916 (45–60 min) instead, which also require MyMedicare registration.

GP video consultation items — no MyMedicare required

Video items do not require MyMedicare registration (but MyMedicare is needed for BBI on longer video items):

Item	Duration	Fee	Benefit	Equivalent
91790	Brief	$20.55	100%	Item 3
91800	≥6–20 min	$45.05	100%	Item 23
91801	≥20 min	$87.10	100%	Item 36
91802	≥40 min	$128.35	100%	Item 44
91920	≥60 min	$202.65	100%	Item 123

Complete GP attendance item grid

Reference table showing all GP general attendance items side-by-side. Items marked with * require MyMedicare.

Level	Face-to-face (rooms)	Video	Phone	Fee
A — Brief	3	91790	91890	$20.55
B — ≥6 min	23	91800	91891	$45.05
C — ≥20 min	36	91801	91900*	$87.10
D — ≥40 min	44	91802	91910*	$128.35
E — ≥60 min	123	91920	N/A	$202.65

* MyMedicare-registered patients only. All fees are MBS Schedule July 2026. Verify at mbsonline.gov.au.

📞 Telehealth Eligibility Checker 🔍 MBS Item Lookup ⚠️ Billing Conflict Checker

Source: MBS Book July 2026, Table AN.0.74; MyMedicare Program Guidelines §MBS items linked to MyMedicare

📊 Interactive Item Search

Search or filter GP attendance items. MyMedicare = patient must be registered at your practice.

AllMyMedicare requiredPhoneVideoFace-to-faceTriple BBI

💳 Triple Bulk Billing Incentive

From 1 November 2025, bulk billing incentives (BBI) apply to all eligible patients. The key distinction remains which services require MyMedicare registration to access BBI versus which do not:

Service type	Triple BBI available?	MyMedicare required for BBI?
Face-to-face consults (>6 min)	Yes	No
Telehealth Level B (6–20 min, video or phone)	Yes	No
Telehealth Levels C, D, E (video, ≥20 min)	Yes	Yes — must be registered at billing practice
Telehealth Levels C, D (phone, ≥20 min — 91900/91910)	Yes	Yes — items themselves require MyMedicare

Key point (from November 2025): BBI applies to all eligible patients. Face-to-face and Level B telehealth BBI do not require MyMedicare. Only longer telehealth (Levels C, D, E) requires MyMedicare registration for BBI. Standard BBI applies to all patients regardless of MyMedicare status.

💰 BBPIP Calculator 📊 Bulk Bill vs Private Calculator

Source: MyMedicare Program Guidelines §Triple bulk billing incentive; MBS Book July 2026, Tables MN.1.3–MN.1.8

📅 Paper Form Compliance

When a patient completes a paper registration form, the practice must upload the registration to the MyMedicare system within 7 days of the patient signing. The form must also be retained in the patient’s clinical records.

Do not send paper forms to Services Australia or the Department of Health. They will not be processed. The practice completes the registration electronically in the MyMedicare system via HPOS.

⏰ 7-Day Paper Form Deadline Tracker

Track paper form deadlines locally in your browser. Data stays on this device only.

Patient name

Date form signed

Source: MyMedicare Practice Registration FAQ — “What should a practice do with a completed paper registration form?”

👥 Managing Registrations

Preferred GP changes

If a patient wants to change their preferred GP within the same practice, staff can update this in the MyMedicare system with the patient’s consent. The patient does not need to re-register.

When a GP leaves the practice

The patient remains registered with the practice, not the GP. The practice is notified to assign a new preferred GP. Affected patients are also notified of the change. If the patient wishes to follow the GP to a new MyMedicare-registered practice, they can re-register at the new practice — and the existing GP relationship is recognised (no new visit requirement at the new practice).

Patient changing practices

If a patient registers at a new practice, they are automatically withdrawn from the previous practice. The previous practice receives a notification via HPOS. The patient can only be registered at one practice at a time.

Practice withdrawing a patient

If a practice tries to withdraw a patient who is registered elsewhere, the patient and the registered practice are both notified. The patient must consent to the change.

Checking registration status

Currently, practices check registration status via HPOS. MyMedicare registration also appears on the patient’s My Health Record (unless the patient has opted out). Most PMS software does not yet have direct MyMedicare integration.

Source: MyMedicare Practice Registration FAQ; MyMedicare Patient Registration FAQ

❓ Troubleshooting FAQ

The patient needs to register at your practice first (via any of the 3 pathways). Once registered with you, they are automatically withdrawn from the previous practice. The previous practice is notified via HPOS. The patient must meet eligibility requirements at your practice (2 face-to-face visits in 24 months, or 1 if remote).

Patients remain registered with the practice. You will receive a notification to assign a new preferred GP. Update this in the MyMedicare system with the patient’s consent. Affected patients are also notified of the change.

Currently, most PMS software (Best Practice, Medical Director, etc.) does not have direct MyMedicare integration. The workaround is to check registration status in HPOS and manage registrations through the MyMedicare system on HPOS. You can also check the patient’s My Health Record for their MyMedicare registration status. PMS integration is expected to improve over time.

Yes. GP registrars and locums can be nominated as a preferred GP provided they are registered in MyMedicare with the practice and have a valid Medicare Provider Number for that practice. You must register them when they start and manage their departure when they leave.

Use the paper form pathway. The patient fills out a registration form at the practice. By signing, they provide consent. Practice staff then complete the registration in the MyMedicare system within 7 days. The form must be retained in the patient’s clinical records.

This is the known “silent failure” risk of pathway 2 (practice-initiated). The patient must have online notifications enabled in their myGov account to receive the registration request. If notifications are off, they never see it. Ask the patient to check their myGov notification settings, or switch to the paper form pathway instead.

Accreditation exemptions are available for: non-traditional/mobile/outreach practice models, sole providers, and (from November 2025) BBPIP participation. The BBPIP exemption only grants access to BBPIP — it does not unlock other MyMedicare incentives like the GP in Aged Care Incentive. Apply for the exemption through the Organisation Register on HPOS during registration.

Official resources

• health.gov.au/MyMedicare — Program overview & guidelines

• Services Australia — Organisation Register — Practice registration

• GP in Aged Care Incentive guidelines

• mbsonline.gov.au — MBS item fees & descriptions

Information only. This guide summarises MyMedicare program requirements based on the Program Guidelines (February 2026), Practice and Patient Registration FAQs, and MBS Book (July 2026). MBS fees shown are July 2026 values and are indexed annually on 1 July. Always verify current fees at mbsonline.gov.au and current program rules at health.gov.au/MyMedicare. This is not medical or legal advice.

🏅 DVA patients: Gold Card holders are covered for this service through DVA (often at higher rates than Medicare). DVA Billing Guide →