We are here to support you with your legal responsibilities to patients and staff in response to COVID-19. 

We’ll be updating this hub regularly with FAQs and other important information that can guide you through this difficult time. 

A summary of MDA National’s advice:

  • A medical practitioner does not have any obligation to see a particular patient other than in an emergency or if subject to a workplace contractual agreement
  • MDA National supports that Members should not treat or carry out testing on suspected cases of COVID-19 if they do not have the appropriate PPE or practice facilities
  • The Medico-legal Advisory team is available for support during this uncertain time
  • Medical practitioners are encouraged to keep up to date with the national information and the health department advice in their state
  • Here’s our latest stream of blog posts, which cover new developments, helpful resources, and advice on issues you may encounter.    

Latest news


    COVID-19 and our operations

    MDA National is standing with doctors as they work tirelessly to respond to COVID-19. We have safeguarded the delivery of our Member service in the event of quarantine measures being imposed by the government while taking active steps to reduce the risks to staff who are supporting members. You can still contact us for medico-legal advice on 1800 011 255 or via email advice@mdanational.com.au.

    Please visit COVID-19 and our operations for more information.


    Frequently asked questions

    Refer back to this page to keep across all the latest updates and information, and get in touch with our Medico-legal Advisory Service if you have any concerns .

     

      Practice related FAQs  

    Advice regarding suspected cases and recommended management (e.g. self isolation; non-participation in health care) is rapidly evolving. You need to seek advice from the relevant public health advisory service (list provided by the Commonwealth Department of Health)ACT NSW NT QLD SA TAS 
    VIC WA National Coronavirus Health Information Line on 1800 020 080).

    While it is not possible to pre-empt the specific advice, we are aware that there can be a number of outcomes advised, including temporary closure of the practice (to allow for testing, contact tracing and management plans) or the isolation (or removal from the provision of health care) of certain staff. If key staff are unable to work at the practice for a period, it may be that a pragmatic decision has to be made about the practice’s ability to remain operational during this period.

    The new telehealth item numbers will provide additional options for care.

    Updated: 12 March 2020

    We are aware that a number of practices are utilising outdoor areas such as carparks, carports etc for clinics. It increases the capability of the practice, and may make it easier for waiting patients to keep a suitable distance from others, either in a car or with appropriate distancing of chairs.

    When seeing patients in such a clinic, the same standard of care applies as if the patient was seen in your surgery.

    Ideally your medical/nursing staff will have access to the practice record system to ensure patient safety and best practice. Be mindful of patient confidentiality and make appropriate medical records. Consent can be written, or verbal and documented in the records. The same infection control standards apply.

    Providers should ensure that patients have access to a mobile telephone and a clinic phone number. The clinic’s phone should  be monitored at all times.

    For ‘drive thru’ type clinics when making the appointment, patients should be asked to bring a member of their household with them in the vehicle, if possible. Patients should be instructed to use the car horn to gain attention if they are unable to call the practice.

    Consider patient safety e.g. if you would usually ask the patient to remain at the practice for 10-15 minutes after the injection, then you should do the same for a car park clinic and ensure patients are monitored. Emergency equipment should be easily accessible.

    If you have a shared carpark, or the carpark belongs to e.g. the council, then you may have to seek written consent from whoever has control of the carpark.

    You should also check that your public liability insurance covers work carried out in a marquee, or demountable office in the car park.

    WA Dept of Health has provided guidance on ‘drive up’ influenza vaccination clinics. 

     

    Updated: 8 April 2020

    A federal government announcement on 24 March 2020, amended on 26 March 2020, prohibits the following “Beauty and personal care services”:

    • Beauty therapy, tanning, waxing, nail salons, tattoo parlours
    • Spas and massage parlours

    and imposes restrictions on:

    • Hairdressers and barber shops - the 1 person per 4 square metre rule must be strictly observed within the premises and personal contact during the patron’s visit should be minimised wherever possible. 


    Further Commonwealth Department of Health guidance indicates: 

     Highly discretional services that require close and prolonged personal contact between the service provider and client, including beauty therapy, nail salons, massage parlours, body piercing services and tattoo parlours. 

    Statements from the Presidents of the Australian Society of Plastic Surgeons, the Australasian College of Aesthetic Medicine, and the Cosmetic Physicians College of Australasia advised their members to cease performing cosmetic face to face services. The intent of the advice is clearly stated and in the context of the apparent risk to patients, practitioners and staff, if you consider that the service you provide (e.g. Botox and cosmetic fillers) would be “highly discretional”, we suggest that serious consideration be given to closing your practice. We appreciate the significant impact these decisions may have on your practice and your staff.

    You may wish to seek advice from the Department of Health, your State / Territory public health service, your college, or the AMA.

     

    Updated: 8 April 2020

    This is a complex situation which may depend on contractual arrangements / staff awards etc. However, the general position is that a permanent/non-casual employee who has to take time off because of a health issue would be entitled to using their accrued sick leave (presuming the practice was still operating).

    This News.com.au article on managing staff in the context of Covid 19 related absence may be of interest.

    If a health care provider falls under the recommendation to self-isolate and they are engaged under an independent contractor agreement, thus not an employee, there is no obligation on a practice to subsidise or compensate the individual for their financial loss of earnings.

    Updated: 12 March 2020

    A practice may have to close because of a Department of Health directive, or there may be insufficient staff to safely operate. This situation is complex and the outcome may depend on contractual arrangements /staff awards etc. If the entire practice has to close there may be scope to declare a “stand down”. Employees may not need to be paid in such circumstance.

    FairWork discusses ‘stand down’ circumstances on this page.

    Where the practice management or owner make an elective decision to close the practice then the implications for staff wages may be different.

    This News.com.au article on managing staff in the context of Covid 19 related absence may be of interest.

    The employer may allow employees to take accrued annual leave if they wish.  The employer may decide to offer annual leave payments in advance however there is no current requirement to do so.

    Updated: 12 March 2020

    It was announced on 25 March 2020 that non-urgent elective surgeries in Australia’s public and private hospitals had been suspended. A late-night amendment to the suspension has given private hospitals a few extra days. Semi-urgent category two and three elective surgeries at private hospitals can continue until 11.59pm on April 1.

    We understand that the intention is both to preserve stocks of personal protective equipment (required to manage COVID-19 cases) and to prepare hospitals for taking COVID-19 cases by reducing demand on other hospital resources. The ban does not include [as of 25 March 2020] category one [needing treatment within 30 days] and some exceptional category two [needing treatment within 90 days] cases.

    Updated: 30 March 2020

    As with all requests for 'fitness certificates' doctors have an obligation to provide factual information—but this does not mean the doctor must follow the format requested by the patient or the employer.

    There is no testing currently available to demonstrate conclusively that a patient is not infected with COVID-19.

    Doctors can provide a certificate or a letter dated the day the patient was seen, and this could include relevant information such as the patient presenting symptom-free, whether they have complied with public health guidelines (such as having met the requirements for a period of self-isolation, recent travel history), and the outcome of a physical examination. The history and examination should be clearly documented in the medical record.

    If a certificate is provided as a result of a telemedicine consultation, this should be noted on the certificate and in the medical record.

    The situation regarding COVID-19 is changing rapidly and doctors are encouraged to keep up to date with public health advice in their state. A link to relevant public health information can be found on our blog.

    Updated: 16 March 2020

    There are already public health guidelines available at a State/Territory level regarding screening of patients for elective procedures. NSW Health advice (13 March 2020) has interim guidance for elective surgery and outpatient clinics.

    “Onset of COVID-19 during recovery from an operation is likely to complicate recovery and prolong the hospital stay, as well as expose health care workers who would then have to be excluded from healthcare work”.

    It is therefore sensible to make enquiries with patients prior to their scheduled non-urgent appointment or procedure in relation to their COVID-19 risk. The situation regarding COVID-19 is changing rapidly and doctors and staff are encouraged to keep up to date with public health advice in their state. A link to relevant public health information can be found on our blog.

    Most patients will be understanding in the circumstances, and AHPRA have indicated they will be mindful of the practicalities of the situation, and practitioner safety, in the event of a complaint.

    Doctors may consider a range of factors when deciding who they treat, and this circumstance has been contemplated by AHPRA in s.2.4 of the Code of Conduct for doctors in Australia.

    One of the considerations relates to your ability to keep “…yourself and your staff safe when caring for patients. If a patient poses a risk to your health and safety or that of your staff, take action to protect against that risk. Such a patient should not be denied care, if reasonable steps can be taken to keep you and your staff safe.”


    Updated: 16 March 2020

    When providing a medical certificate, a doctor has a professional obligation under the Medical Board of Australia’s Code of Conduct (at 8.8) to be honest, accurate, and to take reasonable steps to verify the content of a certificate.  You need to be able to disclose any relevant information necessary to the submission or elect not to provide a letter at all (i.e. the patient cannot make you ‘omit’ information you consider is relevant).

    If it is your clinical opinion that the patient should cancel or postpone travel to a specific destination or region, then it may be reasonable to provide a short report. An example may be an elderly patient with a pre-existing respiratory illness who is booked to travel to a destination which is currently experiencing high numbers of COVID-19 cases. This will involve a case by case assessment, and we recommend you contact us for assistance if you are unsure.

    This may not be necessary if the travel provider opts to cancel flights, cruises, tours etc. However, it may still be helpful for the patient to obtain a medical certificate as they may be able to recoup other costs from their travel insurer.

    A medical certificate would normally be provided to indicate that a patient is too unwell for work, or school etc. 

    A letter of support can be used to assist the patient where they are not unwell, but information is needed for insurance or other purposes. 

    Updated: 19 March 2020

    Doctors are not obliged to treat patients unless it is an emergency, or a contractual requirement.

    Doctors may consider a range of factors when deciding who they treat, and this circumstance has been contemplated by AHPRA in s.2.4 of the Code of Conduct for doctors in Australia.

    One of the considerations relates to your ability to keep “…yourself and your staff safe when caring for patients. If a patient poses a risk to your health and safety or that of your staff, take action to protect against that risk. Such a patient should not be denied care, if reasonable steps can be taken to keep you and your staff safe.”

    If you feel you are not in a position to keep yourself, your staff, or your other patients safe in light of COVID-19, then you can decline to treat or suggest high risk patients postpone non-urgent appointments. This will be taken into account by AHPRA in the event of a complaint.

    If a patient cannot be seen at the practice, they should be directed to an appropriate alternative to access care, taking into account local resources.

    The new MBS item numbers for telehealth and telephone consultations may be helpful in this situation.

    Updated 16 March 2020

    This is a situation where a letter of support may be more appropriate than a medical certificate.

    Medical certificates

    A doctor should only provide a medical certificate in a situation where they reasonably believe the patient has / had a certifiable health condition. Doctors may decide to take a patient at their word (e.g. ‘Doc I was up all night with gastro’) because there may be no objective findings on examination (perhaps the consultation is by phone or tele-link). See this Medical Council of NSW document for a detailed discussion about medical certificates.

    If a doctor is not satisfied the patient was ‘sick’ with a health condition, then they should not agree to provide a medical certificate. This is because a doctor has an obligation under the Medical Board Code of Conduct (at 8.8) to ensure a signed statement is reasonably true, not misleading, accurate, and they have not omitted relevant information deliberately.

    Letters of support

    A doctor may be sympathetic to a patient’s plight, but can’t certify that the patient is unwell to travel, or is unfit for work. In this case the doctor can offer to provide a letter of support, rather than a medical certificate. Relevant clinical information can be provided (with the patient’s consent) without certifying the patient unwell or unfit.

    Example 1

    Dear travel insurer

    I am writing a letter in support of my patients, Mr and Mrs Smith who have made the difficult decision to cancel their travel plans to Europe on 1 April 2020 in light of the escalating COVID-19 risk. 

    I support their decision to cancel their overseas travel, based on the risks of being exposed to COVID-19 (both in transit and during the holiday) and also the increasing risk that COVID-19 poses to older patients if they do develop infection. The Commonwealth Department of Health notes “Based on what we know about coronaviruses, those most at risk of serious infection are: ...elderly people”.

    I also note the current Victorian Health guidance to “the public to be mindful and take steps to minimise the risk of COVID-19” [16 March accessed 18 March 2020] and the advice on SmartTraveller [accessed 18 March 2020] “Coronavirus (COVID-19) 8 March 2020: We now advise all Australians not to travel at this time”. 

    I ask that you take this information into account when considering their application for reimbursement. 

    Example 2

    Dear Mr Jones

    I confirm I have been treating you for [list conditions] since [enter date]. You are currently on [list medications] to manage your chronic health conditions.

    You have indicated that you are concerned you will be at higher risk of serious infection if you contract COVID-19, due to your underlying health issues and/or age.

    I understand you are keen to discuss your options with your employer to limit your potential exposure to the virus. According to the Health Department website “those most at risk of serious infection are…people with chronic medical conditions” so any modifications you can agree with your employer in order to reduce your risk would be sensible.

    Updated:  20 March 2020

    Clearly document your assessment and advice to the patient including your concern of the risk to themselves and others.

    COVID-19 is now a reportable disease. If you have public safety concerns, you can notify your local public health unit who can assess the need to follow up with the patient.

    Updated: 16 March 2020

    As foreshadowed by Health Minister Greg Hunt last week, the Federal Government has amended the COVID-19 telehealth legislation in Australia to allow for mixed-billing in some circumstances. 

    From 6 April 2020, it is a legislative requirement that the new telehealth services must be bulk billed for Commonwealth concession card holders, children under 16 years old, and patients who are more vulnerable to COVID-19. 

    Health providers may apply their usual billing practices to the telehealth items for patients who do not fit the above criteria. Providers are expected to obtain informed financial consent from patients prior to providing the service; providing details regarding their fees, including any out-of-pocket costs.

    A person who is at risk of COVID-19 virus means a person who:

    (a)  is required to self-isolate or self-quarantine in accordance with guidance issued by the Australian Health Protection Principal Committee in relation to COVID-19; or

    (b)  is at least 70 years old; or

    (c)  if the person identifies as being of Aboriginal or Torres Strait Islander descent—is at least 50 years old; or

    (d) is pregnant; or

    (e) is the parent of a child aged under 12 months; or

    (f) is being treated for a chronic health condition; or

    (g) is immune compromised; or

    (h) meets the current national triage protocol criteria for suspected COVID-19 infection.

    Updated: 6 April 2020

    MDA National does not recommend specific software. Sources of information include your practice’s IT provider, your local Primary Health Network, ACRRM and the RACGP. 

    The RACGP supports the use of free apps like Skype if doing telehealth on an ad hoc basis but for an ongoing telehealth service a professional platform will provide greater quality and sustainability.
    Medicare require practitioners to ensure that their chosen telecommunications solution meets their clinical requirements and satisfies privacy laws.

    When evaluating a product from a privacy perspective you can look at the website and/or Terms & Conditions and look for:  

    •  a Privacy Policy which mentions the APPs

    •  servers in Australia; no data sent overseas

    •  security features like encryption and two-factor authentication

    •  no health information such as chat interactions, documents, images are retained by the commercial service provider


    Other considerations include:  

    •  technical support

    •  bandwidth requirements

    •  waiting room functionality

    •  browser compatibility

      

    Updated: 2 April 2020

    It has been announced by the Department of Health that under these exceptional and temporary circumstances, for the new temporary MBS telehealth items only, the practitioner’s documentation in the clinical notes of the patient’s agreement to assign their benefit as full payment for the service is sufficient. 

    This means that agreement can be obtained through one of three options being in writing, by email, or verbally through the technology with which the attendance is conducted. This agreement can be provided by a patient, or another person, such as the person’s carer or family member.


    The practitioner should keep their own record that the patient agreed or acknowledged that the service was provided, and that the Medicare benefit could be paid directly to the practitioner.


    Updated: 31 March 2020

    Telehealth (healthcare services provided over the internet, video conference or phone) is covered under your indemnity policy, provided both you and the patient are located in Australia and the service is provided in accordance with the guidelines of the Medical Board, the relevant College and Medicare.


    Updated: 30 March 2020

    When the COVID-19 telehealth items were first introduced, they had to be bulk billed. On 6 April 2020 this was relaxed so that some patients can be privately billed and receive a Medicare rebate.


    Patients who still must be bulk-billed if using the COVID-19 specific items are:  

    •  a patient at risk of COVID-19 virus*; or

    •  a concessional beneficiary; or

    •  a person who is under the age of 16.

      
    *A person who is at risk of COVID-19 virus means a person who:

    (a)  is required to self-isolate or self-quarantine in accordance with guidance issued by the Australian Health Protection Principal Committee in relation to COVID-19; or

    (b)  is at least 70 years old; or

    (c)  if the person identifies as being of Aboriginal or Torres Strait Islander descent—is at least 50 years old; or

    (d) is pregnant; or

    (e) is the parent of a child aged under 12 months; or

    (f) is being treated for a chronic health condition; or

    (g) is immune compromised; or

    (h) meets the current national triage protocol criteria for suspected COVID-19 infection.


    Updated: 6 April 2020

    The MBS online guide provides information on this.

    Changes to the original wording of the MBS now include that the 'usual GP' has been expanded to include where there has been a face to face attendance in the previous 12 months with the practitioner or at the practice. The 'need for a limited examination' has been removed from the GP and Other Medical Practitioner items.

    If a patient requests a COVID-19 telehealth consultation, but is new to the practice, then you cannot use the new telehealth item number. You may wish to offer a privately billed consultation. Prior to this the patient should register at the practice and provide the usual information required for registration, which can be done electronically.

    Updated: 19 March 2020

    Electronic prescribing (‘e-prescribing’) was legislated in Australia in late 2019 however most clinical software does not yet support it.


    The federal health department has announced an interim process allowing electronic prescribing during telehealth consultations. The steps for the doctor are:

     

    1.  Create a paper prescription, as usual, on a standard PBS script pad, or an electronically generated script on PBS provided paper.

    2.  Create a digital image of the prescription, such as a photo or pdf. The image must be clear enough to allow any barcode to be scanned. 

    3.  Send the image by email, text or fax to either the patient or the patient’s pharmacist

    4.  Send the pharmacy the paper copy of the prescription within 15 days of the drug being supplied

     

    Schedule 8 and 4(D) medicines such as opioids and Fentanyl are not part of this interim arrangement. 

    If the script is not urgent, a hard copy script can be posted to the patient.

     

    Updated: 6 April 2020

    Our understanding is that to claim the new MBS telehealth item numbers, the service has to be rendered from within Australia. However, detailed information is currently not available.

    MBS Advice: (note: this advice relates to pre-COVID-19 telehealth consultations)

    Telehealth patient-end support services can only be claimed where:

    (a)  a Medicare eligible specialist service is claimed;

    (b)  the service is rendered in Australia; and

    (c)  where this is necessary for the provision of the specialist service.

     

    You need a valid provider number for the location from which you are providing your telehealth service, bearing in mind your provider number is location specific.

    Telehealth (healthcare services provided over the internet, video conference or phone) is covered under your indemnity policy, provided both you and the patient are located in Australia and the service is provided in accordance with the guidelines of the Medical Board, the relevant College and Medicare.

    If you are undertaking any other form of telehealth services, please contact us on 1800 011 255 and speak to Member Services.

    Updated: 19 March 2020

    Documentation of telehealth consultations should contain the same level of detail as a face to face consultation, as well as the type of consultation and the patient’s location. The RACGP also recommends documenting information such as:

    (a) the rationale for a video consultation instead of a physical consultation

    (b) responsibility for any follow-up actions

    (c) the presence of other parties and the patient’s consent for those parties to be present

    (d) any technical malfunctions which may have compromised the consultation

     

    Consent to conduct a telehealth consultation can be verbal or written, and the patient should be informed that telehealth has some limitations, for instance:

     

    (a)  no physical examination

    (b)  possible technical issues, e.g. poor image resolution impeding diagnosis, Wi-Fi dropout etc

    (c)  security of the transmission may not be guaranteed (if using an app, is it encrypted?) and there is an extremely small risk it could be seen by a third party

     

    The default position is that telehealth consultations are not recorded (by audio or video), just as face to face consultations are not recorded. If any part of a video consultation is recorded, written consent is recommended. An example of a written consent form is available at ehealth.acrrm.org.au

    If patients send in photos, they should be told how secure the process is (e.g. unencrypted email) and whether the photos will be stored in the medical records or deleted.

    Updated: 19 March 2020

    We anticipate that government indemnity will be extended to all medical students who are engaged /employed in public hospitals. We advise Members to ensure their engagement and contract terms clearly set out the terms of such indemnity prior to commencing any duties. Medical students also need to ensure that their Ahpra registration is appropriate to their circumstances.

    MDA National is pleased to advise that we will extend cover for student members under the Professional Indemnity Insurance Policy to provide an additional layer of support and protection.  
    Specifically for those MDA National student Members who are engaged to assist during the COVID-19 pandemic, we will extend indemnity  under the Policy to cover the costs of defending student Members against  hospital or professional body investigations or inquiries as well as employment issues in  accordance with the Policy terms and conditions.  

    This means that any student Member of MDA National who has a Professional Indemnity Insurance Policy issued by us should contact us for advice if they are required to respond to any inquiry or investigation. 
    This cover is provided at no cost to student Members.

    Not a MDA National student member? Join for free here 

     

    Updated: 3 April 2020

    MDA National will provide cover free of charge for those who elect to join the surge workforce in response to the COVID-19 pandemic.

    If you are a retired or non-practising Member of MDA National, it is very straightforward. Please contact us via email at peaceofmind@mdanational.com.au or on 1800 011 255 and we will issue you with a policy and confirmation of indemnity. 

    If you are not a retired MDA National member, you should in the first instance seek cover through your previous medical indemnity provider, as they will have all your details.
    Please also check that you are included on the Ahpra pandemic response sub-register of practitioners that fast tracks the return to practice of experienced and qualified health practitioners to assist with responding to the pandemic. 

    If you are currently indemnified under the Federal Government’s Run off Cover Scheme (ROCS), any employment as part of the COVID-19 pandemic response will not invalidate or impact your existing ROCS cover. 

    If you are not eligible for the ROCS and are currently covered under MDA National’s Run off cover category, we will simply amend that cover to reflect your COVID 19 work. 
    The cover we provide in this circumstance is only in relation to the work you are employed to do in response to the COVID-19 pandemic. This policy does not cover you for any work you undertake outside the scope of your employment or any work you undertake beyond the official pandemic period as set by the Australian Government. 

     

    Updated: 3 April 2020

    We are happy to confirm Members will be covered in the event of a claim or investigation arising as the result of (alleged) transmission of COVID-19.

    It is expected that Members will comply with all relevant Government, Hospital and Health Department directives in relation to COVID-19.

    Updated: 1 April 2020

    MDA National understands that you may be asked or required to provide care outside your usual specialty or area of expertise as part of the response to the COVID-19 crisis. Although there is a need for flexibility in the current circumstances, you should try to remain within what you consider to be your scope of practice and competence.

    The Medical Board and Ahpra recognise that the way you provide care may need to be adjusted:

    "As an overriding principle, the Boards are prepared to be flexible in their approach although safety remains our first priority for National Boards and Ahpra. In this context, we are considering how our regulatory requirements can adapt to emergency health service needs and support health service delivery while continuing to protect the public."

    "We encourage all registered health practitioners to work with colleagues and people using services, to use your professional judgement to assess risk, and to deliver safe care informed by any relevant guidance and the values and principles set out in professional standards and the codes of conduct for your profession."

    Ultimately whether you decide to provide care outside your usual specialty or area of expertise will be a personal decision. This decision may have medico-legal consequences and the following medico-legal framework may be of assistance:

    (a) Knowledge and skills in the area in which you are being asked to work
    All doctors have a duty to recognise and work within their competence. 
    Is there additional training you can do to improve your knowledge and skills in the area in which you are being asked to work?
    Who will provide you with advice and/or supervision when you are working?
    Do you know how and to whom you should escalate any questions or concerns?

    (b) Standard of care
    Our Members are asking us about what is a reasonable standard of care, given the rapidly changing health environment and health resource constraints. The ‘reasonableness’ of care provided by health practitioners (relevant to claims and complaints) is determined by the opinions and standards of practice of peer practitioners (e.g. Colleges and other professional bodies, Medical Board, hospital policy, evidence based practice guidelines, public health guidance), taking into account the circumstances at the time. We recognise that in such a rapidly changing environment, this may be challenging to determine.

    (c) Indemnity 

    •  If you are employer indemnified and have access to indemnity from the hospital  (e.g. a doctor in training), and you are asked to work in a different area to your usual area of expertise, then indemnity would generally continue to be provided by your employer/hospital. You should confirm this with your employer. As always, you can contact our Medico-legal Advisory team for advice (details below)

    •  If your practice is usually indemnified by your employer and you are undertaking any work during the pandemic in a private capacity that is not indemnified by your employer, please contact our Member Services team (details below) and we can help you move to the appropriate category if required.

    •  If you are in private practice and your indemnity is provided by MDA National and you are undertaking a practice or procedure not associated with your field of practice , please check our Risk Category Guide or contact our Member Services team. We are here to support you and ensure you are covered.
     
    (d) Employment considerations

    If you have questions or concerns about your employment, or you are involved in an employment dispute, please contact our Medico-legal Advisory team for advice.
     
    As always, you can contact our Medico-legal Advisory team for advice and support on 1800 011 255 or advice@mdanational.com.au or our Member Services team for membership and insurance information on 1800 011 255 or peaceofmind@mdanational.com.au.


    Updated: 30 March 2020

    Your gross annual billings are one of a number of factors used in calculating your medical indemnity premium. If your actual billings for the 2019/20 financial year are significantly different to your estimated billings for the 2019/20 financial year, and move you into a lower premium group, you will be entitled to a refund.

    There is no urgency to update us now. We suggest that you contact us at your convenience post June 30 when you know what your actual billings for 2019/20 are and we will process any premium refund due to you at that point.

    The definition of Gross Annual Billings can be found in the Risk Category Guide.
    In the meantime if you have any queries relating to your insurance or membership arrangements please call 1800 011 255 or email peaceofmind@mdanational.com.au.

    As a doctor owned membership organisation, MDA National is very aware of the emotional and financial impacts that COVID-19 is having on the healthcare workforce.

    We remain committed to be by the side of our Members and the wider medical community through this challenging period. To assist with the financial impact of COVID-19, we are freezing premium increases for 99% of members for 2020-21 Policy Renewals. 

    We are living in uncertain times, but you can be assured that MDA National is here to provide you with the support and protection you need, as you continue to provide outstanding patient care.

    For more information on our premium freeze click here 

     

    MDA National recognises that some of our Members may face financial hardship following this health crisis.

    We have a process in place to assist our members. Please contact our membership team on 1800 011 255 or email peaceofmind@mdanational.com.au to discuss your options.

    Your level of billings is one of a number of factors used in calculating your medical indemnity premium.

    Recognising that every Members situation will be different, generally speaking if your estimated billings for the 2020/21 financial year are significantly lower than this year it may result in a lower annual premium. We will be sending out our regular pre renewal communication to Members in the coming weeks, asking for confirmation of details for the year ahead.

    At this time, you will be able to advise us about your estimated gross annual billings, which will feed directly into the calculation of your medical indemnity insurance premium for 2020/21. 

    The definition of Gross Annual Billings can be found in the Risk Category Guide.
    In the meantime if you have any queries relating to your insurance or membership arrangements please call 1800 011 255 or email peaceofmind@mdanational.com.au