Fees & Medicare Rebates
Appointment fees are based on the length and complexity of patient consultations. Consultations, treatments, procedures and investigations by a Specialist will attract out-of-pocket costs. If you are a Medicare card holder, you will have access to Medicare rebates for eligible services with a GP referral.
The below pricing is a guide only. The pricing reflects the most common items numbers for most patient visits to the given specialist. Variations do exist, for example for complex or long consultations, or for consultations that include consumables or additional procedures.
Please refer to the below fee schedules to view the providers cancellation policy and associated cancellation fees. A fee will be applied to your account if a cancellation is made outside of the time frame outline by your particular specialist below.
Specialists
Standard Consultation: $370.00 with a Medicare Rebate of $142.60
Complex Consultation: $510.00 with a Medicare Rebate of $249.40
Follow Up Consultation: $200.00 with a Medicare Rebate of $71.40
Complex Follow Up Consultation $265.00 with a Medicare Rebate of $124.90
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546
Referral:
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner (valid for 12x months) or another specialist (valid for 3 months).
Cancellation policy:
Due to a high volume of appointments Dr Nguyen has in place a strict cancellation policy. We request that you provide at least 24 hours’ notice for cancellation and/or change of appointment. A fee may be applied to your account if a cancellation is within the 24 hours. This will not be claimable by Medicare.
Individual:
Initial $260.00 (60mins)
Follow Up $220.00 (60mins)
Couples:
Initial $330.00 (90mins)
Follow Up $250.00 (45 - 60mins)
Couples appointments: Ms Lara Maree will generally see the couple together for the initial consultation for 90 minutes, then individually for 45-60 minutes each at the next follow ups, then back together ongoing for couples for 60 minutes. This may also be tailored by Ms Maree after your initial or individual follow up consultations.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult: $295.00 Medicare Rebate: $143.45
Follow up Consult: $150.00 Medicare Rebate: $71.70
Initial Consult (complex): $400.00 Medicare Rebate: $250.65
Follow up Consult (complex): $205.00 Medicare Rebate: $125.55
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Sivam. You must provide at least 48 hours notice for cancellation and/or change of appointment or a 50% total consultation fee will be payable. This is not covered by Medicare.
Cancellation Policy: 48 hours for Psychology. Full consultation fee will apply if cancelled within the timeframe. Fees: With a valid GPMHCP referral, you will receive a Medicare rebate. If you have private health insurance you can claim this with us at the end of your consultation.
Initial Consult: $240.00 Medicare Rebate: $93.35
Follow-up Consult: $240.00 Medicare Rebate: $93.35
GPMHCP: General Practitioner Mental Health Care Plan, provides you access to the Medicare rebates.
How GPMHCP works: (GPMHCP is by calendar year, the sessions do not rollover it is a maximum of x10 sessions per calendar year)
GPMHCP is written by your General Practitioner which provides you the initial x6 rebated sessions with the therapist. You will need to go back to your GP for a review to access the additional x4 sessions (Total of x10 sessions).
Each referral from the GP must say which sessions they are referring you for –
1st Referral: x6 Sessions Initial x6 sessions
2nd Referral: x4 Sessions Additional x4 sessions
Private Health Insurance: If you have private health insurance cover for Psychology, we can claim this on the spot for you leaving only the gap to be paid. Please bring your membership card with you as we cannot make a claim manually entering your number, we are required to swipe your physical card.
Cancellation Policy: 48 hours for Psychology. Full consultation fee will apply if cancelled within the timeframe. Fees: With a valid GPMHCP referral, you will receive a Medicare rebate. If you have private health insurance you can claim this with us at the end of your consultation.
Initial Consult: $250.00 Medicare Rebate: $93.35
Follow-up Consult: $250.00 Medicare Rebate: $93.35
GPMHCP: General Practitioner Mental Health Care Plan, provides you access to the Medicare rebates.
How GPMHCP works: (GPMHCP is by calendar year, the sessions do not rollover it is a maximum of x10 sessions per calendar year)
GPMHCP is written by your General Practitioner which provides you the initial x6 rebated sessions with the therapist. You will need to go back to your GP for a review to access the additional x4 sessions (Total of x10 sessions).
Each referral from the GP must say which sessions they are referring you for –
1st Referral: x6 Sessions Initial x6 sessions
2nd Referral: x4 Sessions Additional x4 sessions
Private Health Insurance: If you have private health insurance cover for Psychology, we can claim this on the spot for you leaving only the gap to be paid. Please bring your membership card with you as we cannot make a claim manually entering your number, we are required to swipe your physical card.
Cancellation Policy: 48 hours for Psychology. Full consultation fee will apply if cancelled within the timeframe. Fees: With a valid GPMHCP referral, you will receive a Medicare rebate. If you have private health insurance you can claim this with us at the end of your consultation.
Consultation: $250.00 Medicare Rebate: $137.05
GPMHCP: General Practitioner Mental Health Care Plan, provides you access to the Medicare rebates.
How GPMHCP works: (GPMHCP is by calendar year, the sessions do not rollover it is a maximum of x10 sessions per calendar year)
GPMHCP is written by your General Practitioner which provides you the initial x6 rebated sessions with the therapist. You will need to go back to your GP for a review to access the additional x4 sessions (Total of x10 sessions).
Each referral from the GP must say which sessions they are referring you for –
1st Referral: x6 Sessions Initial x6 sessions
2nd Referral: x4 Sessions Additional x4 sessions
Private Health Insurance: If you have private health insurance cover for Psychology, we can claim this on the spot for you leaving only the gap to be paid. Please bring your membership card with you as we cannot make a claim manually entering your number, we are required to swipe your physical card.
Cancellation Policy: 48 hours for Psychology. Full consultation fee will apply if cancelled within the timeframe. Fees: With a valid GPMHCP referral, you will receive a Medicare rebate. If you have private health insurance you can claim this with us at the end of your consultation.
Consultation: $240.00 Medicare Rebate: $93.35
GPMHCP: General Practitioner Mental Health Care Plan, provides you access to the Medicare rebates.
How GPMHCP works: (GPMHCP is by calendar year, the sessions do not rollover it is a maximum of x10 sessions per calendar year)
GPMHCP is written by your General Practitioner which provides you the initial x6 rebated sessions with the therapist. You will need to go back to your GP for a review to access the additional x4 sessions (Total of x10 sessions).
Each referral from the GP must say which sessions they are referring you for –
1st Referral: x6 Sessions Initial x6 sessions
2nd Referral: x4 Sessions Additional x4 sessions
Private Health Insurance: If you have private health insurance cover for Psychology, we can claim this on the spot for you leaving only the gap to be paid. Please bring your membership card with you as we cannot make a claim manually entering your number, we are required to swipe your physical card.
Please be aware Linda Cumines does not Bulk Bill, if you have an EPC referral from your GP you will receive a Medicare rebate of $58.00.
Initial consult: $325 (standard) or $405 (complex)
Follow-up consult: $140 (standard) or $220 (complex)
EPC Referral: Enhanced Primary Care Referral, provides you access to x5 Medicare rebates per year.
How EPC works:
An Enhanced Primary Care Plan (EPC) is a referral that is written by your GP which provides eligible patients with Medicare-subsidised allied health appointments, like physio, podiatry, chiropractic, Dietitian, etc. An EPC may also be referred to as a GP Management Plan (GPMP).
Who is eligible?
To be eligible for an EPC or GPMP, a patient must have a chronic or terminal medical condition with or without complex care needs.
A chronic health condition is defined as one that has been present for 6 months or more. It includes, but is not limited to, asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke.
Your GP will need to assess your eligibility for an EPC plan.
Please be aware Sarah does not Bulk Bill, if you have an EPC referral from your GP you will receive a Medicare rebate of $58.30.
30min Initial Consult: $115
30min Follow- up Consult: $100
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
If you have private health insurance cover for Physiotherapy, we can claim this on the spot and you will only need to pay the gap. Please bring your membership card with you as we cannot make a claim using only your number and will need to swipe your physical card. Any consumables, surgeries or prescribed treatments (e.g. boots, therabands, crutches) will be charged on top of the above standard care and consult fee. Your physiotherapist will be able to advise during your consultation.
EPC Referral: Enhanced Primary Care Referral, provides you access to x5 Medicare rebates per year.
How EPC works:
An Enhanced Primary Care Plan (EPC) is a referral that is written by your GP which provides eligible patients with Medicare-subsidised allied health appointments, like physio, podiatry, chiropractic, Dietitian, etc. An EPC may also be referred to as a GP Management Plan (GPMP).
Who is eligible?
To be eligible for an EPC or GPMP, a patient must have a chronic or terminal medical condition with or without complex care needs.
A chronic health condition is defined as one that has been present for 6 months or more. It includes, but is not limited to, asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke.
Your GP will need to assess your eligibility for an EPC plan.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult: $320.00 to $400.00 Medicare Rebate: $143.35 to $250.65
Follow-up Consult: $155.00 to $200.00 Medicare Rebate: $71.70 to $125.55
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Gracey. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
Cancellation Policy: 48 hours for Psychology. Full consultation fee will apply if cancelled within the timeframe. Fees: With a valid GPMHCP referral, you will receive a Medicare rebate. If you have private health insurance you can claim this with us at the end of your consultation.
New Patient: $480.00 Medicare Rebate: $93.35
Follow-up: $265.00 Medicare Rebate: $93.35
GPMHCP: General Practitioner Mental Health Care Plan, provides you access to the Medicare rebates.
How GPMHCP works: (GPMHCP is by calendar year, the sessions do not rollover it is a maximum of x10 sessions per calendar year)
GPMHCP is written by your General Practitioner which provides you the initial x6 rebated sessions with the therapist. You will need to go back to your GP for a review to access the additional x4 sessions (Total of x10 sessions).
Each referral from the GP must say which sessions they are referring you for –
1st Referral: x6 Sessions Initial x6 sessions
2nd Referral: x4 Sessions Additional x4 sessions
Please be aware if you are under the care of a psychiatrist being referred to Jo Leidreiter, the referral provided by them does provide access to the MHCP rebates. You will not be required to get a referral from your GP as well.
Private Health Insurance: If you have private health insurance cover for Psychology, we can claim this on the spot for you leaving only the gap to be paid. Please bring your membership card with you as we cannot make a claim manually entering your number, we are required to swipe your physical card.
Please be aware Jee does not Bulk Bill, if you have an EPC referral from your GP you will receive a Medicare rebate of $58.30
Initial Consult: $135.00
Follow- up Consult: $110.00
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
EPC Referral: Enhanced Primary Care Referral, provides you access to x5 Medicare rebates per year.
How EPC works:
An Enhanced Primary Care Plan (EPC) is a referral that is written by your GP which provides eligible patients with Medicare-subsidised allied health appointments, like physio, podiatry, chiropractic, Dietitian, etc. An EPC may also be referred to as a GP Management Plan (GPMP).
Who is eligible?
To be eligible for an EPC or GPMP, a patient must have a chronic or terminal medical condition with or without complex care needs.
A chronic health condition is defined as one that has been present for 6 months or more. It includes, but is not limited to, asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke.
Your GP will need to assess your eligibility for an EPC plan.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult: $400.00 to $500.00 Medicare Rebate: $143.35 to $250.65
Follow-up Consult: $220.00 to $285.00 Medicare Rebate: $71.70 to $125.55
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Trewin. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
Please be aware Isabella does not Bulk Bill, if you have an EPC referral from your GP you will receive a Medicare rebate of $58.30.
Initial Consult: $115.00
Follow-up Consult: $100.00
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
EPC Referral: Enhanced Primary Care Referral, provides you access to x5 Medicare rebates per year.
How EPC works:
An Enhanced Primary Care Plan (EPC) is a referral that is written by your GP which provides eligible patients with Medicare-subsidised allied health appointments, like physio, podiatry, chiropractic, Dietitian, etc. An EPC may also be referred to as a GP Management Plan (GPMP).
Who is eligible?
To be eligible for an EPC or GPMP, a patient must have a chronic or terminal medical condition with or without complex care needs.
A chronic health condition is defined as one that has been present for 6 months or more. It includes, but is not limited to, asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke.
Your GP will need to assess your eligibility for an EPC plan.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
New Patient: $450.00 Medicare Rebate: $247.25
Follow-up (60 mins): $355.00 Medicare Rebate: $174.45
Follow-up (30mins): $270.00 Medicare Rebate: $126.40
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Dr Sippe does not see Work Cover or Medico legal cases.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Sippe. You must provide at least 24 hours notice for cancellation and/or change of appointment or a 50% total consultation fee will be payable. This is not covered by Medicare.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial: $730.00 Medicare Rebate: $429.85
Follow-up Consult: $520.00 Medicare Rebate: $268.75
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Tung. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult: $450.00 Medicare Rebate: $143.35
Follow-up Consult: $280.00 Medicare Rebate: $112.55
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Chow Chow. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
Cancellation Policy: 48 hours for Psychology. Full consultation fee will apply if cancelled within the timeframe. Fees: With a valid GPMHCP referral, you will receive a Medicare rebate. If you have private health insurance you can claim this with us at the end of your consultation.
Initial Consultation: $260.00 Medicare Rebate: $137.05
Follow up Consultation: $260.00 Medicare Rebate: $137.05
GPMHCP: General Practitioner Mental Health Care Plan, provides you access to the Medicare rebates.
How GPMHCP works: (GPMHCP is by calendar year, the sessions do not rollover it is a maximum of x10 sessions per calendar year)
GPMHCP is written by your General Practitioner which provides you the initial x6 rebated sessions with the therapist. You will need to go back to your GP for a review to access the additional x4 sessions (Total of x10 sessions).
Each referral from the GP must say which sessions they are referring you for –
1st Referral: x6 Sessions Initial x6 sessions
2nd Referral: x4 Sessions Additional x4 sessions
Private Health Insurance: If you have private health insurance cover for Psychology, we can claim this on the spot for you leaving only the gap to be paid. Please bring your membership card with you as we cannot make a claim manually entering your number, we are required to swipe your physical card.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult : $280.00 ($550 for complex) Medicare Rebate: $81.83
Follow-up Consult: $180.00 ($280 for complex) Medicare Rebate: $40.85
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Huang. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult: $400.00 to $500.00 Medicare Rebate: $143.35 to $250.65
Follow-up Consult: $200.00 to $250.00 Medicare Rebate: $71.70 to $125.55
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Prof Polizzotto. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult: $370.00 Medicare Rebate: $143.35
Follow-up Consult: $170.00 Medicare Rebate: $71.70
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Mina. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial: $310.00 Medicare Rebate: $143.35
Follow-up Consult: $190.00 Medicare Rebate: $71.70
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with A/Prof Danta. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
New Patient: $500.00 Medicare Rebate: $247.25
Follow Up Consult (30 mins): $280.00 Medicare Rebate: $126.40
Follow Up Consult (15 mins): $160.00 Medicare Rebate: $82.15
ADHD testing: The appointment is done face to face in clinic at the College St rooms and the total cost for the testing is $270.00 with no Medicare rebate. The consult with Dr Johnson will be bulk billed direct to Medicare. Total time required for the testing is a minimum of x2 hours.
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Johnson. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
Private Only (No Medicare or Private Health Insurance rebates available)
45min Consultation: $160.00
Dr Chris Westinghouse charges standard fees per session, irrespective of the content or nature of the consultation. He is not “contracted in” with any medical insurer or Medicare, so patients must make payment for each session at the end of that session. The standard session duration for most therapy sessions is 45 minutes.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult: $260.00 Medicare Rebate: $81.30
Follow up Consult: $170.00 Medicare Rebate: $40.85
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Thompson. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee ranging from 50% to 100% of the consultation cost. This is not covered by Medicare.
Please be aware Brett does not Bulk Bill, if you have an EPC referral from your GP you will receive a Medicare rebate of $58.30.
Initial Consult: $135.00
Follow- up Consult: $110.00
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
EPC Referral: Enhanced Primary Care Referral, provides you access to x5 Medicare rebates per year.
How EPC works:
An Enhanced Primary Care Plan (EPC) is a referral that is written by your GP which provides eligible patients with Medicare-subsidised allied health appointments, like physio, podiatry, chiropractic, Dietitian, etc. An EPC may also be referred to as a GP Management Plan (GPMP).
Who is eligible?
To be eligible for an EPC or GPMP, a patient must have a chronic or terminal medical condition with or without complex care needs.
A chronic health condition is defined as one that has been present for 6 months or more. It includes, but is not limited to, asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke.
Your GP will need to assess your eligibility for an EPC plan.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult: $435.00 to $540.00 Medicare Rebate: $143.35 to $250.65
Follow-up Consult: $255.00 to $310.00 Medicare Rebate: $71.70 to $125.55
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Trewin. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee of 50% of the consultation cost and the cost of the procedure (if scheduled). This is not covered by Medicare.
Please be aware David does not Bulk Bill, if you have an EPC referral from your GP you will receive a Medicare rebate of $58.30.
Initial Consult: $115.00
Follow- up Consult: $100.00
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
If you have private health insurance cover for Physiotherapy, we can claim this on the spot and you will only need to pay the gap. Please bring your membership card with you as we cannot make a claim using only your number and will need to swipe your physical card. Any consumables, surgeries or prescribed treatments (e.g. boots, therabands, crutches) will be charged on top of the above standard care and consult fee. Your physiotherapist will be able to advise during your consultation.
EPC Referral: Enhanced Primary Care Referral, provides you access to x5 Medicare rebates per year.
How EPC works:
An Enhanced Primary Care Plan (EPC) is a referral that is written by your GP which provides eligible patients with Medicare-subsidised allied health appointments, like physio, podiatry, chiropractic, Dietitian, etc. An EPC may also be referred to as a GP Management Plan (GPMP).
Who is eligible?
To be eligible for an EPC or GPMP, a patient must have a chronic or terminal medical condition with or without complex care needs.
A chronic health condition is defined as one that has been present for 6 months or more. It includes, but is not limited to, asthma, cancer, cardiovascular illness, diabetes mellitus, musculoskeletal conditions and stroke.
Your GP will need to assess your eligibility for an EPC plan.
With a valid referral, you will receive a Medicare rebate. A valid referral has to be current and come from a general practitioner or another specialist.
Initial Consult: $400 to $500.00 Medicare Rebate: $143.35 to $250.65
Follow-up Consult: $200.00 to $285.00 Medicare Rebate: $71.70 to $125.55
If you have a Health Care or Pension Card the fee may vary, please contact reception on (02) 9331 7546 to discuss.
Cancellation Policy - There is a strict cancellation policy in place for appointments with Dr Muir. Cancellation or appointment changes require a minimum notice of 24 hours, and failure to do so will result in a fee of $200. This is not covered by Medicare.