Education

Who Can Use a Private Telehealth Consultation?

Most eligibility rules you read about telehealth are Medicare rules, and they do not apply to a private clinic. What actually decides whether you can book.

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By the LeafLine Clinic team

3 July 2026

5 min read

Search for telehealth eligibility and most of what comes back is about Medicare: item numbers, rebate conditions, and the rule that you must have seen the practice face-to-face within the previous twelve months. Those rules decide who gets a rebate. They say nothing about who can have an appointment. A private clinic charges its own published fee, so the Medicare tests never come into it.

Where the Medicare rules stop

The twelve-month face-to-face rule catches people out constantly. It is a billing condition: a general practice can only claim a Medicare rebate for a telehealth consultation if you have attended in person within the past year. Plenty of people read it as a law about telehealth itself and assume they cannot be seen by video without an in-person visit first.

At a private, patient-pay clinic the rule has no work to do. At LeafLine Clinic:

  • You do not need a Medicare card. The fee is private and published on the fees page before you book, so there is no rebate to qualify for.
  • You do not need a prior in-person visit. The face-to-face rule conditions the rebate, not the appointment. Your first consultation can be a telehealth consultation.

Both follow from the billing model. You pay the listed fee, Medicare is never billed, and the eligibility tests that come with Medicare billing stay out of the picture.

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Who can book

LeafLine Clinic sees adults 18 and over, anywhere in Australia, by secure video or telephone. No referral letter is needed.

You also do not need a settled diagnosis before booking. Taking your history and working out whether the service suits your situation is what the consultation and the screening before it are for. What you do need is a private place to take the call and a device that can make one.

What to have ready

A consultation goes further when a few things are on hand before it starts:

  1. Your details. Address, and your Medicare or IHI number if you have one, for the clinical record. These go in your file; they are never a condition of being seen.
  2. A private room. You will be asked about your health. A parked car works; an open-plan office does not.
  3. Your own account. What has been happening, for how long, what you have already tried. Two minutes of notes made the night before beats trying to reconstruct a timeline mid-appointment. How it works covers what the Clinician will ask.

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Screening comes before payment

Anyone over 18 in Australia can start the process. Whether the service is suitable for you is a separate question, and LeafLine Clinic answers it before taking your money: a short, confidential eligibility check runs first and costs nothing. Applications the service cannot properly help are declined at that stage, unpaid.

If you would rather ask a person than fill in a form, the free ten-minute info call covers the same ground, and the fee schedule shows every consultation cost before you commit to any of it.

This article is general information only and is not medical or financial advice. Eligibility for any Medicare rebate is a separate question and should be checked with Medicare or your own practitioner.

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