Medicare Changes Implemented: What Optometrists Need to Know

As of March 1, 2025, the Commonwealth Government has introduced key changes to Medicare-subsidised optometry services, following recommendations from the MBS Review Taskforce. These updates aim to improve accessibility, efficiency, and sustainability in eye care across Australia.

The revised Medicare Benefits Schedule (MBS) includes adjustments to item numbers for comprehensive eye exams, with new criteria to better reflect clinical needs and ensure patients receive timely and appropriate care. The reforms also address concerns regarding service duplication, streamline billing practices, and encourage best-practice patient management.

For optometrists, these changes will impact billing processes, patient eligibility criteria, and consultation structures. Industry bodies, including Optometry Australia, are working to ensure practitioners are well-informed and supported through this transition, offering guidance on compliance and best implementation practices.

Optometrists are encouraged to review the updated MBS guidelines and adjust their workflows accordingly to maintain seamless service delivery. These reforms are part of the government’s broader commitment to strengthening eye health services, ensuring sustainable access to Medicare-funded care for all Australians.

For further details on the updated Medicare items, optometrists can refer to Optometry Australia’s official resources or visit the Department of Health and Aged Care website.