Changes to Bulk Billing Incentives for General Practices

From 1 November 2025, every general practice will benefit from expanded eligibility for MBS Bulk Billing Incentives (BBI) to all Australians with a Medicare card. 

  • Currently: Incentives apply when bulk billing children under 16 and Commonwealth concession card holders.
  • From November 2025: Incentives will extend to all Australians with a Medicare card.

A fact sheet, frequently asked questions (FAQs), and a financial modelling calculator on eligible MBS services and the impact of these investments are available on the Department of Health and Aged Care website.

In addition, from 1 November, a new initiative, the Bulk Billing Practice Incentive Program (BBPIP) which offers practices an additional 12.5% incentive payment on eligible MBS services. Unlike BBI, BBPIP requires practices to bulk billing all eligible services for all patients to qualify for the incentive payment.

Information correct as of 10 October 2025

From 1 November 2025, practices can choose to participate in the new Bulk Billing Practice Incentive Program (BBPIP).

  • Practices receive an additional 12.5% incentive payment on every $1 of MBS benefit earned from eligible services.
  • The payment is evenly split between the GP and the practice.
  • This is in addition to existing MBS benefits and bulk billing incentives.
Participation Requirements

To join the program, practices must:

  1. Bulk bill all eligible services for all patients.
  2. Advertise participation in the program.
  3. Be registered with MyMedicare.
  • Note: Practices not yet registered with MyMedicare will be exempt from accreditation requirements when joining BBPIP.

A new BBPIP Calculator helps GPs, practice owners, and managers estimate annual earnings from incentives.

  • Accessible online with a step-by-step User Guide.
  • Uses MBS data to project payments based on practice type and location.
  • To get the most accurate estimate, have details ready such as:
    • Practice location by Modified Monash Model (MMM) classification
    • Percentage of billings paid to the practice
    • Billing type – bulk billing only, mixed billing or private billing
    • Number of BBPIP MBS eligible services provided per year
    • Percentage of BBPIP MBS eligible services provided to concession card holders or children under 16 years old
    • Your bulk billing rates, average privately billed fees and annual proportion of BBPIP MBS eligible service types, including:
      • Short (level A)
      • Standard (level B)
      • Long (level C)
      • Extended/Prolonged (level D/E)
      • Management plans and reviews
      • Other BBPIP MBS eligible services

These details can be found in your practice management system. Please refer to the User Guide for step-by-step instructions to support use of the calculator

An Expression of Interest (EOI) form is available for practices intending to join BBPIP.

Practices that complete the EOI form will be mailed communications material for their practice to display from 1 November when they register for BBPIP.

From 1 November 2025, practices will be able to register for BBPIP through MyMedicare in HPOS via PRODA. In the meantime;