Optometry services fees and information

  • Optometry services fees

    Optometry services effective from 1 July 2017

    Effective as at 1 July 2017, WorkSafe Victoria (WorkSafe) will pay up to a maximum amount for the following categories of the service:

    Item number Service Description Maximum payment rate
    OP600 Initial Consultation $86.05
    OP602 Standard Consultation $43.52
    OP603 Spectacles/Frames provided by an Optometrist $316.97
    OP604 Single Lens provided by an Optometrist $168.66
    OP605 Bi-Focal Lens provided by an Optometrist $255.27
    OP606 Multi-Focal Lens provided by an Optometrist $340.45
    OP607 Contact Lens (Soft) provided by an Optometrist $316.97
    OP608 Contact Lens (Hard) provided by an Optometrist $254.57
    GST

    Amounts published have not taken into account that GST may apply to certain services. Where deemed appropriate by WorkSafe, an amount taking into account GST will be added to the listed amount.

    Download optometry services fees [PDF, 166kB]

    Download optometry services fees [PDF, 166kB]

    View fee schedules from previous years

  • Optometry services information

    Who can provide optometry services to injured workers?

    WorkSafe Victoria (WorkSafe), will only pay for optometry services by healthcare professionals who are:

    registered by WorkSafe to provide optometry services, and
    registered with the Optometry Board of Australia.

    Referral requirements

    Referral from a medical practitioner is not required for provision of optometry services 

    WorkSafe considers optometry to be a primary contact service. A referral from a medical practitioner is therefore not required.

    A referral is required from a medical practitioner for the provision of any approved health service with the exception of medical, physiotherapy, osteopathic, chiropractic, optometry, dental and podiatry services.

    No referral to other health services 

    WorkSafe does not allow optometrists to provide referrals to other health services

    How much will WorkSafe pay?

    WorkSafe will pay the reasonable costs of optometry services up to the maximum amount, as detailed in WorkSafe's Optometry Services Fee Schedule, which can be found at worksafe.vic.gov.au/hcp

    What WorkSafe will pay fo

    Treatment is for a work-related injury or illness
    The provider is currently registered as an optometrist with WorkSafe

     ✓

    Where the provider is currently registered as an exercise physiologist with WorkSafe

    Where a medical practitioner has: 

    • provided a referral for the services, and 
    • regularly reviews ongoing services

    What WorkSafe will not pay for

    Non-attendance/cancellation 

    WorkSafe will not pay for appointments where injured workers cancel or do not attend.

    Telephone conversations 

    WorkSafe will not pay for telephone consultations or conversations, either to the injured worker or other related parties (such as the employer, WorkSafe, WorkSafe Agents, self-insurers or other healthcare professionals).

    More than one consultation on the same day
    WorkSafe will not pay for more than one optometry consultation provided on the same day to the same injured worker.

    Download optometry services information [PDF, 225kB]

    Download optometry services information [PDF, 225kB]

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