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