19AB Exemptions Explained

Spousal Exemption, Replacement Exemption, After Hours Exemption, Academic Exemption, ATSI Exemption, Locum Exemption – What are they and how can you apply? 

 

Spousal Exemptions

To be eligible for a spousal exemption, your spouse must be either: 

  • A Medical Practitioner with an unrestricted exemption from 19AB or who is not restricted by 19AB. This includes Australian Trained Doctor spouses. 
  • If your partner migrated to Australia within the last 10 years on a skilled occupation visa, currently lives here and is working in that skilled occupation

As a part of the assessment for eligibility, they will take into consideration where you are intending to practice and where your spouse works. They do not define a distance, other than to specify it should be ‘reasonable’. 

There is an application form that must be completed, and you’ll need to include the requested list of supporting documentation. This can be submitted separately for AGPT only, otherwise must be submitted alongside a Medicare Provider Application for a specific location. 

 

Replacement Exemption

To be eligible for a replacement exemption, your practice will require: 

  • A Statutory declaration from the General Practitioner who has left advises that they will no longer work within the location and
  • Confirmation that local provider numbers have been closed

These must be submitted alongside a Medicare Provider Application for a specific Doctor at the practice location that the departing Doctor left. 

 

Academic Exemption

To be eligible for an academic exemption, you would need to:

  • Have an academic appointment with an Australian medical school
  • Perform clinical services as a part of your role

To apply, you’ll need your contract with the medical school in evidence alongside a Medicare Provider Application for a specific Doctor at the practice location.  

 

Locum Exemption

To be eligible for a locum exemption, you would need to:

  • Work with any practice for a maximum of 6 months

This will be for a six month period from the approval of the number, with no extensions made due to extenuating circumstances or part time work. If you cease practice there before the six month period, you will not be permitted to apply for the provider number again until your are unrestricted. 

To apply, you would need to advise in the practice letter of support that these would be the 6 month time period that you are working, alongside a Medicare Provider Application for a specific Doctor at the practice location.  

 

After Hours Exemption

To be eligible for an after hours exemption, you will be required to work: 

  • after 6pm and prior to 8am weekdays
  • Saturdays & Sundays
  • Public Holidays

To apply, you would need to advise in the practice letter of support that these would be the only hours you are working, alongside a Medicare Provider Application for a specific Doctor at the practice location.  

 

Aboriginal & Torres Strait Islander Clinic Exemption

To be eligible for an ATSI exemption, you will be required to work

  • In a Aboriginal and Torres Strait Islander specific primary health care service

To apply, you would include confirmation of the clinic’s eligibility, alongside a Medicare Provider Application for a specific Doctor at the practice location.  

 

Other Exemptions

You may also be eligible for an exemption if: 

  • You started negotiations to work with a practice whilst they were a DPA location, but now they’ve lost DPA

You would need to provide supporting evidence (ideally a signed contract) proving you were in touch whilst the location was a DPA, along with the application for Medicare Provider Number. 

 

Just so you know…

If you’re restricted by 19AA, you are unable to apply for these exemptions. 

You can apply for a spousal exemption if you are applying to the AGPT program however; this is the only case that will be considered, according to written confirmation from the Department of Health. 

 

How Can We Help?

Our team offer General Practitioners help with finding jobs and a career pathway, and Medical Facilities to find a new Medical Practitioner. We also help with the full application process with AHPRA, RACGP, ACRRM, Department of Health, Medicare including 19AA & 19AB. If we can help, please contact us at [email protected]

 

People Medical Consulting like sharing what we know, giving you a clear pathway to your career. We answer a different question each week that you ask us on Facebook & Instagram.

 

People Medical Consulting are a team of professionals with a passion for guiding those specialising in the Medical industry to find their career pathway and settle into Australia. Working with both Australian trained and Overseas trained professionals, we have extensive experience in Recruitment of General Practitioners, and   Document Assistance for those requiring support with RACGP, AHPRA, 19AA and 19AB Medicare Exemptions.

 

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