General Correspondence Card Services P.O. Box 8801 Wilmington, DE 19899-8801. Credit Card Billing Disputes Card Services P.O. Box 8802 Wilmington, DE 19899-8802Bulk billing refers to healthcare services provided at no cost to people in Australia. Your doctor bills Medicare directly and accepts the Medicare benefit as full payment for their service. The ‘gap payment’ or ‘out of pocket’ cost refers to the difference between the amount the doctor charges, and the amount that is paid by Medicare.

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