▁the ▁A MA ▁list ▁fe es . ▁In ▁ 2 0 1 9 , ▁the ▁A MA ▁produced ▁a ▁poster ▁suggesting ▁that ▁if ▁the ▁M BS ▁schedule ▁fe es ▁had ▁increased ▁by ▁the ▁same ▁amount ▁as ▁their ▁members ' ▁costs , ▁they ▁would ▁more ▁than ▁three ▁times ▁what ▁they ▁currently ▁were . ▁ ▁In ▁ 2 0 1 7 ▁the ▁A MA ▁stated : ▁" Index ation ▁of ▁the ▁M BS ▁and ▁the ▁private ▁sched ules ▁have ▁not ▁kept ▁pace ▁with ▁the ▁costs ▁of ▁providing ▁medical ▁care . ▁This ▁is ▁why ▁patients ▁may ▁have ▁out - of - po cket ▁costs ▁for ▁medical ▁services . ▁ ▁The ▁A MA ▁List ▁is ▁indexed ▁ann ually ▁at ▁a ▁rate ▁that ▁takes ▁account ▁of ▁the ▁cost ▁of ▁providing ▁medical ▁services ▁and ▁is ▁therefore ▁higher ▁than ▁the ▁M BS ▁and ▁private ▁sched ules . ▁The ▁A MA ▁List ▁gu ides ▁members ▁in ▁setting ▁their ▁fe es ▁with ▁periodic ▁index ation ." ▁ ▁Additionally , ▁each ▁private ▁health ▁ins urer ▁has ▁their ▁own ▁independently - m aint ained ▁fee ▁schedule ▁for ▁medical ▁services . ▁ ▁Standard ▁reb ate ▁The ▁standard ▁Medic are ▁reb ate ▁or ▁benefit ▁is ▁ 1 0 0 % ▁of ▁a ▁general ▁pract ition er ▁and ▁ 8 5 % ▁of ▁a ▁special ist ▁schedule ▁fee . ▁Where ▁medical ▁pract ition ers ▁bill ▁Medic are ▁directly ▁( called ▁" bul k ▁b illing "), ▁they ▁agree ▁with ▁Medic are ▁to ▁accept ▁ 8 5 % ▁of ▁the ▁schedule ▁fee ▁in ▁full ▁payment ▁for ▁their ▁services