▁( subject ▁to ▁the ▁fee ▁cap ) ▁and ▁the ▁standard ▁Medic are ▁reb ate . ▁ ▁When ▁introduced , ▁the ▁general ▁threshold ▁for ▁singles ▁and ▁families ▁was ▁$ 7 0 0 ▁and ▁$ 3 0 0 ▁for ▁singles ▁and ▁families ▁that ▁hold ▁a ▁Commonwealth ▁con cess ion ▁card , ▁and ▁families ▁that ▁received ▁Family ▁Tax ▁Ben ef it ▁Part ▁( A ) ▁( FT B ( A )) ▁and ▁families ▁that ▁qual ify ▁for ▁not ional ▁F TB ( A ). ▁On ▁ 1 ▁January ▁ 2 0 0 6 , ▁the ▁th resh olds ▁were ▁increased ▁to ▁$ 1 , 0 0 0 ▁and ▁$ 5 0 0 ▁respectively . ▁From ▁then ▁the ▁E MS N ▁was ▁indexed ▁by ▁the ▁Cons umer ▁Price ▁Index ▁on ▁ 1 ▁January ▁each ▁year . ▁ ▁Since ▁ 1 ▁January ▁ 2 0 1 0 , ▁some ▁medical ▁fe es ▁have ▁been ▁subject ▁to ▁an ▁E MS N ▁fee ▁cap , ▁so ▁that ▁the ▁out - of - po cket ▁costs ▁used ▁in ▁determ ining ▁whether ▁the ▁threshold ▁has ▁been ▁reached ▁are ▁limited ▁to ▁that ▁cap . ▁The ▁E MS N ▁fee ▁cap ▁also ▁applies ▁for ▁any ▁reb ate ▁that ▁is ▁paid ▁once ▁the ▁E MS N ▁threshold ▁is ▁reached . ▁The ▁items ▁subject ▁to ▁a ▁cap ▁has ▁expanded ▁since ▁ 2 0 1 0 , ▁the ▁latest ▁being ▁in ▁November ▁ 2 0 1 2 . ▁ ▁Operation ▁of ▁the ▁scheme ▁ ▁Services ▁Australia ▁Services ▁Australia ▁( pre viously ▁the ▁Department ▁of ▁Human ▁Services )