Dermatologists & Skin Specialists

What a dermatologist does that a GP doesn’t

Many skin concerns are managed entirely by a GP, including many routine skin checks. A referral to a dermatologist is typical for complex or persistent skin conditions, suspicious lesions needing specialist assessment or biopsy, and conditions like moderate-to-severe acne, psoriasis or eczema that haven’t responded to standard treatment. Dermatologists also perform procedures — biopsies, excisions, light-based and other specialised treatments — that sit outside standard GP practice.

Referral and Medicare

A GP referral to a dermatologist lasts 12 months by default and can be extended, or made indefinite, for an ongoing condition such as chronic eczema or psoriasis needing continued specialist management. A new, unrelated skin concern arising during an indefinite referral still needs its own referral. Without a referral, you can book privately at full cost with no Medicare rebate for the consultation.

Cost

Dermatology is predominantly a private specialty in Australia, and consultation fees plus any procedure costs commonly exceed the Medicare rebate — ask for the expected out-of-pocket cost when booking. Cosmetic procedures (as distinct from medical treatment) are not Medicare-rebated at all and are billed entirely privately; if you’re unsure whether something you want done is considered cosmetic or medical, ask directly, since it changes the cost significantly.

What to bring

Bring your referral and a photo timeline of the area of concern if it has changed over weeks or months — this is often more useful to a dermatologist than a description alone. Note any previous treatments tried (creams, medications) and how the skin responded. If you have a family history of skin cancer or a particular skin condition, mention it, since it affects screening frequency recommendations.

Questions worth asking

• What is the out-of-pocket cost for this consultation, and for any procedure?
• Is the treatment you’re recommending considered medical or cosmetic for Medicare purposes?
• How often should I have a follow-up skin check?
• Will you send results and letters to my regular GP?
• What should I watch for between now and my next appointment?