Meeting the Extended Medicare Safety Net (EMSN) threshold

How out-of-pocket costs contribute to Medicare benefit calculations.

Page last updated: 21 October 2015

The Extended Medicare Safety Net (EMSN) increases the Medicare benefit that is payable. Additional Medicare benefits commence after a person/family has accumulated the same or more out-of-pocket costs (for out-of-hospital services) than the relevant annual threshold. The diagram below visually describes the portion of out-of-pocket costs that accumulate to the threshold.

Accumulation of out-of-pocket expenses to the Extended Medicare Safety Net
This diagram describes the operation of the Extended Medicare Safety Net.