A referral is needed from your GP. You’ll be charged a fee and there’ll be a gap to pay between the Medicare payment and fee charged. You’ll need to complete a form for Medicare to get your money back. Under special circumstances (financial hardship) the specialist may negotiate the payment of the gap. You’ll see the same doctor every time and they’ll keep in touch with your GP. You can also let your specialist know if you want letters sent to any other health professionals. A diabetes educator and dietitian are usually not available at private specialist clinics, so you’ll need to arrange this separately.