Thank you so much for taking the time to write that and for sharing your experience. The response I got from the psychiatrist's office did mention the Item 291 rebate, and that was in the context of an "opinion only" referral, which, if I understand correctly, means the GP manages the medication going forward. If I have follow-ups with the psych it's $375 a session, with $125 rebated. I'll check out the Safety Net, I wasn't aware of it. Thanks again.