MEDICARE FOR PHYSIOTHERAPY
EPC MEDICARE
Physiotherapy can be covered by Medicare as long as it addresses a chronic and complex condition requiring specific treatment under the Chronic Disease Management (CDM) Scheme. This is applicable for individuals dealing with chronic conditions, and it involves a multidisciplinary approach to their treatment.
​
We closely collaborate with other healthcare professionals to provide comprehensive care for you. Communication with your GP/health professionals regarding the treatment plan and your progress is part of our approach.
​
You are entitled to a maximum of 5 Allied Health appointments per year. They do not roll over to the next calendar year, so you will need to obtain a new referral from your GP.
We do bulk bill for consultations. There is no gap fee that patients need to cover for the consultations. Note that you cannot use Medicare and private health insurance for the same consultation.
HOW DOES IT WORK?
Step 1 – Visit a GP about your chronic complex condition.
Step 2 – Your GP approves your eligibility, fills in the paperwork, and gives you a CDM/ EPC referral form for you to bring to us on your first consultation.
Step 3 – You arrange your appointment with us and come in for your initial consultation.
Step 4 – After the consultation, you will pay the consultation fee in full.
Step 5 – Then, we will submit a claim for you. Usually, you’ll receive a rebate of $58. The rebate will be processed back into your bank account or debit card.
Physiotherapy is covered under Medicare Benefits Schedule Item 10960.