You may be able to claim Medicare rebates for allied health services if you have a chronic (or terminal) medical condition that is being managed by your GP under both of these Medicare Chronic Disease Management (CDM) items: a GP Management Plan (GPMP) and Team Care Arrangements (TCAs). The need for allied health services must be directly related to your chronic condition.
Chronic Medical Conditions
A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke. There is no list of eligible conditions. However, the CDM items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team.
Management of Your Condition
If you have a chronic (or terminal) condition, with or without complex care needs, a GPMP will enable your GP to provide a structured approach to your care. It is a plan of action in which you agree management goals with your GP.
If you also have complex care needs, requiring multidisciplinary care, TCAs will enable your GP to collaborate with at least two other care providers involved in your treatment. TCAs will identify who needs to be involved in your care and help coordinate the team-based approach.
Active Wellness Centre can provide Exercise Physiology, Chiropractic and Psychology services.
Active Wellness Centre meet specific eligibility criteria and are registered with Medicare Australia.
Appointments for most Active Wellness Centre services do not require a referral from a GP or specialist. However, a current Enhanced Primary Care Plan (EPC) from your GP is required for appointments under Medicare. Medicare Care Plan services are currently available for Exercise Physiology, Chiropractic and Psychology (Counselling) and our practitioners do not charge a gap fee.
Should you hold a current DVA Gold Card, you may ask your GP to refer you to our practitioners for Exercise Physiology, Chiropractic and Psychology services.
If you are eligible for treatments under WorkCover as a result of a work injury, your GP may refer you for treatments for Remedial Massage, Exercise Physiology, Chiropractic and Psychology.
Your GP may also refer you for these services if you have a current Compulsory Third Party (CTP) Insurance claim.
Who is eligible?