Medicare
Physiotherapy treatment can be partially covered by Medicare, but there are a few steps to take before you can use your Medicare card at the clinic.
How to access your Medicare funding for your treatment
Step 1
Step 2
Step 3
To receive Medicare funding for your treatment, you'll need a Team Care Arrangement (TCA), also known as a Chronic Disease Management (CDM) plan or Enhanced Primary Care (EPC) plan.
To access this funding, you must first visit your GP and meet the required criteria to be elidable for the program.
Once you are eligible, your GP will write a referral through to your physiotherapist. We will then agree to the Care Plan and begin treatment as soon as possible
Medicare Physiotherapy treatment process:
The Medicare rebate covers up to five treatment sessions per calendar year, which resets on January 1st. These sessions can be used between January 1st and December 31st each year. Your treating doctor will determine how to allocate these sessions across different healthcare disciplines.
A range of services may be covered under the TCA, including physiotherapy, speech pathology, psychology, dietetics, podiatry, and more.
For example, your GP might allocate 3 sessions for physiotherapy and 2 sessions for exercise physiology.
Rebate Coverage and Gap Payments
The current Medicare rebate is $60.35 per consultation. This amount applies uniformly to all services, whether it's an initial consultation or a follow-up review.
Please note that we are not a bulk-billing practice, so there will likely be a gap between our full consultation fee and the rebate you receive from Medicare.
Making a claim with Medicare:
On the day of your appointment, you are required to pay the service fee. Our staff will then process your medicare claim through our online portal using your Medicare card details. Just like when you see your GP, the medicare rebate is credited into your registered bank account.