Medicare Rebates: Can I Get a Medicare Rebate for Physiotherapy?
Physiotherapy is a critical component of treatment for a wide range of conditions, including osteoarthritis, chronic pain, neck pain and back pain. For some patients there are ways to access a Medicare rebate for physiotherapy via the Chronic Disease Management (CDM) services.
Actually getting a referral for a Medicare rebate for physiotherapy should be fairly simple, however, this is not always the case!
Here at Bounce Physiotherapy we want you to be able to access the treatment, education and help you need as quickly as possible. As an expert team that sees and treats these conditions all the time, we are keen to help explain Medicare rebate process.
So, can I get a Medicare rebate for physiotherapy?
However……. you have to meet the criteria as this service is for “people with chronic conditions and complex care needs” Here is what the Dept of Health website says;
“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.”
Patients have complex care needs if they need ongoing care from a multidisciplinary team consisting of their GP and at least two other health or care providers.
So if you just sprained your ankle, you probably shouldn’t be seeing your GP for a Medicare referral.
Once your GP has determined your eligibility and gives you a referral, this will be to a specific clinic. Hopefully to us, we would love to get you back on track ASAP! there are a number of ways we can help in your treatment across a range of programs.
How many visits do I get under Medicare?
You can access up to 5 consultations under this program per calendar year, to any allied health practitioner your GP nominates. This includes physiotherapy, speech therapy, podiatry, exercise physiology etc.
Your GP, could refer you for 3 physiotherapy treatments and 2 exercise physiology treatments. You are eligible to have a new referral each calendar year, subject to review with your GP.
How much does the Medicare rebate cover?
Much more per visit (generally) than private health insurance! Currently the rebate is $52.95 per treatment for a physiotherapy consultation.
We do not bulk bill for Medicare services, so there will always be a gap payment. This amount varies by practitioner and service. If you call the clinic, we would be happy to talk through your condition, how we can help and exactly what your out of pocket expenses will be – no surprises!
Do I have to go to Medicare to get my rebate?
No! We have Medicare Online Claiming here at the clinic and can process your claim on the spot, saving you time, effort and hassle.
Here’s how it works;
- You pay for the full consultation cost at the time of each treatment
- We process the payment through our system, which links into Medicare
- Your rebate is paid direct into your bank account within 1-3 days
- Yes, you can get a Medicare rebate for physiotherapy
- You have to meet the criteria for referral (a chronic or complex condition)
- You must have a referral from your GP to a specific physiotherapy clinic
- The rebate amount is $52.95 per visit, up to a maximum of 5 visits per calendar year
- Payment for treatment is made in full at each consultation
- We can process your payment on the spot, with the rebate paid direct into your bank account
If you have any questions, please call us or email us and we would love to talk with you!
Otherwise, go and see your GP and have a review with them, get a referral to our physiotherapy clinic (Bounce Physiotherapy). We can then get cracking on your treatment and help you feel better and move better.