fbpx
MEDICARE EPC PROGRAM
Medicare CDM, Medicare CDM plan

A Medicare EPC rebate is available in north Melbourne for a maximum of five services per patient each calendar year.

  • Patients must have a GP Management Plan and Team Care Arrangement prepared by their GP, or be residents of a residential aged care facility who are managed under a multidisciplinary care plan.
  • Referrals to allied health providers must be from GPs.
  • Allied health providers must report back to the referring GP.

ELIGIBLE PATIENTS

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 north Melbourne 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.

REFERRAL VALIDITY

A referral is valid for the stated number of services. If all services are not used during the calendar year in which the patient was referred, the unused services can be used in the next calendar year. However, those services will be counted towards the five rebates for allied health services available to the patient during that calendar year. When all referred services have been used, or a referral to a different allied health provider is required, patients need to obtain a new referral.

PAYMENT PROCEDURE – NO OUT-OF-POCKET FEES

At Body & Health Creation we accept the Medicare benefit as full payment and do not charge any out of pocket fees for patients who hold a valid Health care card, Seniors or Pension card.

All patients are required to pay the consultation fee on the day of service and will receive a $52.95 Medicare rebate back within 24 hours. Payment can be made in Cash, EFTPOS, credit card.

The patient is required to have their Medicare Card and an EFTPOS card with a cheque or savings account to allow us to process the rebate.

Rebates cannot be processed on credit cards. Patients with no EFTPOS card will be given a receipt to take to Medicare for rebate.

for more info check out Osteopathy Australia 

Medicare CDM, Medicare CDM plan

Book 5 CDM osteopath here