Medicare

Medicare

Nb: Please note, plans are provided at the discretion of your GP or Paediatrician.

Enhanced Primary Care Plan – Also known as the Chronic Disease Management, this program is for people with a chronic medical condition is available for Medicare benefits to cover allied health services that help manage their condition. Your GP will be able to determine if your child is eligible to claim rebates under this program and will provide you with the relevant documentation to bring to your appointment with us. This program enables clients to receive a partial rebate for up to 5 sessions over a calendar year.

To find out more visit here: http://www.health.gov.au/internet/main/publishing.nsf/Content/mbsprimarycare-chronicdiseasemanagement

Better Access to Mental Health –

This program enables clients to receive a partial rebate for up to ten individual allied mental health services per calendar year, to patients with an assessed mental disorder who are referred by a GP managing the patient under a GP Mental Health Treatment Plan. Allied mental health services under this initiative include psychological assessment and therapy services provided by Psychologists.

To find out more visit here: http://www.health.gov.au/internet/main/publishing.nsf/content/mental-ba-fact-pat

Helping Children with Autism

Following diagnosis, families contact an Autism Advisor in their state or territory who will provide information regarding eligibility, available funding and Early Intervention and other support services. The Department of Health and Ageing (DoHA) made new Medicare items for children aged under 13 years (for diagnosis/assessment and treatment planning).

To be eligible for the Early Intervention Service children must satisfy each of the eligibility criteria including:

  • Age
  • Diagnosis and
  • Residential eligibility.

The eligibility criteria for children to access the Early Intervention funding is:

  • eligible children are those aged zero to six years who have been diagnosed in Australia with an ASD
  • a child must have been seen by an Autism Advisor and deemed eligible to access the service before their sixth birthday and
  • funding of up to $12,000 (maximum of $6,000 per financial year) can be accessed until the child’s seventh birthday.

To find out more visit: http://www.health.gov.au/internet/main/publishing.nsf/Content/autism-children