Medicare Chronic Disease Management (CDM) Plans:
Key Points:
GP referred Physio sessions - maximum of 5 sessions a year
Rebate of ~$56 which you generally claim back after paying the usual session fee
Glossary:
”Rebate” - You pay the full amount up front to the practice and are then refunded a portion after an appointment
“Bulk Bill" - You don’t pay anything and the insurer / fund pays the practice instead.
What is Chronic Disease Management?
A Chronic Disease Management (CDM) Program is a means for General Practitioners (GPs) to assist the management of the health and well-being of patients with chronic or terminal medical conditions.
You may be able to get a GP referral for up to 5 Physiotherapy / Allied Health sessions per calendar year if you have a chronic medical condition (a medical condition that has been or will be present for a minimum of 6 months).
This was previously known as EPC plans - Enhanced Primary Care Plan.
How do I get and use a CDM plan?
You will need to see your GP for a referral before seeing a Physiotherapist / other Allied Health professional. They will provide you with a care plan which you can then bring to your Physiotherapy session.
You will need to let us know prior to your appointment that you have a CDM plan so that we can use the correct coding a have all your details ready to go.
How much do I pay?
Medicare funds a portion of these sessions. The rebate is currently about $56 per session.
While some practices will bulk bill this amount, most will not* and you will instead pay their normal fee and then claim the $56 rebate.
We charge our normal rates* (click here to see our fees) and then automatically process your rebate which normally appears in your account after ~2 days. So you won’t need to go into medicare or sit on the phone for hours!
*If you are experiencing any financial hardship please let us know and we can offer a shorter initial consultation.
Please note: fees may apply as per our cancellation policy, these are not covered by medicare.
If you have any further enquiries, please do not hesitate to contact us on 0422 483 865 or admin@formotionphysio.com.au
For more information regarding CDM, please click here.