Medicare rebates are available at Melbourne CBD Physiotherapy & Sports Medicine for allied health services and specialist medical appointments. Whether you have been referred by your GP on a Chronic Disease Management (CDM) plan or are seeing our Sports & Exercise Physician, you may be entitled to a Medicare rebate — reducing your out-of-pocket costs.
Our clinic is registered with Medicare and processes rebates on the day via HICAPS, so you receive your rebate immediately at the time of payment.
Frequently Asked Questions
A Chronic Disease Management (CDM) plan — previously called an Enhanced Primary Care (EPC) plan — allows patients with a chronic medical condition to access Medicare rebates for allied health services. Your GP must prepare the plan and provide a referral before your allied health appointments begin.
Under a CDM plan you are eligible for up to 5 allied health sessions per calendar year. These sessions can be shared across different allied health providers.
Our clinic offers Physiotherapy, Podiatry and Dietitian (Dietetics) services under CDM plans — all with a Medicare rebate of $61.80 per session. Please contact our reception team for our current consultation fees and to calculate your out-of-pocket gap.
Accessing Medicare rebates at our clinic is straightforward. Here is what you need to know before your appointment to ensure you can claim on the day.
Frequently Asked Questions
Our Sports & Exercise Physician is a specialist medical doctor with advanced training in the assessment and treatment of sports injuries, musculoskeletal conditions and exercise medicine.
Medicare rebates are available for specialist appointments. With a GP referral, the rebate is $134.05 for an initial consultation or $234.35 for an extended/complex consultation. Without a GP referral, the rebate is $76.00 for an initial consultation.
GP referrals are valid for 12 months (or 3 months for a non-vocationally registered GP). Subsequent consultations attract different MBS item numbers. Please contact our team for current fees and gap amounts.
To claim your Medicare rebate at our clinic, please bring the following to your appointment:
Our reception team will process your Medicare rebate through HICAPS at the time of payment. If you also have private health insurance extras cover, your private health fund rebate can be processed at the same time for any remaining gap.
Our team look forward to working with you to help achieve your goals
Yes, in many cases you can use both Medicare and private health insurance for the same appointment. Medicare provides a rebate towards your consultation fee, and your private health fund may cover part of the remaining out-of-pocket cost (the gap).
Our clinic processes both Medicare and private health insurance claims through HICAPS at the time of payment, so you only need to pay the remaining gap — if any — after both rebates are applied.
Yes. To receive a Medicare rebate for physiotherapy under a CDM plan, a referral from your GP is required. Your GP must prepare a Chronic Disease Management plan and provide a signed referral to a physiotherapist before your sessions begin.
Without a GP referral, you can still attend physiotherapy, but a Medicare rebate will not apply. Private health insurance extras cover may still be claimed depending on your policy.
Yes, in many cases you can use both Medicare and private health insurance for the same appointment. Medicare provides a rebate towards your consultation fee, and your private health fund may cover part of the remaining out-of-pocket cost (the gap).
Our clinic processes both Medicare and private health insurance claims through HICAPS at the time of payment, so you only need to pay the remaining gap — if any — after both rebates are applied.
Your out-of-pocket cost depends on our clinic’s consultation fee and the Medicare rebate amount. For allied health under a CDM plan, the Medicare rebate is $61.80 per session.
For specialist sports medicine, the rebate is $134.05 for an initial consultation with a GP referral, or $76.00 without a GP referral.
Please contact our reception for our current consultation fees to calculate your exact out-of-pocket gap.
Medicare rebates for physiotherapy, podiatry, dietitian and sports & exercise medicine consultations are available at Melbourne CBD Physiotherapy & Sports Medicine, located at 1/257 Collins Street in the Melbourne CBD. Our team supports patients with chronic conditions seeking CDM allied health referrals, as well as patients attending specialist sports medicine consultations with or without a GP referral. We process Medicare rebates via HICAPS on the day of your appointment. Contact our team to learn more about what you may be entitled to under Medicare.
REFERRAL INFORMATION SHEETS
Download our referral guides to bring to your GP appointment.
