Is Osteopathy Covered by Medicare?

Osteopaths are registered health practitioners in Australia and therefore, they can provide you care under Medicare – Chronic Disease Management.

Osteopathy can be a great option when you are dealing with persistent pain such as arthritis, back pain, neck pain, fibromyalgia or other conditions, and there are ways to access Medicare rebates and funding.

It can be a really simple process once you understand it, so let’s dive into what you need to do to access it.

CAN I GET A MEDICARE REBATE FOR OSTEOPATHY?

The answer is: YES!!!

But there are few conditions to access a medicare rebate for Osteopathy.

Firstly, you must meet the criteria, and that is being in persistent pain (chronic pain). In other words, your pain needs to last more than 3 months and has significantly impacted your ability to function on a daily basis.

Secondly, you need to be diagnosed by your GP who will create a care plan for you. In this care plan, they will include all your relevant medical information to share with your chosen Allied Health practitioner.

Thirdly, you need to ask your GP to send you to an Osteopathic practice of your choice to access care.

How many visits will the medicare CDM rebate cover?

The Medicare CDM program allows for up to 5 rebated consults to any referred allied health practitioner, per calendar year – that could include Osteopathy, Physiotherapy, Podiatry, Speech, Psychology or Nutritionist.

The good news is that your GP can refer you to an Osteopath for 2 visits and 2 with a psychologist and 1 with a nutritionist. You are not locked in with one practitioner and you can ask to change practitioner along the way depending on what you need.

The great aspect of a Chronic Disease Management Plan is that you, the GP and other Allied health practitioner can work as a team to support you and help you to move forward with your condition.

These 5 rebated sessions are renewed each calendar year, however, you need another referral from your doctor to access it again.

How does the Medicare CDM process work?

When you get a CDM plan, your GP will give you a copy of the plan and usually the medical practice will send a letter on your behalf to your chosen Allied Health practitioner (probably via email) to let them know that they are part of your team of healthcare providers.

At Mana, we will:

  1. Give you a phone call to have a chat over the phone and understand how your condition has been impacting you on a daily basis.
  2. Explain how we work at the clinic and see when you will be free to come in for your initial consultation.
  3. Talk about your goals and how we can achieve those goals together during your initial consultation. Don’t forget you can have up to 5 visits but sometimes you might have less. Therefore we need to plan for you to have the right tools to move forward with your condition, as much as we can, when you complete your sessions with us.
  4. After our first treatment, we will send a letter to your doctor to highlight the details of our session.
  5. We will plan your sessions in a timely manner to help you to move beyond your pain.
How does the Medicare CDM rebate work?

At our practice, we do not bulk bill our patients. You will need to pay a gap fee.

  1. You need to pay the full fee upfront yourself first.
  2. After, we swipe your Medicare Cared to allow you to access your rebate ($54.60)
  3. When the rebate is accepted, we swipe your DEBIT CARD again and we put the $54.60 back onto your card on the spot. (Note: You cannot use your CREDIT CARD for this process)
Why a Gap fee?

At Mana, we believe in the quality of our services and we treat all our patients with the same high level of care. If you have been experiencing pain for a long time, it will be difficult to ‘fix’ it overnight and it will take time to make sure you are receiving the right treatment approach and the right strategies to help you. Therefore, we give you the time and the care you need to move forward with your condition. Our initial consultation last for 60min and our return consultation is 45min and as a small clinic we are unable to offer bulk billing in conjunction with the time and passion for achieving quality care – We hope you understand! If you want more information regarding our pricing and consultations, check your Frequently Asked Questions Here

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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