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Is Women's Health Physio covered by Medicare?
Specialised physiotherapy services addressing issues like pelvic floor dysfunction, incontinence, or conditions related to pregnancy and postnatal recovery may be covered under certain Medicare programs, such as the Chronic Disease Management (CDM) program.
How Does It Work?
Number of Sessions: Under the CDM program, eligible patients can access up to five subsidised sessions per calendar year. These sessions can be shared among different allied health providers if needed (e.g., if you also see a dietician or an exercise physiologist). So, if you use three sessions for Women's Health Physiotherapy, you would have two remaining sessions for other eligible allied health services within that year.
Rebate Amount: The rebate amount for physiotherapy services under the CDM program can vary based on the service provided. The rebate for an individual physiotherapy session is approximately $58.80. It's essential to check the current Medicare Benefits Schedule (MBS) for the most up-to-date rebate amounts.
Out-of-Pocket Costs: The rebate does not always cover the full cost of the physiotherapy session. If the physiotherapist charges more than the Medicare rebate, you will have an out-of-pocket expense. For example, if you book in for our Women's Health Physiotherapy which is $150 for a session, and you receive a approximate rebate of $50, your out-of-pocket cost would be approximately $100
Eligibility: To be eligible for the CDM program, you need:
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A referral from your GP using the appropriate forms.
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A chronic medical condition that has been (or is likely to be) present for six months or longer.
If you're considering accessing Women's Health Physiotherapy under the CDM program, it's crucial to:
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Discuss your needs with your GP and get the appropriate referral.
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Contact our team about fees, potential out-of-pocket costs, and Private Health fund options.
Is Lactation consultant available in medicare
Medicare does provide rebates for consultations with accredited lactation consultants under specific circumstances. These rebates are available through the Medicare Chronic Disease Management (CDM) program, which allows individuals with chronic medical conditions to access allied health services.
Here are the key details:
Eligibility: To be eligible for a Medicare rebate for a lactation consultant service under the CDM program, a patient must have:
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A chronic medical condition (a condition that has been or is likely to be present for at least six months).
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A GP Management Plan in place.
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Team Care Arrangements set by their GP, which specifies the need for lactation consultant services.
Number of Sessions: Eligible patients can access up to five subsidised allied health sessions per calendar year under the CDM program. These sessions can be divided among different allied health professionals as required. For instance, if a patient uses two sessions with a lactation consultant, they would have three sessions remaining for other eligible services within that year to use on other women's health services, like, pelvic floor physio.
Rebate Amount: The specific rebate amount for a lactation consultant service under the CDM program can vary. It's essential to check the current Medicare Benefits Schedule (MBS) for the most up-to-date rebate amounts.
If you're considering accessing lactation consultant services under Medicare, it's recommended to:
Discuss your needs with your GP and see if you're eligible for a referral under the CDM program.
Talk to our lactation consultant about fees, potential out-of-pocket costs, and private health options.
Here are some helpful links: