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Can I get a Medicare Rebate For Exercise Physiology?
April 16, 2020
Can I Get a Medicare Rebate for Exercise Physiology?

The short answer, is YES! The long answer is yes, but there are a couple of conditions. A Medicare rebate for
Exercise Physiology
can be accessed under the CDM Program, which is the Chronic Disease Management Program. To be able to access a Medicare rebate for Exercise Physiology should be very easy, unfortunately Medicare rebates are not always that straight forward.

Exercise Physiology
is such an indispensable treatment option for a variety of conditions including: chronic pain, arthritis, musculoskeletal injuries and diabetes. We want to be able to assist you in accessing the help that you need, as quickly as possible. As exercise experts we help people with these types of conditions every day. We would love to help explain the Medicare rebate process so you can see how it can work for your Exercise Physiology needs.
 

How Can I get A Referral?
  • First, you must meet the criteria, which is principally centred around chronic conditions (it’s in the name!). This means a condition that you have suffered with for more than three months.
  • Secondly, you need to have the appropriate referral form from your GP, who needs to send you to a specific Exercise Physiology clinic. (Hopefully us, we’d love to help!)
190203 Boost 012
How Many Visits Will the Medicare CDM Rebate Cover?

The Medicare CDM Program allows for a total of up to five rebated consults to any referred allied health practitioner, per year.

That could include: Exercise Physiology, Podiatry, Dietetics, Physiotherapy, Speech Pathology, etc.

So, for instance, your GP may refer you for three Exercise Physiology consults and two Physiotherapy consults. This number is renewed each year, but you will need a new referral each year. The referral can be issued at any time of the year (not necessarily calendar year), however only five visits are able to be claimed each calendar year.

How Much Does the Medicare Rebate Cover?

The current Medicare rebate (as of March 2018) is $53.80 per consult, irrespective of the specific service that you choose.

That means that the rebate is $53.80 for an initial consult and any subsequent review consults that you might be recommended for as well. At Boost Health we charge a small gap fee alongside the rebate to ensure that we can provide the best experience (and longer consults) for our patients.

Generally, this is around $50 for your initial consult (which is 45 mins of comprehensive assessment, diagnosis, planning and treatment) and around $20 for any subsequent consults.

How Does the Medicare CDM Rebate Process Work?

At Boost, what you need to do is pay the full fee upfront first and then we process the Medicare rebate and get it back to you on the spot.

Specifically, here are the steps:

You need to pay the full fee with either: cash, credit card or debit card.

If you have your bank details registered with Medicare, they will immediately put the rebate back into your account.

If you do not have your bank details registered with Medicare, we can swipe your Medicare card and DEBIT card and access the $53.80 rebate for you on the spot.  Note that you cannot use a CREDIT card for this process.

Summary
  • Yes, you can get a Medicare rebate for Exercise Physiology, utilising the CDM Program.
  • You need a specific doctor’s referral and the right type of physical condition.
  • You can get a $53.80 rebate for up to five visits per year.
  • There will always be a small gap fee at our practice.
  • We can process the rebate on-the-spot, straight back onto your debit card.

 

If you have any questions at all regarding the CDM process – please call or email us via the Contact Us page and we are more than happy to answer them.

Alternatively, get to your GP as soon as possible to ask them whether you are eligible for a CDM referral to see an Exercise Physiologist. We can get you back on your feet, feeling wowed (as we like to say around here) and pain-free, able to get back to doing what you love!

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