Exercise Physiology is such an indispensable treatment option for so many conditions, including chronic pain, arthritis, musculoskeletal injuries and diabetes, and there are ways to access Medicare rebates and funding.
To be able to access things like Medicare rebate for Exercise Physiology should be very easy, but unfortunately Medicare rebates are not always that straight forward.
We want to be able to help you access the help that you need, as quickly as humanly possible and, as exercise experts who help people with these types of conditions every day, we would love to help explain the Medicare rebate process a little more.
It can be a really easy process once you understand it, so let us help you wrap your head around Medicare and how it can work for your Exercise Physiology needs.
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 (sometimes referred to as EPC or Team Care Arrangement).
First, you must meet the criteria, which is principally centred around ‘chronic’ conditions (it’s in the name!), meaning something 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!)
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 a 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 $52.95 per consult, irrespective of the specific service that you choose.
That means that the rebate is $52.95 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?
It is a tricky little process – the joys of working with a government body!
At our practice, what you need to do is actually pay the full fee upfront yourself first and then we can process the Medicare rebate and get it back to you on the spot.
Specifically, here are the steps:
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 asap to ask them whether you are eligible for a CDM referral to see an Exercise Physiologist who 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!