Are Medicare Rebates Available for Speech Pathology?
The Chronic Disease Management (CDM) plan, also known as the Enhanced Primary Care (EPC) plan, provides Medicare rebates to allied health services for people with a chronic medical condition*.
If your child has a chronic condition that’s being managed by your GP under an Enhanced Primary Care Plan, you may be able to claim a rebate through Medicare for these services.
The EPC provides up to five rebates per calendar year for allied health services.
Note: These rebates are per client, not per service. So while you may access multiple allied health services, you will still receive only five rebates each year.
How do I access the EPC plan?
Your GP will decide if your child is eligible, and refer you to the appropriate service. To find out more, and whether your child is eligible, you can:
- visit the Speech Pathology Australia website
- contact your GP
- give us a call on 0432 735 044
I’ve been referred to you on an EPC plan. How does it work?
Simply give us your referral form. Once you do that, provided your GP has registered your plan through Medicare, you’ll be able to claim up to five rebated sessions per calendar year.
You’ll still need to pay for your Kids Chatter Speech Pathology therapy sessions as usual, but you’ll then be able to take your receipt to Medicare and claim your rebate (which, as at August 2015, was $52.95**).
Where can I find more information?
*A chronic medical condition is one that has been present, or will be present, for at least six months. Clients have complex care needs if they need ongoing care from a multidisciplinary team consisting of their GP and at least two other health care providers, one of which may be a speech pathologist.
**We cannot guarantee this is the current amount. You will need to check with Medicare for more accurate information.