Chiro under Medicare for First Nations Australians

Are you aware that First Nations Australians are eligible to receive up to 10 sessions of Chiropractic or allied health treatment each year under medicare for management of chronic conditions when referred through your GP? 

It is generally well understood that up to 5 treatments can be claimed through medicare each year for management of chronic conditions with a referral for Medicare Care Plan, also referred to as EPC (Enhanced Primary Care) or CDM (Chronic Disease Management) plans.

From the 1st March 2024 there have been changes made to the allied health referrals for First Nations Australians under Medicare. A total of 10 appointments can be referred, either as a combination of 5 care plan visits and 5 allied health services for First Nations Australians, or simply the full 10 visits under the allied health for First Nations scheme.

How does the referral for Chiro under Medicare for First Nations Australians Work?

To receive a referral to be able to claim up to 10 appointments under medicare, all you need to do is visit your GP or family doctor and discuss your eligibility for referral under the appropriate schemes.

Chiro under Medicare for First Nations Australians

It is important to note that it is up to the judgment of your GP as to whether or not you will be eligible for either a care plan or allied health for First Nations Australians referral. Generally these programs are for patients with a chronic medical condition, such as chronic back pain, neck pain or another musculoskeletal condition ongoing for 6 months or more.

Are the 10 sessions bulk billed under medicare?

Yes, at our clinic we fully bulk bill all appointments referred under both medicare care plans and allied health referrals for First Nations Australians. This means there will be no gap to pay. In order to bulk bill you will need to bring the appropriate referral as well as your medicare card information.

What is a medicare care plan?

Medicare Care Plans, also known as Enhanced Primary Care (EPC) or Chronic Disease Management Plans (CDM) is a  Medicare Program that allows GP’s to plan and coordinate treatment for patients with a chronic medical condition. If patients are suffering with chronic musculoskeletal conditions such as chronic neck or lower back pain, the GP may refer for up to 5 allied health sessions including Chiro each calendar year.

For more info on care plans check out our blog about Medicare covered Chiropractic services.

Want to find out more about how we can help?

If you’d like more information about how Medicare Care Plans or Allied Health Referrals for First Nations Australians work or already have your referral, contact us today!

Our Scarborough Chiropractic team is here to help you get out of pain and back moving again. You can Book Online instantly through our website.

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