Can Medicare Cover Chiro sessions?
Are you looking for a quality Chiropractor in Perth that accepts medicare care plans? Or trying to find out whether Medicare can cover any of the cost of your Chiro sessions? At Fortitude Chiropractic we have accepted medicare CPCCMP and care plans since we opened.
Claiming a medicare rebate towards your Chiropractic treatment in Australia is very simple, all you need to do is visit your regular GP for a referral and if they believe you qualify then simply bring it to your next appointment. These appointments are not only for new patients, regular patients can take advantage of these services as well.
How do get a medicare rebate for chiro treatments?
In order for you to receive a medicare rebate for Chiropractic appointments at Fortitude Chiropractic you need to be referred by your GP in the form of a referral letter for a Medicare Care Plan, known as a GP Chronic Condition Management Plan (GPCCMP). Medicare care plans are sometimes also known as Enhanced Primary Care (EPC) Program and Chronic Disease Management Plan.
There were some changes that occurred regarding Medicare care plans as of July 1, 2025. There is now no specific form that the doctor must fill out in order for you to get a care plan referral. However you do need a referral letter stating that you are referred under a Medicare GPCCMP for chiropractic treatment.
How much will a Medicare care plan save me?
You can get a GP referral for up to 5 care plan visits. At Fortitude Chiropractic we require payment in full for Medicare Care Plan appointments, and we will process an on-the-spot medicare rebate. This means that the Medicare rebate (currently $61.80 rebate per appointment as of January 2026) will be deposited straight into your bank account that you have designated through Medicare. If your GP refers you for the full 5 sessions, that’s a savings of almost $310 towards your Chiro treatment.
Medicare Rebates & Out Of Pocket costs
I already have a care plan referral from my doctor, what happens now?
If you’ve been to your GP and got a care plan referral ready to go, here are the next steps for using your care plan to cover some of the cost of treatment through Medicare.
- Book your Perth Chiro Medicare Care Plan Appointment Online
- Bring the referral, paperwork and your Medicare Card to your appointment
- You pay our regular consultation fee for the appointment type you are receiving
- We will process the medicare rebate and you will receive the medicare rebate for the care plan directly into your bank account within 2 business days
- Depending on how many visits your GP has referred you for, you will be able to claim a Medicare rebate for between 1 to 5 visits per calendar year.
Book online: medicare Perth Chiro appointment
Medicare chiropractic care plan FAQ’s
Do I always need a GP referral to see a chiropractor?
No. Chiropractors are primary contact health professionals, so you do not need a referral from your GP for a standard chiropractic appointment. However, a GP referral is required if you want to use Medicare-subsidised care under programs like Care Plans (CDM plans), First Nations allied health referrals, DVA or when claiming through WorkCover (Worker’s Compensation).
What is a Medicare Care Plan (GPCCMP)?
A Medicare Care Plan, also called a Chronic Disease Management Plan or GP Chronic Condition Management Plan (GPCCMP), can be arranged by your GP if you have a chronic condition present for 6 months or more. It allows you to receive Medicare rebates for up to five allied health visits per calendar year including chiropractic, physiotherapy, podiatry, and more.
How do I get a Medicare Care Plan referral?
You must book an appointment with your GP to discuss your condition. If your GP believes a care plan is appropriate, they will prepare and issue the referral. You then bring it to your chiropractic appointment along with your Medicare card.
Can First Nations Australians receive more than five visits?
Yes. Since 1 March 2024, First Nations Australians can be eligible for up to 10 Medicare-subsidised allied health services per calendar year when referred under the appropriate Medicare referral for First Nations allied health services. This can be a combination of five care plan visits and five First Nations allied health referrals, or simply the full 10 under the allied health scheme.
Can I get a rebate from Medicare on my chiropractic care?
Yes. If you have a valid GPCCMP referral, Medicare provide a rebate for eligible allied health services, including chiropractic care. However, rebates are limited to the number of visits available under the plan (five total per calendar year).
Do I need to pay anything at the time of my appointment?
Yes. You will pay a private fee at the time of service, and we will process your Medicare rebate immediately back into your bank account. This change helps us continue to provide longer, personalised treatment that Medicare alone does not fully cover.
Why don't you bulk bill Care Plans?
we no longer bulk bill Care Plan appointments because the Medicare rebate has not kept pace with the real cost of providing longer, hands-on, personalised chiropractic care. Many Care Plan patients require extended appointments, thorough assessments, tailored exercise planning, and detailed communication back to their GP. The rebate only covers a portion of this time and clinical work. Moving to charging a gap on Medicare Care Plan appointments allows us to continue delivering high-quality treatment without compromising on appointment length or the standard of care.
Will my doctor give me a care plan referral?
Your GP will decide whether a Care Plan referral is appropriate based on your individual health needs. To be eligible, you must have a chronic condition that has been present for six months or longer, or is likely to persist. While many musculoskeletal conditions qualify, the decision is always at your GP’s discretion. If eligible, your GP will create the care plan and allocate your allied health visits, which may include chiropractic.
How long is my GP care plan referral valid?
Referrals under a GP Chronic Condition Management Plan are valid for the timeframe stated by your GP. Generally referals are valid for 12 months.
What happens if I’ve already used my Medicare Care Plan visits for the year?
If you have already used all five of your Medicare Care Plan visits through any allied health providers, further visits under that plan cannot be claimed. You are still welcome to book private appointments with us, but Medicare will not provide an additional rebate for those services.
Do I always need a GP referral to see a chiropractor?
No. Chiropractors are primary contact health professionals, so you do not need a referral from your GP for a standard chiropractic appointment. However, a GP referral is required if you want to use Medicare-subsidised care under programs like Care Plans (CDM plans), First Nations allied health referrals, DVA or when claiming through WorkCover (Worker’s Compensation).
What is a Medicare Care Plan (GPCCMP)?
A Medicare Care Plan, also called a Chronic Disease Management Plan or GP Chronic Condition Management Plan (GPCCMP), can be arranged by your GP if you have a chronic condition present for 6 months or more. It allows you to receive Medicare rebates for up to five allied health visits per calendar year including chiropractic, physiotherapy, podiatry, and more.
How do I get a Medicare Care Plan referral?
You must book an appointment with your GP to discuss your condition. If your GP believes a care plan is appropriate, they will prepare and issue the referral. You then bring it to your chiropractic appointment along with your Medicare card.
Can First Nations Australians receive more than five visits?
Yes. Since 1 March 2024, First Nations Australians can be eligible for up to 10 Medicare-subsidised allied health services per calendar year when referred under the appropriate Medicare referral for First Nations allied health services. This can be a combination of five care plan visits and five First Nations allied health referrals, or simply the full 10 under the allied health scheme.
Can I get a rebate from Medicare on my chiropractic care?
Yes. If you have a valid GPCCMP referral, Medicare provide a rebate for eligible allied health services, including chiropractic care. However, rebates are limited to the number of visits available under the plan (five total per calendar year).
Do I need to pay anything at the time of my appointment?
Yes. You will pay a private fee at the time of service, and we will process your Medicare rebate immediately back into your bank account. This change helps us continue to provide longer, personalised treatment that Medicare alone does not fully cover.
Why don't you bulk bill Care Plans?
we no longer bulk bill Care Plan appointments because the Medicare rebate has not kept pace with the real cost of providing longer, hands-on, personalised chiropractic care. Many Care Plan patients require extended appointments, thorough assessments, tailored exercise planning, and detailed communication back to their GP. The rebate only covers a portion of this time and clinical work. Moving to charging a gap on Medicare Care Plan appointments allows us to continue delivering high-quality treatment without compromising on appointment length or the standard of care.
Will my doctor give me a care plan referral?
Your GP will decide whether a Care Plan referral is appropriate based on your individual health needs. To be eligible, you must have a chronic condition that has been present for six months or longer, or is likely to persist. While many musculoskeletal conditions qualify, the decision is always at your GP’s discretion. If eligible, your GP will create the care plan and allocate your allied health visits, which may include chiropractic.
How long is my GP care plan referral valid?
Referrals under a GP Chronic Condition Management Plan are valid for the timeframe stated by your GP. Generally referals are valid for 12 months.
What happens if I’ve already used my Medicare Care Plan visits for the year?
If you have already used all five of your Medicare Care Plan visits through any allied health providers, further visits under that plan cannot be claimed. You are still welcome to book private appointments with us, but Medicare will not provide an additional rebate for those services.
We are conveniently located on Scarborough Beach Rd, just a 4 minute drive from Scarborough Beach. Why not book in to see one of our Scarborough Sports Chiropractors today! We are now offering Chiropractic to the areas surrounding Doubleview, including Scarborough, Karrinyup, Stirling, and Innaloo.