To be eligible for rebates, general practitioners can refer patients through the following pathways:
A Medicare rebate is available for a maximum of five (5) services per patient each calendar year. Patients may be eligible if their GP has provided the following MBS chronic disease management services:
- A GP management plan (GPMP) – item 721 (or review item 732); and
- Team care arrangements (TCAs) – item 723 (or review item 732)
For patients who are permanent residents of an aged care facility and Commonwealth funded, their GP must have contributed to a multidisciplinary care plan prepared for them by the aged care facility or to a review of the multidisciplinary care plan (item 731).
A chronic medical condition is one that has been (or is likely to be) present for 6 months or longer. It includes, but is not limited to, conditions such as asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke.
Patients have complex care needs if they need ongoing care from a multidisciplinary team consisting of their GP and at least two other health or care providers.
Adapted from Australian Government Health Website
Department of Veterans Affairs (DVA)
Gold and white card holders require a referral from an appropriate health care professional; white card holders must have a condition clearly specified on their referral for which the exercise physiologist is to treat. Eligibility must be established prior to commencement of treatment. A referral is valid for 12 months from the date of referral, unless the referring provider has indicated on the referral that treatment is required for a chronic condition and that the referral is an open-ended/ongoing referral.
Adapted from DVA Website
Where a GP has written a referral letter to us requesting exercise physiology services for the rehabilitation of their patient, those with a recent or existing claim are likely to be funded by WorkSafe for between 5-10 sessions. Once we receive your letter, we will be able to send the appropriate paperwork to WorkSafe to approve services.
Private patients also welcome – we have HICAPS available for on-the-spot claiming through private health insurance. If your clients are unsure if they are covered for exercise physiology under their private health insurance, please direct them to this list of funds that cover exercise physiology, or ask them to contact Body Link Health Clinic.*
*Some private health insurers may vary their coverage of exercise physiology depending on the coverage level of the person insured. Please contact the relevant private health insurer to determine eligibility for exercise physiology coverage.