Enhanced Care Plan – Help with Physiotherapy Fees

An Enhanced Primary Care plan will help with physiotherapy costs.

An Enhanced Primary Care plan will help with physiotherapy costs.

Physiotherapy can make a huge difference to a child with rheumatology issues.

Services might be accessed in several ways:

  • Referral to attend a free hydro session at PMH
  • Attending a private physiotherapy/hydro session paid for by your private health fund.

As a general rule Medicare refunds do not cover physiotherapy services.  However there is an exception that you might find useful when you get to the end of what your private plan covers or your child needs more than a weekly hospital session.

The Medicare allied health and dental care initiative allows chronically ill children and teenagers who are being managed by their GP under an Enhanced Primary Care (EPC) plan access to Medicare rebates for allied health services.

This means that you can get financial assistance from Medicare once your doctor sets up an Enhanced Care plan for your child which is clinically necessary.

The list of allied health services you can claim includes psysiotherapists, psychologists and dental services. To view or print a A4 brochure that sets who is eligal and what services can be accessed visit Medicare Rebates for Allied Health Services. This brochure is produced by the Department of Health and Aging.

Once your care plan  has been completed and lodged by your doctor and approved by Medicare you then have an ECP In place.

As your child requires services you request a referral from your GP for that service and then claim the costs back from Medicare.  Your GP will need to approve that the service is necessary for your childs health.

To give you an example of what might be covered by the plan Medicare will refund approximately 85% of the cost of :

Psysiotherapy 5 visits per year

If your child has a chronic condition and you need financial assistance with physiotherapy this might be an option worth exploring next time you visit your GP.

Follow this link and scroll down to Physiotherapy for more detail. More information

Photo courtesy of tataAnne at Flickr Creative Commons