The Ultimate Medicare Enhanced Primary Care (EPC) Guide: Unlocking Access to Allied Health Services

Welcome to your comprehensive guide to understanding and utilising the Medicare Enhanced Primary Care (EPC) Plan. Whether you’re seeking Physiotherapy, Chiropractic care, or Dietitian services, our clinic is here to provide you with the essential information to navigate this beneficial program. Let’s empower you to leverage the Medicare EPC plan this year to maintain and improve your health.

What Is the Medicare Enhanced Primary Care Plan?

The Medicare EPC Plan is a government initiative to manage chronic disease for individuals needing multidisciplinary care. If you have a chronic condition, your GP might refer you to allied health professionals for up to five sessions per year covered under this plan. Each session is subsidised by Medicare, significantly reducing the financial burden of health management.

How Can You Qualify for the Medicare EPC Plan?

Qualifying for the EPC Plan requires a documented chronic condition that your GP manages. Examples include diabetes, arthritis, or chronic back pain. During your consultation, your GP will assess your condition and determine if it necessitates an ongoing treatment plan involving allied health services.

What Services Can You Access Under the EPC Plan?

Our clinic proudly offers a comprehensive range of services under the EPC Plan, including:

Each service aims to contribute to a holistic approach to your health management.

Why Is There a Gap Fee for Services Under the EPC Plan?

While Medicare subsidises $58.30 per session, our clinic charges a gap fee to cover the remainder of our service costs. This fee is essential for maintaining high-quality care provided by experienced therapists. Despite minimal increases in Medicare rebates and rising operational costs, this small additional fee ensures we can continue offering exceptional, uncompromised care.

How Does the Instant Medicare Rebate Process Work at Our Clinic?

To streamline your experience, our clinic processes Medicare rebates on the spot. Pay the full session fee upfront, and we will immediately handle the rebate process. The $58.30 will be transferred directly to the bank account linked with your Medicare profile, ensuring a hassle-free visit.

Navigating the Medicare EPC Plan doesn’t have to be complicated. With the correct information and support, you can fully utilise the plan to enhance your health. Remember, proactive health management is crucial, and our allied health professionals are here to support you every step of your journey.

For more details or to schedule an appointment, visit our Online Booking Page or call us at 02 9793 8840.

Frequently Asked Questions

You may be eligible if your GP has documented a chronic condition, such as diabetes or heart disease, that has been or is likely to be present for six months or longer.

Your GP will assess your condition and, if appropriate, can write a referral under the EPC Plan. This referral allows you to access up to five subsidised sessions per year with allied health professionals.

Any chronic condition that requires ongoing care from multiple health professionals, such as arthritis, asthma, cancer, cardiovascular disease, diabetes, and mental health conditions.

You can have up to five sessions per calendar year subsidised by Medicare under the EPC Plan. Each session includes any of the eligible services provided by our clinic.

Yes, you can continue treatment; however, Medicare will not cover the costs after the five sessions. Our staff can provide you with information about the costs and payment options. Check out our pricing and Book Online Here.

The rebate is available for services provided by eligible allied health professionals, such as Physiotherapists, Chiropractors, and Dietitians, as long as these services are included in your GP’s care plan.

Bring your Medicare card, referral form from your GP, and any relevant medical reports or tests. Also, wear appropriate clothing for assessment and treatment.

You can book an appointment through our Online Booking System or call our clinic at 02 9793 8840. Our friendly staff are also happy to provide more information and assist with any questions.

Contact us

If you have suffered an injury at work, feel free to come to the clinic or call us on 02 9793 8840 to book your initial consultation today or online.

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