REPS Movement has a $10 Gap on all Medicare services.
Summary
A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke. There is no list of eligible conditions; however, the CDM items are designed for patients who require a structured approach, including those requiring ongoing care from a multidisciplinary team. Whether a patient is eligible for CDM services is a clinical judgement for the GP, taking into account the patient’s medical condition and care needs, as well as the general guidance set out in the MBS. | Click here for a referral formReferral Form |
If you have both a GPMP and TCAs prepared for you by your GP, you may be eligible for Medicare rebates for specific individual allied health services that your GP has identified as part of your care. The need for these services must be directly related to your chronic (or terminal) medical condition. If you have type 2 diabetes and your GP has prepared a GPMP, you can also be referred for certain allied health services provided in a group setting. | Click here for a referral formReferral FormClick here to be directed to Department of Health website.Department of HealthClick here download patient information sheetInformation Sheet |
SummaryMaximum of one assessment service and eight group services per patient each calendar year, with out-of-pocket costs counting towards the extended Medicare safety net.
Who is eligible?Patients with a GP Management PlanIf you have type 2 diabetes and your GP has prepared a GP Management Plan, you may be referred for group allied health services to help you manage your diabetes. | Click here for a referral formReferral FormClick here to be directed to Department of Health website.Department of HealthClick here download patient information sheet.Information Sheet |