Fees, Medicare and Rebates

Fees, Medicare & Rebates

The cost of a session depends on the type and duration of your appointment, which is guided by Medicare and NDIS recommendations and is payable at the end of the session.

Most clinician services attract Medicare rebates. Please confirm your level of rebates and your threshold for Safety Net with Medicare.

Phone/email consultations with you, or external parties, additional letters and reports out of appointments may incur fees which are proportional to the amount of time required and are not rebated by Medicare.  Fees are reviewed every year.

Please contact us for a fee schedule and session times.

National Disability Insurance Scheme

(Paediatric Nursing Services Provider Number: 405 000 3126)

Eligible individuals living in the pilot site areas for the NDIS and WA NDIS programs are able to access services through Paediatric Nursing Services. To find out more about eligibility to this program, please go to the following website: http://www.ndis.gov.au/

Self-Referral

It is not essential that you have a referral to see a clinician at our practice. Clients may call and book an appointment at any time without a referral and pay privately. Please feel free to discuss your options with reception staff prior to your appointment with a clinician.

Private Health Care Rebates

Private Health Fund Rebates for allied health therapy are available to most funds. Check with your Private Health Care Fund prior to sessions.

Medicare Rebates for Allied Health services

The chronic disease management (CDM) Medicare items are part of a government initiative that assists people living with a chronic and or complex medical illness. Medicare rebates are available for treatment from allied health professionals who are assisting in managing the illness.

The initiative allows a person with a complex and or chronic medical illness to claim a Medicare rebate for up to 5 visits (in total) to certain allied health professionals e.g. OT, speech and language pathologist within a calendar year. The individual must be referred by a GP who is managing them under a GP Management Plan and Team Care Arrangements (TCA).

The GP Chronic Disease Management (CDM) items have replaced the earlier Enhanced Primary Care (EPC) items, and the new Team Care Arrangements (TCA) have replaced the earlier EPC Multidisciplinary Care Plan items.

Medicare Items for Assessment and Treatment of Autism Spectrum Disorders

Medicare items are available for the diagnosis and early intervention treatment of children with autism spectrum disorders. These items apply to services provided by eligible psychologists, speech pathologists and occupational therapists, on referral from a consultant psychiatrist or paediatrician. The Medicare items cover two specific types of services – assessment services and treatment services:

  • For assessment Medicare rebated services are available for up to 4 services for assessment (in total per child) aged under 13 years old;
  • and up to 20 early intervention treatment services in a child’s lifetime for diagnosis prior to 15 years old.

Cancellation Policy

Due to the high demand for new assessments, we request for appointments to be re-confirmed one week before the date. Without this notice, we may not be able to re-schedule the initial appointment.

For all ongoing/follow up appointments, if, for some reason you need to cancel the appointment, please provide at least 48-hour notice, so that the time may be allocated to someone else.   If you do not cancel the appointment and you do not attend the appointment a cancellation fee applies, at 100% of the session fee.

This document was updated on 15.11.2016