Rebates from Medicare are strictly limited and your GP must confirm that you are eligible and complete an EPC plan before treatment can be started (only one on one treatments, no group therapy rebates for Medicare). To be eligible for an EPC plan, clients must generally meet 2 criteria:-
- The condition is considered chronic determined as being, or is likely to be, present for 6 months or longer.
- The condition is complex – usually determined by the fact that 2 or more health practitioners (including any EPC referred practitioner(s) but not your GP) are involved in the care of the client.
For more information: www.medicareaustralia.gov.au
EPC clients are required to pay the service fee upfront and seek the rebate from Medicare later. The EPC plan is a special referral form from your GP. EPC clients will need to provide this form prior to treatment so that we can correctly bill your treatment in order for you to claim a rebate from Medicare.