Can I be treated on Medicare?

CDM Referral

The Chronic Disease Management CDM program (formerly known as Enhanced Primary Care – EPC) program is a Medicare funded programme for treatment of management of chronic conditions. In order to obtain one, you must be considered eligible by your GP and your GP will arrange a Care Plan.

If you have been provided with an CDM referral by your GP for physiotherapy or podiatry treatment, you can receive treatment with us.

What do I need to bring?

Before your first appointment, you will need to bring your CDM referral and Careplan, your Medicare card and a debit card that has a PIN number, which is linked to a savings or cheque account. With all of this information provided to us, we can finalise your payment and Medicare rebate onsite, saving you a trip into the Medicare office.

How much will it cost?

The CDM programme is funded by Medicare, which means you will be eligible for a rebate after your treatment.

There will be an upfront cost of $64 which can be paid via EFT or cash. Once this account has been paid, we will process your Medicare onsite and you will receive a rebate of $52.95 from Medicare. This means you will have a final out-of-pocket expense of $11.05.

What happens when my CDM runs out?

As part of the CDM programme, you can be allocated up to 5 treatments per calendar year. Depending on your personal needs, your GP may allocate this to one service – such as physiotherapy – or spread it across a couple of services – i.e. physiotherapy and podiatry.

At Paddington Physiotherapy & Podiatry, we offered a discounted rate to those who required further treatment on an area covered by their most recent CDM referral. This means that once you have reached your allocated number of treatments, you can choose to continue treatment with us at a discounted rate of $72/session.

Can I use my private health fund to cover costs?

No. Because the CDM programme is funded by Medicare, we cannot use your private health fund to cover the upfront cost of $64.

However, patients who require further treatment after their CDM referral has run out, are more than welcome to use their private health fund to cover part of their treatment costs*

*Amount covered is varied depending on your health fund provider and level of cover. Please contact your health fund provider for specific information related to you.

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