Medicare and rebates
If you have an ongoing condition, your GP may refer you for physiotherapy under a Medicare Chronic Disease Management plan. Here is how it works at PACT, and what you can claim.
Physiotherapy under a Chronic Disease Management plan
A Chronic Disease Management plan, sometimes called a care plan, is arranged by your GP for an ongoing condition. It can include a set number of subsidised allied health visits each calendar year, which can be used for physiotherapy.
Your GP decides whether you are eligible and how many visits to allocate. You bring the referral to us, and Medicare pays a rebate toward each eligible visit. There is usually a gap between the rebate and our fee, which we are always upfront about.
- Ask your GP whether a Chronic Disease Management plan suits you
- Bring the referral and plan to your appointment
- Medicare pays a set rebate toward each eligible visit
- We explain any gap before you book, no surprises
Claiming through private health insurance
If you have extras cover that includes physiotherapy, you can claim a rebate through your fund instead. We provide a receipt with everything your fund needs, and where available we can process the claim on the spot.
You do not need a referral to book privately. Referrals apply for Medicare CDM plans and most claim pathways.
DVA Veteran Card holders
If you hold a DVA Veteran Card (Gold or White), we can treat you for eligible conditions under your Department of Veterans Affairs arrangements. Treatment is billed directly to DVA at the DVA fee, so there is no gap for you to pay.
You will need a current referral from your GP, and treatment follows the DVA schedule and guidelines. Bring your Veteran Card and referral to your first appointment and we will take it from there.
Work injury, CTP and telehealth
If your injury is work related or from a motor accident, an accepted workers compensation or CTP claim is billed directly to the insurer, so there is nothing for you to pay. If getting in is hard, PACT Virtual Care offers telehealth across Australia at the same rates.
What you pay, with or without cover
Every appointment is a full, unhurried session with the time to work through complex, persistent problems. The fee is $165 for an initial visit and $142 for a follow up, and if you have Medicare, private health extras or an accepted claim, here is what you pay.
Paying privately
No referral or paperwork needed. Every visit is a full, unhurried session with the time it needs.
With a Medicare plan
A GP Chronic Disease Management referral rebates $61.80 on every visit, up to 5 a year.
With private health extras
Claim on the spot through HICAPS. The gap depends on your fund and level of cover. See all health funds
Workers comp & CTP
Accepted workers compensation and CTP claims are billed straight to your insurer, and we handle the paperwork.
Every bar is drawn to the same scale, from $0 to the standard fee. Private health gaps vary with your fund and your level of extras cover.
Good to know
Do you bulk bill physiotherapy?
How many Medicare visits can I get?
Do I need a referral for Medicare?
Can I use private health and Medicare together?
Do you treat DVA (veterans) patients?
See what people say on Google
We let our patients speak for themselves, on Google, where you can read it independently.
Read our Google reviewsReady to get moving again?
Same day appointments often available at our Miranda clinic, or by telehealth across Australia.