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.

CDM plans welcomePrivate health rebatesMiranda clinic and telehealth
Medicare CDM

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
Private health

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.

Veterans (DVA)

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.

Other pathways

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.

Fees and rebates

What you will actually pay

The full fee is $165 for an initial visit and $142 for a follow up, and every appointment is a full, unhurried session with the time to work through complex, persistent problems. Once your cover is applied, here is what you actually pay.

Full fee, no cover
Initial · 60 min $165
Follow up · 40 min $142

Before any rebate. Private paying is welcome, and your fee buys the whole session, never a rushed 20 minutes.

$165
$142
Initial
Follow up
With a Medicare plan
Initial $103.20
Follow up $80.20

A GP Chronic Disease Management referral rebates $61.80 on every visit, up to 5 a year.

$103.20
$80.20
Initial
Follow up
With private health extras
Initial $60 to $100
Follow up $40 to $80

The usual out of pocket once you claim on the spot, depending on your level of cover.

$60 to $100
$40 to $80
Initial
Follow up
Workers comp & CTP
No out of pocket
Initial $0
Follow up $0

Nothing for you to pay at any visit. Accepted workers compensation and CTP motor accident claims are billed straight to your insurer, and we handle the paperwork.

$0
$0
Initial
Follow up

The bars compare what an initial and a follow up visit cost you on each pathway.

See full fees and rebates. Telehealth with PACT Virtual Care is charged at the same rates, Australia wide.

Frequently asked questions

Good to know

Do you bulk bill physiotherapy?
Medicare pays a set rebate toward eligible Chronic Disease Management visits, and there is usually a gap between that rebate and our fee. We tell you the exact gap before you book so there are no surprises.
How many Medicare visits can I get?
Your GP decides your eligibility and how many allied health visits to allocate under your Chronic Disease Management plan each calendar year. We work within whatever your GP sets.
Do I need a referral for Medicare?
Yes. Medicare Chronic Disease Management visits need a referral and plan from your GP. You do not need a referral to book as a private patient.
Can I use private health and Medicare together?
Not for the same visit. For a given appointment you claim either the Medicare rebate through a CDM plan or your private health extras, not both.
Do you treat DVA (veterans) patients?
Yes. If you hold a DVA Veteran Card, Gold or White, we can treat eligible conditions and bill DVA directly with no gap, with a current GP referral.
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