Medicare & Chiropractic
We have some great news!
You may be eligible for 5 Medicare Allied Health Rebates
What does this involve?
Medicare is available for chiropractic care at Aim 4 Health to those that have been approved by their GP for a Team Care Arrangement Program (TCAP) for previously known as the Chronic Disease Management Program (CDM) and Enhanced Primary Care Program (EPC). While the program has certain criteria for approval this is a great platform provided by Medicare to allow people to have access to chiropractic care. Patients who qualify can receive $250 worth of health care benefits annually covered by Medicare. Unfortunately, most people don’t know this exists and would be entitled for the program.
What does it cover?
Patients on this program are entitled to receive 5 treatments allocated by their GP to their chosen allied health team. As this is part of a “Team Care Arrangement” there could be more than one practitioner providing health care for their chronic disease issues. This means your GP can split the treatment between different allied health services or they may prefer that all 5 treatments are provided by the one practitioner. For each treatment Medicare will cover $55.10 of the service fee and over the full 5 visits totals $275.50. This program can be applied for each year based on your assessment with your GP and passing the chronic disease management plan requirements.
Do I qualify for cover?
This program was designed to allow GPs to coordinate and organise treatment for their patients who are suffering with chronic medical conditions. Chronic disease is classified as a health issue which has been present for more than 6 months. These issues include chronic musculoskeletal conditions, arthritis, nerve pain, disc herniations, asthma, cancer, heart disease, vascular issues, skin conditions and mental health problems.
What are common Chiropractic conditions?
The most common conditions which present to our office under this program is treatment for the following musculoskeletal and nervous system issues:
- Back pain
- Neck pain
- Headaches
- Arthritic joint pain
- Shoulder pain
- Nerve pain (sciatica)
While sometimes your symptoms may only be there for short periods and intermittent times, they may be caused by underlying chronic health issues. Please discuss these issues with your GP or chiropractor in regards to your application for the program so we can determine if they are chronically related or not.
How do I apply?
The best way to action this is to discuss your chronic health issues with your GP and request to see a chiropractor for your complaints. It is up to your GP to determine if you are suitable for the program and they also have control in determining who they personally feel would be the best practitioner to manage your health.
While your chiropractor can ask for assistance from your GP for this program, it is your GPs decision that matters in this case. If your GP feels chiropractic would be suitable for your condition then they can submit the paperwork with our practitioners’ details for you to receive care at our clinic. Please ask your chiropractor if you require any information regarding this program and if you need any of our assistance in initiating the process.
What do I bring?
Once you have received from your GP your plan, please contact us at the clinic for us to make your appointment. This paperwork has all the relevant information on it for us to communicate with Medicare and your GP for us to provide care. We will contact your GP to notify them of your examination results as well as the outcomes of your treatment at the completion of your approved visits.