You may be Eligible for Medicare Rebates.

Medicare

​Medicare can sometimes assist with your fees for up to your first 5 visits to one of our Chiropractic Offices located at Stirling and Busselton. The system is called Chronic Disease Management or CDM. It’s the same as what used to be called Enhanced Primary Care or EPC.

How it works

​You go to your GP and ask for referral. They must complete:​

  1. A GP Management Plan (GPMP) – item 721 AND
  2. Team Care Arrangements (TCAs) – item 723 AND
  3. A Referral form

​Either you or they send the TCA and the Referral Form to us. Our best email for this; forms@laz2om.laz2om.posturedoctor.com.au

When you come in, we will bill Medicare for your visit. 

FAQ

  1. Who is eligible?

To be eligible for a Medicare rebate, you need to be placed on an Chronic Disease Management (CDM) plan by you GP, that specifically refers you to Dr Shane and/or Dr Aya  Mezger.

Q. How do I get placed on an CDM plan?

​If you have been suffering or will suffer from a condition for longer than 6 months or have numerous health issues then you qualify for the CDM program. By providing a copy of your X-Ray Report and Posture Ray Report will assist your G.P with determining if you are eligible. Visit your GP and ask them to prepare a CDM plan.  

  1. Can I use my private health insurance cover in conjunction with CDM?

No. You need to decide if you are going to use your Medicare rebate or your private health insurance as you cannot claim from both for the same consultation. Once you have claimed all your Medicare rebates you can then claim any further consultations through your private health insurance.

  1. What is meant by chronic conditions and complex care needs?

Chronic conditions are defined as conditions which have been, or are likely to be, present for six (6) months or more. Complex care needs means that, in your GP’s opinion, you would benefit from care provided by a range of health professionals, who provide different services.

  1. I have already used my 5 CDM entitlements this year, can I have more?

You can have a maximum of 5 CDM visits each calendar year. If you want more, you will need to wait until January the following year to reapply for a further 5 CDM visits. Make sure your GP applies for the full 5 visits otherwise you may only be eligible for less.

Q. Am I always entitled to 5 CDM visits?

​Only if your GP says so!. So if you want the 5 visits make sure you mention this to your GP to request the maximum 5 visits in the CDM forms.

Q. Does CDM cover for any X-Rays?

​No, but if required, we can refer you for x-rays which are mostly bulk billed at our local radiology centre.

We hope this helps and if you have any questions please don’t hesitate to ask.

The Posture Doctor

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