A Chronic Disease Management Plan can help you access allied health services, at reduced costs, under Medicare.
The Chronic Disease Management Plan (formerly Enhanced Primary Care) is a service provided by General Practitioners for the management of chronic diseases. In addition to this, your GP can provide a Team Care Arrangements (TCA) plan, referring you to allied health specialists and allowing you to obtain a Medicare rebate for their services.
Am I Eligible?
To be eligible for a Chronic Disease Management (CDM) plan you must have a chronic disease that has been (or is likely to be) present for the past 6 months or longer.
Chronic diseases include conditions such as diabetes, cardiovascular disease, asthma, cancer, musculoskeletal conditions and stroke. This said, Medicare does not provide a list of eligible conditions, so if you have a condition that has lasted at least 6 months and you believe that you could benefit from care from a multidisciplinary team, then it is worth speaking with your GP about this plan.
What do I get from it?
Under a TCA you are eligible for up to 5 visits to allied health specialists per calendar year, and Medicare will provide a rebate of $52.95 off the normal consultation fee.
Who can I see?
Under a TCA, your GP can refer you to a number of allied health professionals. Your GP will decide which services you will benefit from most, and refer you accordingly. Your GP can choose to refer you for all 5 visits to one allied health specialist or spread them over more than one.
If you already have an allied health specialist in mind, you can request that your GP refer you to them, otherwise your GP will recommend someone. Allied health services provided under this plan include care from dietitians, physiotherapists, psychologists, audiologists, occupational therapists, speech pathologists and many more.
Where to now?
If you believe that you are eligible for a Chronic Disease Management Plan and wish to see one of our allied health specialists under this plan, the next step is to contact your GP.
You will need to book an appointment with your GP and request a Chronic Disease Management Plan (MBS Item No. 721) with Team Care Arrangements (MBS Item No. 723). If you would like to see our Dietitian mention this to your GP so that it can be included on the plan.
You can still book an appointment as usual, either online or by phone, but you must ask your GP to send a copy of the referral through to Vision Psychology, or bring a copy to your appointment.
Author: Ashleigh Hamilton.