Medicare Safety net
Families or individuals who have reached the Medicare Safety Net threshold may be eligible for an additional benefit from Medicare
Better Access to Mental Health Care Scheme
Medicare rebates are available for up to 10 individual and 10 group allied mental health services per calendar year to patients with an assessed mental disorder who are referred by:
A GP managing the patient under a GP Mental Health Care Plan or
A psychiatrist or paediatrician
Health professionals determine their own fee for the service they provide, and charges in excess of the Medicare rebates are the responsibility of the patient
GP Chronic Disease Management Plans (GPMP) and Team Care Arrangements (TCA)
GPs may suggest a GPMP and TCA to help plan and co-ordinate care for children with complex medical or developmental needs.
If your child has a GPMP and TCA they may be eligible to claim through Medicare for up to 5 allied health visits (e.g. speech pathology, dietician, physio, occupational therapy, psychology) per calendar year
Helping Children with Autism Program
There are Medicare rebates for the assessment and treatment of autism under the age of 13. To be eligible for these rebates, a GP refers a child with possible Autism Spectrum Disorder for assessment by a paediatrician or psychiatrist. The paediatrician or psychiatrist may refer to allied health professionals such as a speech pathologist, psychologist or occupational therapist to assist in diagnosis. Medicare provides rebates for up to 4 allied health services per child. The paediatrician will then see your child again to develop a treatment and management plan which is also rebated through Medicare (provided it is completed before your child turns 13)
After the development of the management plan, your paediatrician or psychiatrist may refer you for allied health services. Medicare will rebate up to 20 allied health services per child for the treatment of Autism Spectrum Disorder. These treatment services must occur before your child turns 15.
Better Start Program
The Better Start Program has been introduced for children with other disabilities such as deafness, blindness, Cerebral Palsy, Down's Syndrome and Fragile X.
The model is very similar to the Helping Children with Autism funding.
Payment for Consultations
Yarralumla Surgery and Professional Suites is a private, fee for service clinic. Accounts are payable on the day of your consultation by cash, EFTPOS, Mastercard or Visacard.
Medicare rebates apply for consultations if your child has a valid referral. The following information describes the key rebates available in 2015.
If you would like further information about fees or any other aspect of the service, please contact our reception staff on (02) 6282 3899