Medicare and Chiropractic
Can Chiropractic care be claimed on medicare? The short answer is, YES! Up to 5 Chiropractic visits per calendar year can be claimed under the Chronic Disease Management (CDM) Plan (formerly known as EPC Plan)
That is a saving of up to $250 at your Chiropractor!!
HOW DO I SIGN UP FOR THIS CDM PLAN?
To be eligible for the CDM Plan and the 5 visits covered by Medicare Rebate you must be referred by a General Practitioner (GP) specifically to see a Chiropractor. The eligibility for this plan is if you have or will be suffering from a chronic condition (a condition that has occurred for a period of 6 months or greater) or have numerous health issues.
Health issues can include:
- Cardiovascular Disease
The GP must fill out medicare forms 721 and 723. We will also require a copy of this also. The process can take up to 2 weeks to complete.
Can I use Private health with the CDM Medicare visits?
No. You are not able to use both, you have to decide which to use. However, once your 5 Medicare visits have finished you can start using your private health fund on our onsite HICAPS terminal so you can claim instantly and only pay the gap.
I’ve been accepted for my plan, how do I get my 5 visits?
Easy, once we have all required documents give us a call on 1300 123 365 and we can book your appointment today. We have a same day guarantee and are available Monday-Saturday, with early mornings and late evening appointments available.
The rest is up to us, we put all the payment through our HICAPS machine so you don’t have to worry about anything else.
Can I use my 5 Medicare visits before they are accepted?
You can only claim for visits after you have met with your GP and the process is accepted, unfortunately you are not allowed to claim retrospectively.
If any questions regarding this, talk to one of our chiropractors on 1300 123 365
Can I have more than 5 EPC visits per year?
For now, 5 is the limit. This resets each calendar year, so as long as your GP will keep referring you, you will keep receiving the 5 visits bulk billed each year. You must make sure your GP recommends the full 5 visits or else you may be offered less.
If your 5 visits aren’t used each calendar year you forfeit them!
I don’t know what to say to my GP, can you help me?
Yes, we can. One of our Chiropractors can meet with you and write a letter recommending you receive the 5 visits on the EPC Plan for you to hand to your GP. Your GP has the final say whether you are eligible for the Medical Rebate.