Medicare EPC Physiotherapy in Randwick & Ramsgate

What is a Medicare EPC Referral?

A Medicare Enhanced Primary Care (EPC) plan — also called a Chronic Disease Management (CDM) plan — is a GP referral that entitles eligible patients to Medicare rebates on allied health services including physiotherapy.

Under the EPC scheme, eligible patients can access up to 5 Medicare-subsidised physiotherapy sessions per calendar year. The Medicare rebate is applied at the time of your appointment — you pay the gap only.

To be eligible, you must have a chronic medical condition (defined as one that has lasted or is expected to last at least 6 months) and your GP must complete a GP Management Plan (item 721) and Team Care Arrangement (item 723).

Am I Eligible for a Medicare EPC Referral?

Common conditions that qualify for Medicare EPC physiotherapy referrals include:

• —Chronic back pain or neck pain lasting more than 6 months
• —Arthritis — osteoarthritis, rheumatoid arthritis
• —Diabetes with musculoskeletal complications
• —Cardiovascular disease with exercise rehabilitation needs
• —Post-surgical rehabilitation for chronic conditions
• —Neurological conditions requiring ongoing physiotherapy

Speak to your GP about whether a Chronic Disease Management plan is appropriate for your condition. Once your GP issues the referral, simply bring it to your ASPIRE appointment.

How to Use Your Medicare EPC at ASPIRE