MEDICARE
Medicare Physiotherapy Services
Medicare Physiotherapy
Medicare physiotherapy services are available to eligible patients who have a chronic or complex condition and a valid referral from their General Practitioner. By understanding the eligibility criteria and accessing the necessary referrals, patients can access high-quality physiotherapy care to support their long-term health and physical well-being. At Pimpama Physiotherapy, we are dedicated to serving the needs of our local community and providing Medicare-eligible patients with the professional support and clinical expertise they deserve.
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Eligibility for Medicare Support
To be eligible for rebated physiotherapy under Medicare, patients generally need to meet the following criteria:
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Chronic Condition: You must have a medical condition that has been (or is likely to be) present for six months or longer. Common examples include chronic back pain, arthritis, or neurological conditions.
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GP Management Plan: Your General Practitioner must determine that you would benefit from allied health services and include physiotherapy in a Chronic Condition Management Plan (CCMP) - formerly known as an EPC.
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Valid Referral: You must have a current "Referral Form for Individual Allied Health Services" signed by your GP specifically naming Pimpama Physiotherapy.
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Our Billing Policy: Investing in Quality Care
At Pimpama Physiotherapy, we are committed to providing an exceptional standard of clinical care that goes beyond a standard consultation. To maintain this level of excellence, we operate as a non-bulk billing practice.
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We believe that every patient deserves a thorough, unhurried, and highly personalized experience. Choosing to move away from the high-volume bulk billing model allows our physiotherapists to:
Provide Extended Consultation Times: We ensure you have our undivided attention, allowing for deeper assessment and comprehensive manual therapy.
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Focus on Root-Cause Resolution: Our model is built on "quality over quantity." In high-volume clinics, the focus is often on short-term symptom relief to move through as many patients as possible. At Pimpama Physiotherapy, our independence from bulk-billing constraints allows us to focus on the "why" behind your pain. By addressing the underlying biomechanical cause of your injury rather than just the immediate symptoms, we aim to provide a permanent solution that prevents future relapses.
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Deliver Individualised Care: Our structure supports the time required to develop sophisticated, evidence-based rehabilitation plans tailored specifically to your goals.
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Long-Term Outcomes: By prioritising quality over quantity, we aim to resolve the root cause of your pain, often leading to fewer required sessions in the long run.
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Accessing Your Funding
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We strive to make the process of claiming your Medicare rebate as simple and transparent as possible.
Step 1: Consultation with your GP
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Visit your GP to discuss your chronic condition. If appropriate, they will prepare a management plan and provide you with a referral for up to five (5) physiotherapy sessions per calendar year.
Step 2: Appointment Booking
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Contact our team at Pimpama Physiotherapy to book your initial assessment. Please ensure you bring your Medicare card and your GP referral form to your first appointment so we can verify your details.
Step 3: Treatment & Rebate Processing
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Following your consultation, we can often process your Medicare rebate on the spot through our HICAPS terminal. While there may be a small gap fee depending on the service, the rebate is deposited directly back into your linked bank account.
Note for Patients: Medicare allows for a maximum of five rebated sessions per calendar year across all allied health services. We recommend checking with your GP or Medicare to confirm how many sessions you have remaining in your current plan.