Are these sessions covered by Medicare?
Not fully. These sessions are not “covered” in full by Medicare, but if you're eligible, you can claim a partial rebate for each session after you’ve paid the full session fee. Your rebate amount depends on the referral type and item number.We strongly recommend contacting Medicare directly before starting sessions to confirm how much you are entitled to claim.
What is a Medicare rebate?
A rebate is a partial refund from Medicare. After paying your invoice in full, you can submit your paid invoice to Medicare, and they will reimburse you a portion of the session cost directly into your bank account.
Do you process the Medicare rebate for me?
No, we do not process Medicare claims on your behalf. However, our invoices include all the required information (including your practitioner’s details and the item number) so you can easily submit the claim yourself via:myGov/Medicare onlineThe Medicare appPaper form (available from Medicare)
What happens after I pay the invoice?
Once your payment is received in full (which can take 1–3 business days to process), your invoice status will automatically update. You can use the same email link to view and download your paid tax invoice (PDF), which you can then submit to Medicare.
How much is the rebate?
Rebate amounts depend on the Medicare item number listed on your referral.
As a general guide:
Psychology - $93.35–$96.65
Occupational Therapy - $58.30–$75.10
Speech Pathology - $58.30–$75.10
Rebate amounts can change and may vary.
The above prices are mentioned as a guide only. We will not be held liable for any differences in rebates. We recommend confirming current rates with Medicare directly.
Can I use more than one type of referral?
Yes — some clients may be eligible for more than one plan (e.g. a Chronic Disease Management Plan and an Autism Assessment referral). Each referral type has specific limits and item numbers, and a GP or paediatrician can guide you on what’s most appropriate.
Can I split my 5 CDM sessions across different therapists?
Yes. Under the Chronic Disease Management (CDM) Plan, you can divide the 5 annual sessions across different allied health providers (e.g. 2 with a psychologist, 2 with an OT, 1 with a speech therapist). Your GP will need to indicate this on the referral.
Do I need a new referral each year?
It depends on the referral type:
Better Access Plan: Renewed annually, with a review required after the first 6 sessions.
CDM Plan: Renewed annually (calendar year).
Autism/Developmental Assessment Plan: This is a once-off referral for up to 4 sessions and does not renew yearly.
What if my referral uses an old item number (like 80110)?
If your referral was issued before 1 July 2025, and lists an older item number like 80110, we will honour that referral and bill accordingly, provided it is still within its valid timeframe.New referrals after 1 July 2025 must use updated item numbers such as 10968 for psychology.
Where can I get help with my Medicare claim?
Please contact Medicare directly for help with claims, rebate amounts, or any issues. Due to privacy laws, Medicare will not speak to us about your individual claim or rebate status.
Medicare general enquiries: 132 011
Or visit: https://www.servicesaustralia.gov.au/medicare
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Completing our intake form is the best way to get started—it helps us understand your child's needs and how we can support them. Submitting the form is obligation-free and does not commit you to therapy. It’s simply a way to start the conversation and explore the best options for your child.
Once we receive your form, our team will reach out to discuss the next steps and answer any questions you may have. Let’s work together to support your child’s growth and development!