Medicare
To qualify for Medicare rebates, you must have a Medicare card and a health care plan. Your general practitioner (GP) will determine your eligibility and work with you to create the plan. There are various types of plans available, typically offering between 2 to 10 sessions. Typically, the rebate does not fully cover the cost of each appointment, so you will need to pay the difference at each session.
Private Health Insurance
Allied health sessions are part of extras cover included in private health insurance policies. The eligible providers, the number of sessions, and the rebate depend on your specific plan. Typically, the rebate does not fully cover the cost of each appointment, so you will need to pay the difference at each session.
NDIS
Participants in the National Disability Insurance Scheme have access to funding for Allied Health providers under the capacity building category in their package. These sessions must be directly related to your disability and aligned with the goals outlined in your NDIS plan. Additionally, NDIS packages may also include funding for assistive technology and home modifications. When using a NDIS package there are no gap fees, the entire session is funded.
My Aged Care
Allied Health services are eligible for funding through Home Care Packages. When you apply for a home care package, your care manager will assist you in selecting the most suitable package and services for your needs. This includes options such as Allied Health sessions, home assessments, assistive technology, and home modifications. There are no gap fees when using a Home Care Package.
DVA
Veterans can receive referrals to allied health providers through their general practitioner (GP), after which a treatment plan is created in collaboration with the allied health provider. The number of sessions is based on clinical necessity, and all sessions are fully funded.
Third Party Compensation
Allied health sessions may be covered by third-party compensation, including The Transport Accident Commission (TAC) and WorkCover.
If you have experienced a traffic accident, you or your allied health provider can reach out to the Transport Accident Commission. The TAC can cover the sessions and any equipment required as a direct result of the injury sustained in the accident. Typically, the provider will invoice these services directly to the TAC; however, in some instances, you may need to pay for the session upfront, and the TAC will reimburse you later.