I’ve Got An Enhanced Primary Care Plan (EPC). What Next?
So, you’ve just been to see your doctor about a chronic condition that you have. Your doctor has told you that they are going to put you on an Enhanced Primary Care Plan (EPC) and that you have up to 5 rebatable visits with a Physio.
Let’s break this down and go through any information you may need to know.
What is an Enhanced Primary Care Plan?
An EPC is a plan on the Medicare Benefits Schedule where GPs are able to plan treatment for patients who suffer from a chronic or terminal medical condition with other medical providers.
Can I get a Medicare Rebate for Physiotherapy?
The short answer is YES! The long answer is yes, but there are a few conditions.
Firstly, you must meet the criteria, and that is generally centred around ‘chronic’ conditions, meaning something you have had for more than 3 months.
Secondly, you need to have the appropriate referral from your GP, who needs to send you to a Physiotherapy clinic.
Once the EPC form is filled out by your doctor, they will provide you with a copy of the form to take to us.
At Body Active Physio, you can book yourself online or calling and speaking to one of our friendly staff members to book yourself an appointment with one of our expert physiotherapists.
How many visits will it cover?
EPC allows for a total of up to 5 rebated consults to any referred allied health practitioner, per year. That could include Physiotherapy, podiatry, dietetics, speech pathology etc.
So for instance, your GP may refer you for 3 Physio consults and 2 Podiatry consults.
This number is renewed each calendar year, but you will need a new referral each year to access them.
Is It Free?
While we would love to help you out with free treatment, unfortunately we cannot bulk bill Medicare for Physiotherapy at our practice, so there will always be a small gap payment.
How does the Medicare EPC rebate process work?
At Body Active Physio, the first step is to actually pay the full fee upfront but don’t worry, we use your card that has either a savings or cheque account to refund the rebate back onto your account from Medicare which will usually arrive immediately!
To wrap it all together
Yes you can get a Medicare Rebate for Physiotherapy using the EPC program.
You need a specific doctor’s referral and the right type of physical condition
You can get up to 5 rebatable visits per year, including all your allied health visits allocated
There will always be a small gap fee
We can process the rebate on-the-spot, straight back into your debit/savings accounts
If you have any specific questions at all regarding the EPC process, please call or email us, and we are more than happy to answer them!
Alternatively, your GP can also answer your questions.
We look forward to helping you move better, feel great and enjoy life!
Went here with a grade 1 rotator cuff injury and from day 1 Kayla was amazing with it.From quickly diagnosing what it was, to giving me the right exercises to do on a weekly basis and to just getting into the area and loosening it every week was amazing.I felt my self getting better every week and she was spot on with the recovery time of 4 weeks too.Would highly recommend !
Lauren is awesome. I saw her for double tennis elbow. I could barely lift a pen from my desk when I had my first consultation. She created a tailored and achievable program which has completely healed me, kept me very well informed without over-complicating the information. Lauren is very empathetic and a pleasure to heal with. I would not hesitate to recommend Lauren for physiotherapy.
Went to see the team at Body Active with a recurring ankle issue that has plagued me for 15 or so years. Kang did an amazing job diagnosing and treating my problem. Treatment program was well constructed and adapted over the 6-7 weeks
Great physio offering fantastic treatment and care. Absolutely recommend to anyone.Tore my calf muscle and Kang took me from barely getting along via zombie shuffle to moving pain free again. He was a really caring professional, with a great sense of humour (that for sure helped with the more painful moments of treatment).Kang really listened to my concerns and recovery/fitness goals and tailored and recovery plan to get me back up and running again.
Kayla was absolutely amazing and I have already recommended her to some friends of mine in Sydney. She was extremely knowledgeable and easily understood my injury and how to treat it. I came in with a completely locked neck and she treated me with massage, needling, tape and exercises. Already the day after, my movement was 100 times better and a few days later it’s almost back to normal. I couldn’t recommend anyone more. I’ve seen a lot of physios through the years, and Kayla has been hands down the best one.
Kang helped me a lot with getting to the bottom of my knee and hip recovery. With a combination of a recovery plan and home exercises and knowing how to combat the pain for better health, the care that was given was fantastic.
Had a couple of injuries that happened in a row and Kayla was so patient and helpful during my recovery! She did an incredible job and I cannot recommend enough - I recommend Kayla to everyone who needs physio support!