Medicare Rebates

Medicare Enhanced Primary Care Program

Enhanced Primary Care Program (EPC) is a government incentive which allows individuals with a chronic medical illness/condition to receive Medicare rebates for allied health services, such as physiotherapy (refer to below list for other allied health services).

What is a Chronic Medical Illness/Condition?

A chronic medical condition is an illness and/or condition which have been present, or likely to be present for more then six (6) months. Such illnesses/conditions include cardiovascular disease, stroke, diabetes and musculoskeletal conditions.

What are the benefits of an Medicare EPC Plan?

A Medicare EPC plan is put in place to assist you and your GP manage your chronic medical illness/condition by identifying and managing your needs and planning the best method of treatment.

A Team care arrangement is then made between your GP, other allied health professional/s and you, which provide an organized approach to your care. This approach allows the coordination and collaboration of your treatment plan with at least two other health care providers.

Eligible Allied Health Professionals:

Aboriginal Health Workers
Occupational Therapist
Audiologists
Osteopaths
Chiropractors
Physiotherapists
Diabetes Educators
Podiatrists
Dietitians
Psychologists
Exercise Physiologists
Speech Pathologists
Mental Health Workers

How do I apply for the Medicare EPC Program?

You need to consult your GP who will perform a health assessment to determine whether you would benefit from a Medicare EPC program. Once a Medicare EPC plan is agreed upon, then you can be referred to up to five (5) allied health services each calendar year.

Please note that the five (5) services can be either provided by one allied health professional or shared between multiple allied health professionals. Also, keep in consideration that the allied health professional/s needs to meet specific eligibility criteria and be registered with Medicare Australia.