Am I eligible for a private health fund rebate for my counselling session? 

Yes

You are if you have Private Health Insurance Cover and your fund covers for psychology (e.g. MBF, Medibank Private, Bupa)  – check with your fund to find out what your entitlements are for psychology services.  Each psychologist has a provider number with all of the major health funds to enable clients, if eligible, to access rebates for their counselling session.  Rebates may vary from fund to fund.  It is best to check with your fund to see what you are eligible for.

Am I eligible for a Medicare rebate for my counselling session?

Yes

You can receive a Medicare rebate if your GP/Psychiatrist has provided you with a “Mental Health Treatment Plan” and a referral to see a psychologist prior to your first counselling session.  Under the government-approved Better Access initiative, eligible clients are entitled to a partial rebate through Medicare for a maximum of 10 counselling sessions for psychological treatment per calendar year.  The rebate you will receive through Medicare for each counselling session is about half of the fee.

Online Medicare Rebate Claims:

The easiest way to claim online is via your MyGov account

You can also find more information on the Medicare website


Can I claim the Medicare rebate for my Online counselling session?

In some cases Yes, however, there are conditions that apply:

However, unfortunately, Medicare does not recognise Online Appointments as a claimable service to everyone at this time.

You Can claim the rebate if:
If you are in a remote area of Australia – this is explained on the Medicare website under telehealth: http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-ba-telehealth

To check if you qualify with the locator click the link below & use the “Modified Monash Model”: (Zones 4-7 are eligible to claim the rebate for online appointments):  

https://www.health.gov.au/resources/apps-and-tools/health-workforce-locator/health-workforce-locator

OR

Vulnerable/isolated patients are those where at least one of the following apply:
(a) the person has been diagnosed with COVID-19 virus but who is not a patient of a hospital; or
(b) the person has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee (AHPPC); or
(c) the person is considered more susceptible to the COVID-19 virus being a person who is:

  • at least 70 years of age; or
  • at least 50 years of age and is indigenous to Australia; or
  • is pregnant; or
  • is a parent of a child under 12 months; or
  • is already under treatment for a chronic health condition or is immune-compromised; or

(d) the person meets the current national triage protocol criteria for suspected COVID-19 infection.

Please talk to your GP first if you need more information on the above criteria.