After seeing your psychologist, he or she may suggest that you consult your GP in order to ascertain whether you are eligible for what is known as a ‘Mental Health Care Plan’ under the Medicare ‘Better Access Initiative’ (i.e. your doctor must first assess that you require the services of a psychologist). If your GP places you under this plan then you will be entitled to a rebate from Medicare for 10 sessions per calendar year. The rebate generally covers at least approximately half of the cost of a session.
The Better Access initiative covers disorders that significantly impact on a person’s emotions, thoughts, social skills and decision-making. Types include:
- Alcohol use disorder
- Anxiety disorders
- Adjustment disorder
- Attention deficit disorder
- Bereavement disorder
- Bipolar disorder
- Conduct disorder
- Co-occurring anxiety and depression
- Drug use disorder
- Eating disorders
- Obsessive compulsive disorder
- Panic disorder
- Phobic disorder
- Post-traumatic stress disorder
- Sexual disorders
You will need to pay for any charges in excess of the Medicare rebate (i.e. ‘the gap’) for services under this scheme. However, these out-of-pocket expenses will count towards the Medicare Safety Net. The Medicare Safety Net is designed to protect high users of health services from large out-of-pocket expenses. You can find more information on the Medicare Safety Net here.
Private Health Claims
If you have private health insurance then you might be entitled to a rebate. Each fund is different so it is worth checking with your fund to see what your entitlements are – the applicable Item numbers are ‘100’ (initial consultation) and ‘200’ (subsequent consultation)). Regarding confidentially, your treatment details are sent directly to your health fund through the HICAPS system and can only be viewed by your provider and your health fund, utilising secure encryption protocol which fully protects your privacy.
Speed Of Refund
For your convenience, we can process your Medicare claims (via Medicare Easyclaim) and your
private health insurance claims (via HICAPS) on the day of your consultation. Please do not
hesitate to contact one of our friendly receptionists (Suellen, Marilyn, Nicole, Renee, Sabrina or Peter
on 3831 4452) if you need any further information or have booking enquiries.
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):
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 the 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.