Private Health & Medicare Claims
Private Health Insurance
You can claim your Osteopathic treatment on Private Health Insurance where ‘extras or axillary’ cover a portion of treatment cost. Medicare does not cover Osteopathic treatment unless you are under a Chronic Disease Management plan (formerly known as Enhanced Primary Care ECP) organised by your General Practitioner.
For fast claims on-the-spot we offer you the convenience of HICAPS (Health Industry Claims and Payments Service).
Chronic Disease Management (CDM) Plan
The Chronic Disease Management plan (formerly known as Enhanced Primary Care) is an addition to the Medicare scheme which allows eligible patients with chronic conditions up to five allied health services such as Osteopathy per year. This may include conditions like arthritis, repetitive strain injuries (e.g. tennis elbow), neck related headaches, chronic low back pain, muscular pain etc. It is up to your GP’s discretion as to whether you are eligible to participate in this program. If you wish to choose a CDM plan, you will need to organize this with your General Practitioner prior to your first Osteopathic consultation. Standard Osteopathic consultation rate still applies. You will be able to claim back $48.95 from Medicare and therefore only a gap fee is the expense to you.
For further information about CDM plans, please see the Australian Government Dept of Health & Aging factsheet on Chronic Disease Management (CDM) Medicare Items.
Workcover & Veterans Affairs
Osteopathic treatment is claimable under Workcover or Veterans Affairs. You must be able to provide details of your Workcover claim number and details for your case and the name of the contact person you were given from the insurer.
Patients who are covered by the Department of Veterans Affairs must first obtain a referral from their General Practitioner made out to the Osteopath.
For more details please see WorkSafe Victoria's information on Medical and rehabilitiation expenses.