Medicare EPC

Medicare Rebates Melbourne

As one of Melbourne’s leading Medicare EPC clinics, Northern Spinal & Sports Injury Clinic is conveniently located in Melbourne CBD and Reservoir to help treat any pain you may be having.

Medicare EPC Program

A Medicare EPC rebate is available for a maximum of five services per patient each calendar year.

Patients must have a GP Management Plan and Team Care Arrangement prepared by their GP, or be residents of a residential aged care facility who are managed under a multidisciplinary care plan.
Referrals to allied health providers must be from GPs.
Allied health providers must report back to the referring GP.

Eligible Patients

A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke. There is no list of eligible conditions. However, the CDM items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team. Patients have complex care needs if they need ongoing care from a multidisciplinary team consisting of their GP and at least two other health or care providers.

Referral Validity

A referral is valid for the stated number of services. If all services are not used during the calendar year in which the patient was referred, the unused services can be used in the next calendar year. However, those services will be counted towards the five rebates for allied health services available to the patient during that calendar year. When all referred services have been used, or a referral to a different allied health provider is required, patients need to obtain a new referral.

Payment Procedure – No Out-Of-Pocket Fees

At Northern Spinal we accept the Medicare benefit as full payment and do not charge any out of pocket fees for patients who hold a valid Health care card, Seniors or Pension card.

All patients are required to pay the consultation fee on the day of service and will receive a $52.95 Medicare rebate back within 24 hours. Payment can be made in Cash, EFTPOS, credit card.

The patient is required to have their Medicare Card and an EFTPOS card with a cheque or savings account to allow us to process the rebate.

Rebates cannot be processed on credit cards. Patients with no EFTPOS card will be given a receipt to take to Medicare for rebate.

Book Your Appointment

At Northern Spinal & Sports Injury Clinic we offer the following services under the EPC Plan:

Our practitioners are highly trained, experienced and address the source of your problem, not just the symptoms. Get in touch today to find out if you qualify for a Medicare EPC rebate.

For more information on our Medicare EPC program, or to book an appointment, contact us on (03) 9470 1010. Now Open Sundays 10:00am – 2:00pm.