Funding Your Health Care

Funding Your Health Care

December 29, 2021 by Lorenzo Pacis0
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Atkins Health sessions are completely designed to give you incredible value and finally achieve what it is you have been looking for, RESULTS. All fees come secondary to this and have been priced at a minimum to enable us to achieve this goal with you. Atkins Health have a range of fee structures applicable to varying circumstances, and below we hope to have explained the funding options, however we understand the plans can get confusing, so feel free to contact us with your questions.

Chronic Disease Management Plan

The government’s Medicare Chronic Disease Management Plan, formerly known as an Enhanced Primary Care Plan, or EPC), is an initiative allowing participants to access Allied Health services to help manage their chronic illnesses with the assistance of a government rebate. The Atkins Health team is registered to provide Medicare Chronic Disease Management Plan services to individuals suffering from chronic illnesses, allowing you to benefit from exercise physiology and physiotherapy treatment, or a mix of the two, for a total of five sessions within one calendar year, with a Medicare rebate of $54.60 per session.

How can you get a Medicare Chronic Disease Management Plan?

Plans are issued to assist individuals suffering from a chronic injury or a health condition that is not currently being managed effectively. Such injuries or health conditions need to be ‘chronic’, defined as having persisted for three months or longer in order to qualify. Such conditions may include but are not limited to: arthritis, musculoskeletal conditions (examples include knee, back, neck and shoulder issues), asthma, cancer, cardiovascular disease, diabetes, high blood pressure, mental health issues, obesity and stroke.

To undergo sessions with Atkins Health under a Medicare Chronic Disease Management Plan, you will first need to get a referral (10953) from your General Practitioner (GP). When you book in for an appointment with us, let us know that you have, or will be obtaining, a referral for the plan and bring this along to your first session. Once Atkins Health have been provided with the referral document, we can then process your Medicare rebate for each session.

If you do not use all five of your sessions within one calendar year, remaining sessions will carry over into the following year. However, the number of remaining sessions that get carried over will be deducted from the following year’s allowance, should you obtain a new CDM plan from your GP. For example, if you only use three sessions in one calendar year, you can still obtain Medicare rebates for two more sessions in the following calendar year, but still within 12 months of the plan being issued. If you then wish to continue treatment under the Medicare Chronic Disease Management Plan, you will need to obtain another assessment and referral from your GP, and the maximum sessions you can be approved for for that second year, is three.

To get started, simply book a visit with your GP and if you qualify for a Medicare Chronic Disease Management Plan, ask your GP to make the referral out to Atkins Health. You can have your GP email this through to our admin team or simply bring in a copy of your referral with you to your initial consultation.

Private Health Cover

For clients who have private health cover, we are approved to offer services under Hicaps codes  as displayed below, including for  exercise physiology group classes. Depending on your private health cover provider, these codes are usually included in the extras cover section of your coverage. Please verify with your private health fund to confirm your coverage for these service codes.

Code Service Full description
102 Exercise Physiology Initial session – once only per course of treatment > 45 min
202 Exercise Physiology Standard consultation 30 – 60 minutes
302 Exercise Physiology Extended consultation > 60 minutes
402 Exercise Physiology Standard consultation requiring travel
502 Exercise Physiology Group session 60 minutes (maximum of 8 people)
500 Physiotherapy Assessment consultation
505 Physiotherapy Subsequent consultation
506 Physiotherapy Long subsequent consult (2 areas)
105 Remedial Massage Consultation over 30 minutes
205 Remedial Massage Consultation up to 30 minutes

Referrals

For clients with an underlying condition who would like to book a consultation with Atkins Health, simply visit your GP to discuss your needs and request a referral to be made out to Atkins Health. Clients with a referral pay a full consult fee and receive an on the spot rebate – all you need to bring with you to your consultation is your Medicare Card and bank debit card.

Private Paying Clients

Atkins Health service private paying clients with no need for a referral. Services for private paying clients cover all manner of concerns, from athletes looking to increase performance through to personal training and weight management. Don’t forget to check out our membership plans to help keep those costs down.

National Disability Insurance Scheme

Here at Atkins Health, we pride ourselves on being one of the best Allied Health National Disability Insurance Scheme, or NDIS service providers Gold Coast has to offer, delivering NDIS disability services across our three Gold Coast clinics, through home visits and online consultations. We provide our clients with a holistic approach to their healthcare through a mix of exercise physiology, physiotherapy and remedial massage therapy, assisting our clients to improve their health, mobility issues and fitness. Atkins Health’s team has ample experience across a range of conditions including neurological disorders such as Parkinson’s Disease and Multiple Sclerosis, both of which we operate specially tailored fitness classes each week. Learn more about Atkins Health group classes.

Please advise at the time of booking if you qualify for NDIS support services so that we can organise the necessary documentation prior to your first consultation. After your initial assessment, we will liaise with you on your treatment plan. Atkins Health sessions are completely designed to give you incredible value and finally achieve what it is you have been looking for, RESULTS. All fees come secondary to this and have been priced in line with the NDIS disability services pricing guidelines.

Department of Veterans’ Affairs

Clients who hold a Department of Veteran Affairs (DVA) Gold or White Card will incur no charge for treatment for DVA sessions. DVA exercise physio clients will require a doctor’s referral (D904 form) prior to receiving treatment.

 

Need help navigating plans and fees?

Drop us a line and a member of our experienced team will be glad to assist you and take the pain out understanding the myriad of plans and options.

Late Notice Fees

As you know, we are a small business so our practitioners time and the costs to run the business are invaluable. In saying this, we do understand that life sometimes gets in the way so all we ask is that you notify us, by either a phone call or leave a message, so that it allows us time to fill your appointment time slot.

If you need to reschedule an appointment, you must provide us with at least 24 hours. If you do not, you will incur a charge of the full consultation fee amount. If you do not attend an appointment, you will incur a charge of the full consultation fee amount. We understand that things happen and get in the way of scheduled appointments, and we do take extenuating circumstances into consideration.

If you have any questions, call our exercise physiology Gold Coast team on 07-3177-7779 or contact us online.


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