How To Claim An Allied Health Medicare Rebate For Chiropractic Care

By May 26, 2020Treatments

Allied Health Medicare Rebate For Chiropractic CareDid you know you could be eligible for Allied Health Medicare Rebates for up to 5 chiropractic treatments? If you have a chronic musculoskeletal injury and Medicare, your GP can refer you to the Chronic Disease Management plan (CDM) and make this possible.

What is Medicare’s Chronic Disease Management Plan?

Medicare’s CDM plan is a government initiative that allows people with chronic injuries to access medical and allied health services to help with the management of their condition and claim Medicare Rebates. This program was also formerly known as Enhanced Primary Care (EPC).

Do I qualify for Medicare Rebates for Chiropractic?

You can qualify for the CDM program if you have a chronic musculoskeletal condition or injury for 6 months or longer.

How do I get a referral to see a Chiropractor?

To get a referral for chiropractic treatment for your chronic injury, visit your medical doctor to discuss your eligibility for the CDM plan. If approved, you will receive up to 5 chiropractic visits per calendar year with a Medicare Rebate.

What are chronic musculoskeletal injuries?

Musculoskeletal injuries involve your joints and soft tissue like nerves, muscles, tendons, ligaments, and fascia. Some examples of chronic injuries we treat at Active Muscle and Spine are:

  • Sciatica
  • Back pain
  • Neck pain
  • Shoulder pain
  • Osteoarthritis etc.

At Active Muscle and Spine, we are able to treat most forms of musculoskeletal pain. We do this by combining chiropractic treatment with cutting edge soft tissue treatment using Active Release Techniques (ART) and Shock Wave Therapy (SWT) for proven results with chronic pain.

I’m already seeing a Chiropractor and didn’t know about the CDM

If you’re already seeing a Chiropractor for a chronic injury and haven’t consulted a GP, then please visit your medical doctor and see whether you can still qualify for the CDM plan.

How much can I get back from the Allied Health Medicare Rebate?

The Allied Health Medicare rebate is currently set at $53.80 as per the Medicare Benefits Schedule. At Active Muscle and Spine, you will be asked to pay our standard consultation fees and then claim your Medicare Rebate after your visit. This can typically be processed with Medicare online or through a Medicare service centre.

Can I use both Private Health and Medicare Rebates together?

Unfortunately, Private Health benefits and Medicare Rebates cannot be claimed on the same visit. However, if you need more than 5 treatments for your chronic condition within one calendar year, you may be able to claim your Medicare Rebates first and then use your Private Health rebates for any further chiropractic treatments.

How can I book a Chiropractic appointment?

If you already have a Chronic Disease Management Plan referral for our chiropractic clinic, you may book a chiropractic appointment online with us now and bring in your referral on your first visit.

If you have any further queries, please contact us and our friendly staff will be happy to answer your questions.

Dr Mike Badke Chiroractor at Active Muscle and Spine
About the Author
Dr Mike Badke.
Active Muscle and Spine is a premier Chiropractic clinic in the Sydney CBD located on George St, near Wynyard.