Speech Pathology Rebates2022-06-27T08:11:43+08:00
Rebates for Medicare Chronic Disease Management Plan (EPC / 10970)2022-06-27T08:09:40+08:00

The Chronic Disease Management Plan (formerly EPC) can provide access for eligible clients to a Medicare rebate for speech pathology services.  Your GP must assess you for your eligibility and provide a written referral on the CDM proforma. This can provide a partial fee rebate for up to 5 allied health visits per 12 month period.

Note that this provides a partial rebate for your speech session of $55.10 (mid 2021). Clients will need to pay our full fee at the time of their therapy session and we will process the rebate via Medicare, refunded to the client’s nominated account.

We do not bulk bill, and there will still be an out of pocket expense for you when using the Chronic Disease Management Plan.

Further information can be found on the government website at: https://www1.health.gov.au/internet/main/publishing.nsf/Content/Chronic+Disease+Allied+Health+Individual+Services

Rebates for Private Health Insurance2022-06-19T09:56:30+08:00

Generally, speech pathology is covered as an “extra” on your private health insurance. In order to find out your “out-of-pocket costs”, you will need to check with your health insurance provider, quoting the appropriate code from the table below. Your rebate will depend on the type of cover you have and the extra benefits that it provides.

CODE DESCRIPTION ABBREVIATION
310 Initial individual consultation/assessment: up to 45 minutes INITIAL TO 45 MINS
320 Initial individual consultation/assessment: 46 – 90 minutes INITIAL 46 – 90 MINS
330 Initial individual consultation/assessment: over 90 minutes INITIAL OVER 90 MINS
340 Subsequent individual consultation/assessment/treatment: up to 45 minutes SUBS TO 45 MINS
350 Subsequent individual consultation/assessment/treatment: 46 – 90 minutes SUBS 46 – 90 MINS
360 Subsequent individual consultation/assessment/treatment: over 90 minutes SUBS OVER 90 MINS
380 Group treatment 46 – 90 minutes GROUP 46 – 90 MINS
390 Group treatment over 90 minutes GROUP OVER 90 MINS
Rebates for Agency-Managed NDIS Clients2022-06-18T14:59:04+08:00

If you are an NDIS participant and have funding allocated to your Daily Living budget, you can use this for Speech Therapy if it is aligned to your NDIS goals.

Perth Adult Speech Pathology are fully registered with NDIS and will be able to invoice the NDIA for your services with no cost to the client.

Typically our services would commence with an assessment (up to 3x 90 minute assessment sessions) and a report which would detail your goals, difficulties, therapy plans and act as a benchmark for future assessments. We would then set up ongoing therapy for you aligned to your plan and therapy goals.

Rebates for Plan-Managed NDIS Clients2022-06-18T14:58:29+08:00

If you are an NDIS participant and have funding allocated to your Daily Living budget, you can use this for Speech Therapy if it is aligned to your NDIS goals.

Perth Adult Speech Pathology are fully registered with NDIS and will be able to invoice your plan manager for your services with no cost to the client.

Typically our services would commence with an assessment (up to 3x 90 minute assessment sessions) and a report which would detail your goals, difficulties, therapy plans and act as a benchmark for future assessments. We would then set up ongoing therapy for you aligned to your plan and therapy goals.

Rebates for Self-Managed NDIS Clients2022-06-30T12:22:41+08:00

If you are an NDIS participant and have funding allocated to your Daily Living budget, you can use this for Speech Therapy if it is aligned to your NDIS goals.

For self managed clients, you have the flexibility to determine how and where you spend your budget. We invoice our services to your credit card and you can claim the fee back from NDIS.

Typically our services would commence with an assessment (up to 3x 90 minute assessment sessions) and a report which would detail your goals, difficulties, therapy plans and act as a benchmark for future assessments. We would then set up ongoing therapy for you aligned to your plan and therapy goals.

Some great information on self management and payment for self managed participants can be found on the NDIS website here: https://www.ndis.gov.au/media/1004/download

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