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Medicare and Bulk Billing Physio

Atlas Physio is happy to provide bulk billed service to clients under the Chronic Disease Management program, formerly known as Enhanced Primary Care. CDM and EPC referrals for physiotherapy are written by your doctor, and entitle you to a number of medicare-subsidised appointments every year. 

You have five medicare-subsidised appointments that you may bulk bill in a calendar year, and these appointments may be distributed between different allied health professions, or all used for one specialty like Physiotherapy, Podiatry, or Speech Pathology. CDM / EPC plans enable GPs to plan and coordinate the health care of patients with chronic medical conditions, including patients who require team-based care from a GP and other healthcare providers.

Receiving EPC physio treatment as a bulk billing client is different to receiving treatment as a private client, so take note of the following:

1. You will need a referral.

To receive medicare subsidy for your appointment, you will need a medical referral. Your GP is responsible for writing and planning your referral. It is important to have this ready when you meet your therapist - it's how we bill for our services. If you do not have a referral, you have two options:

 - You can reschedule your appointment until such time as you or your doctor can provide a current referral for physio treatment. 

 - You can access physiotherapy at standard rate. You will then receive a receipt for your appointment, which may be used to claim a reimbursement.

A sample EPC referral form is available here - feel free to present this to your GP for review and completion.

2. Medicare referrals require assessment and reporting. 

As part of receiving subsidised physiotherapy treatment, Atlas Physio is obliged to conduct ongoing reassessment of your progress, and provide reports of your progress to the relevant authorities and individuals when requested as well as at regular intervals. This means that details of your treatment and your response to it will need to be submitted. Atlas Physio will take every measure to respect your privacy and minimise exposure of your information. For more information, you can refer to our consent and privacy documentation. 

3. Subsidised treatment rates are different to standard rates. 

The schedule of fees published by Medicare specifies the maximum amount paid for in an appointment. Atlas Physio WILL NOT charge you more than this rate for a standard consultation. You will still be liable for gym memberships, equipment purchases, and any out-of-clinic expenses. If you are a new patient, your first appointment will be an initial assessment at normal duration and cost. For more information on appointments and appointment fees, you can refer to our fees and charges.

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