Medicare and You

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Does your GP provide you with access to all of the associated health care providers with the Medicare system?

Did you know that you can get 5 Medicare subsidised visits per year to health professionals (not FREE)?

For more information have a look at these links: http://www.qvi.org.au/pdf/Chronic%20and%20Complex%20Fact%20Sheet%20-%20Jan%2009.pdf

“Eligible Patients

Patients who have a chronic condition and complex care needs that are being managed by their GP under an Enhanced Primary Care (EPC) plan may be eligible.

A chronic medical condition is one that has been (or is likely to be) present for six months or longer. It includes conditions such as asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke.

Patients have complex care needs if they need ongoing care from a multidisciplinary team consisting of their GP and at least two (2) other health care providers. ”

 

and : http://www.nevdgp.org.au/files/primarycaresupport/enhancedprimarycare/Allied_Health_fact_sheet_1_Jan06.pdf

 

“What about patients with private health insurance cover?

Patients need to decide if they will use Medicare or their private health insurance ancillary cover to pay for these services.

Patients with such insurance can either:

access rebates from Medicare under the allied health items by following the claiming processes; or
see allied health professionals of their choice and claim on their insurance’s ancillary benefits. No referral form is required in this case.

Patients cannot use their private health insurance ancillary cover to ‘top up’ the Medicare rebate.

It is important for patients to check with their health fund which ancillary services are covered and what their out of pocket expenses are likely to be.”

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