Medicare
Your child may be eligible for a Medicare rebate if they are accessing Occupational Therapy or Speech Pathology services. You will need to obtain a Medicare Plan from your GP or Paediatrician in order to claim a rebate. Please note that we charge a gap fee, so you will have some out of pocket expenses.
The following is an outline of the Medicare rebates available when receiving either Speech Therapy or Occupational Therapy services:
Occupational Therapy:
CDMP – Chronic Disease Management Plan
5 sessions per calendar year
$53.80 rebate
ASD – Autism Spectrum Disorder Plans
20 sessions (one time use) until 15 years of age
$75.95 rebate
Speech Pathology
CDMP – Chronic Disease Management Plan
5 sessions per calendar year
$53.80 rebate
ASD – Autism Spectrum Disorder Plans
There are two separate codes for Speech Pathology services under this plan:
Diagnostic assessment: $75.95/hour rebate
20 sessions (one time use) until 15 years of age: $75.95 rebate
Important to know:
You cannot pay the gap with your private health insurance.
ASD and CDMP plans needs to be shared across allied health providers. i.e. 5 sessions equals 5 in total across OT and Speech Therapy if your child is accessing more than one service at a time. Your GP or Paediatrician will allocate sessions accordingly.