Fees

Please contact our clinic to speak to our administration team about the fee structure and rebates specific to your child and family needs. Splash Paediatric Therapy is registered under a range of schemes listed below:

NDIS | PRIVATE HEALTH FUNDS | MEDICARE

 
 

National Disability Insurance Scheme (NDIS) 

Splash is a registered NDIS provider, for NDIA managed, plan managed and self-managed families.
Please click the button below to review information you need to know when engaging with Splash using your NDIS funding.

 
 
 
ndis-1024x423 (1).png

The NDIS website also provides useful information for families

 

 

Private Health Funds

Splash Therapy services may be able to be claimed through your private health extras, depending on your level of cover.  

In order to claim a rebate, please be sure to let our administration team know as they will be able to note the relevant details on your receipt, for you to present to your private health fund. Your eligibility for a rebate and amount will depend on your specific level of coverage.

Private health rebate amounts do alter and coverage may be different depending on when you purchased your private health insurance. Coverage also has annual limits that you will need to check individually with your private health fund. If you would like to check exactly how much you will get back for therapy services with your specific private health cover, please contact your fund directly and quote one of the following codes:

  • 100 — Occupational Therapy Initial Consultation

  • 250 – Occupational Therapy session

  • 330 — Speech Therapy Initial Consultation

  • 350 – Speech Therapy session

 
 

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.