Are Medicare Rebates Available for Speech Pathology?
YES. Certain children may be eligible for an Enhanced Primary Care Plan (EPC), also referred to as a Chronic Disease Management Plan (CDMP). This scheme enables your child to utilise a maximum of five sessions per calendar year.
How do I access the EPC/CDMP?
Your General Practitioner (GP) is the one responsible for creating the plan and supplying the necessary documentation. You must schedule a meeting with your GP and inform them that your child either requires or is already receiving services from a speech pathologist, as well as which other Allied Health Professional your child is seeing.
How does the EPC/CDMP work?
If you are currently a S.P.E.E.C.H. client, you can forward a copy of the paperwork to us by email at email@example.com or bring it with you to your next appointment. If you are new and have not booked an appointment yet, please contact us to schedule an evaluation for your child. You may bring the paperwork to your initial session or email it to us beforehand. You will be charged the regular fee for the assessment or therapy session, and we will provide you with a receipt that includes the necessary Medicare information for you to submit a claim to Medicare. An EPC/CDMP offers up to five reimbursed sessions per calendar year, with a current rebate of $56.00 as of April 2023.
The most convenient way to claim your Medicare refund is by logging into your Mygov app
Please keep in mind that this does not entitle you to free speech pathology sessions. This is a Medicare-rebated service. We do not offer bulk-billing at our clinic.