How can you access the Medicare program?
Your GP must refer you under the Medicare Chronic Disease Management Scheme. They will determine if you are eligible for Chronic Disease Management items and associated allied health items. It is essentially a matter for the GP to determine, using their clinical judgement and taking into account both the eligibility criteria and the general guidance.
How many services are available through the program?
Medicare benefits are available for up to five allied health services per eligible patient, per calendar year. Services are bulk billed under the scheme, however out calls will incur a small gap fee.
Chronic Disease conditions and Exercise Physiology
The following conditions can be referred to an Accredited Exercise Physiologist registered with medicare
Cardiopulmonary – Myocardial Infarction, Coronary Artery Disease, Peripheral Vascular Disease, Hypertension, Chronic Obstructive Pulmonary Disease, Asthma
Metabolic – Obesity, Diabetes, Dyslipidaemias, Impaired Glucose Tolerance
Musculoskeletal – Osteoarthritis, Osteoporosis, Back Pain, Fibromyalgia
Neural – Motor Neuron Disease, Stroke, Spinal Cord Injury, Parkinson’s Disease, Multiple Sclerosis
If you believe you may qualify for team care arrangements (TCA) and would benefit from exercise physiology, it is best to discuss your eligibility with your general practitioner.