WHAT IS AN ENHANCED PRIMARY CARE PLAN?
An EPC (or CDM) referral is a plan on the Medicare Benefits Schedule where GPs are able to plan treatment with other medical providers, including Physiotherapy.
Certain physiotherapy sessions are claimable through Medicare for treatment of a chronic musculoskeletal condition requiring specific treatment under the EPC/CDM Plan.
WHO PROVIDES ME WITH THE EPC PLAN?
Book an appointment with your GP to see if you are eligible. To access a Medicare rebate, you must meet certain criteria, and that is generally centred around ‘chronic’ conditions, meaning something you have had for 6 months, or is likely to present for 6 months. An EPC Plan can be renewed each calendar year, but you will need a new referral from your GP each year to access the rebated consults.
HOW MANY PHYSIO SESSIONS CAN I GET ON A EPC PLAN?
An EPC allows for a total of up to 5 rebated physiotherapy consultations per calendar year (this is dependent upon your referral).
HOW MUCH DO THE APPOINTMENTS COST ON AN EPC PLAN?
In clinic Physiotherapy is not bulk-billing, so there will be a small gap payment on each consult, to be covered by the patient.
EPC Fees (2023)
Consultation: $78.00 (to be paid on the day)
Medicare rebate: $58.00 (rebated on the day with a Medicare card & bank card, with a savings or Cheque account)
Gap Fee: $20.00 (out of pocket cost)
- If you think you may be eligible, book an appointment with your GP to arrange a referral.
- Once you have your EPC Plan, contact us to book a consultation.
- If we get the EPC from your doctor, we will call you to make an appointment
- If you have any specific questions regarding EPC, please don’t hesitate to call us on (07) 3823 2400 or email firstname.lastname@example.org