Physical therapy may be covered by Medicare as long as it is a chronic and complex musculoskeletal condition that requires specific treatment under. In short, yes, physical therapy is covered by Medicare. However, there are certain criteria you must meet to be eligible. Physical therapy may be covered by Medicare as long as it is a chronic and complex musculoskeletal condition that requires specific treatment under the CDM.
You will need to have what is considered a chronic medical condition. A chronic medical condition is a problem or condition that you have had for more than six months (this will need to be diagnosed by your family doctor). Medicare benefits for physical therapy are available if you have a chronic condition or complex care needs. It can be accessed through a Chronic Disease Management (CDM) plan, formerly known as Enhanced Primary Care or EPC.
Medicare doesn't cover physical therapy unless you have a Chronic Disease Control Plan (formerly Enhanced Primary Care Plan or EPC) provided to you by your doctor. If you need to change or cancel your appointment, please respect our time and let us know at least 24 hours in advance. Missed or canceled appointments will be charged in full if notified less than 24 hours in advance. Below is a basic breakdown (please note that your appointment may differ from this one, be sure to talk to your physical therapist).
Yes, you can get a Medicare reimbursement for physical therapy through the EPC Program. Physical therapy is also provided in private offices and Medicare covers it with a referral to a general practitioner or a referral to a doctor. Claiming Medicare benefits for your physical therapist is usually a simple process if you meet the above criteria. As long as your family doctor believes you have a chronic and complex condition, has completed the necessary chronic disease management plan paperwork, and has designated Melbourne Sports Physiotherapy as your physical therapy provider, you shouldn't have any concerns.
As part of the CDM structure, your physical therapist will write 2 letters to communicate the treatment plan and results, in order to achieve the best possible resolution. You can have 2 sessions for a podiatrist and 3 for a physical therapist OR 4 for physical therapy and 1 for osteopathy, OR 3 for a dietitian and 2 for an exercise physiologist, etc. Physical therapy can be part of a multidisciplinary team tailored to solve your musculoskeletal problems, and there are ways to access Medicare funding for your physiotherapy treatment. At your initial consultation, Melbourne CBD Physio offers in-depth research into your chronic condition, how it is affecting daily function, and what physical therapy can achieve for you.
This deficit payment depends on your level of additional coverage and the amount of physical therapy you used per calendar year. Medicare, your physical therapy clinic, the third health professional who participates in TCA, and yourself. Here's what to do after confirming that you have a chronic, complex condition that requires physical therapy. Therefore, to apply for Medicare benefits for physical therapy, you will need to follow the CDM guidelines.
Chronic disease management plans are a way for people to receive affordable, collaborative health care from a variety of health professionals, such as physical therapy.
