Funding
Medicare
Your child will be eligible for a Medicare rebate when first accessing Speech Pathology services. You can obtain a Medicare Plan from your GP or Paediatrician prior to your first session in order to claim the rebate. Please note that the rebate does not always cover the entire cost of the session, and you may have some ‘out of pocket’ expenses.
The following is an outline of some other Medicare rebates available when receiving Speech Therapy services:
CDMP – Chronic Disease Management Plan
(formerly known as Enhanced Primary Care (EPC))
The Chronic Disease Management scheme is initiated by your General Practitioner and available to children and adults with Chronic Care needs. People with Autism are automatically eligible for the CDM because an Autism Spectrum Disorder is a chronic condition.
The Medicare rebate is available for 5 sessions of Allied Health therapy, including Speech Pathology and Occupational Therapy, per calendar year.
Please note that CDM plans are ONLY allowed to be used for Individual Therapy sessions.
Helping Children With Autism Medicare Rebates 0-13yrs
In July 2008 the Federal Government introduced the Helping Children With Autism (H.C.W.A) Initiative. Under this initiative, it is now possible for families to claim rebates from Medicare for Assessment and Treatment for Children with Autism Spectrum Disorders, providing a referral has been made by a Paediatrician.
The paediatrician can allocate up to 4 sessions for assessment for which rebates are available up until the child turns 13 years of age.
Funding under the NDIS
NDIS is a national funding scheme for the disability sector in Australia. NDIS offers an information and referral service to any Australian with any level of disability, including access to specialist disability support services.
If eligible for NDIS, your child will receive funding on an annual basis to buy the services and aids your child needs to achieve your goals and achieve optimal independence.
You can decide whether to manage the funds yourself (‘Self-managed’), ask an independent agency to manage the funds for you (‘Plan Managed’) or you can ask the NDIS to manage these funds for you (‘NDIA managed’)
Talk2 Speech Pathology Services are able to accept families who are currently receiving NDIS funding, and are either Plan Managed or Self-Managed.
For more information visit the NDIS website at http://www.ndis.gov.au/families-carers
Private Health Insurance
Talk2 Speech Pathology Services allows you to claim through your private health extras.
Depending on your private health fund, you may be eligible for a private health rebate for your Speech Pathology sessions. In order to claim a rebate, you can present your receipt to your private health fund and they will organise the rebate to your nominated account.
Your eligibility for a rebate and amount will depend on your specific health coverage. Private health rebates 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 with your private health fund.
Talk2 Speech Pathology Services Pricing Scheme
Please contact us via email at [email protected]
or phone 0400 646 562
and we can email you our pricing schedule.