Funding Your Health Care
Chronic Disease Management Plan
The government’s Medicare Chronic Disease Management Plan, formerly known as an Enhanced Primary Care Plan, or EPC), is an initiative allowing participants to access Allied Health services to help manage their chronic illnesses with the assistance of a government rebate. The Atkins Health team is registered to provide Medicare Chronic Disease Management Plan services to individuals suffering from chronic illnesses, allowing you to benefit from exercise physiology and physiotherapy treatment, or a mix of the two, for a total of five sessions within one calendar year, with a Medicare rebate of $60.35 per session.
How can you get a Medicare Chronic Disease Management Plan?
Plans are issued to assist individuals suffering from a chronic injury or a health condition that is not currently being managed effectively. Such injuries or health conditions need to be ‘chronic’, defined as having persisted for three months or longer in order to qualify. Such conditions may include but are not limited to: arthritis, musculoskeletal conditions (examples include knee, back, neck and shoulder issues), asthma, cancer, cardiovascular disease, diabetes, high blood pressure, mental health issues, obesity and stroke.
To undergo sessions with Atkins Health under a Medicare Chronic Disease Management Plan, you will first need to get a referral (10953) from your General Practitioner (GP). When you book an appointment with us, let us know that you have, or will be obtaining, a referral for the plan and bring this along to your first session. Once Atkins Health have been provided with the referral document, we can then process your Medicare rebate for each session.
If you do not use all five your sessions within one calendar year, remaining sessions will carry over into the following year. However, the number of remaining sessions that get carried over will be deducted from the following year’s allowance, should you obtain a new CDM plan from your GP. For example, if you only use three sessions in one calendar year, you can still obtain Medicare rebates for two more sessions in the following calendar year, but still within 12 months of the plan being issued. If you then wish to continue treatment under the Medicare Chronic Disease Management Plan, you will need to obtain another assessment and referral from your GP, and the maximum sessions you can be approved for for that second year, is three.
To get started, simply book a visit with your GP and if you qualify for a Medicare Chronic Disease Management Plan, ask your GP to make the referral to Atkins Health. You can have your GP email this through to our admin team or simply bring in a copy of your referral with you to your initial consultation.
Private Health Cover
For clients who have private health cover, we are approved to offer services under HICAPS codes as displayed below, including for exercise physiology group classes. Depending on your private health cover provider, these codes are usually included in the extras cover section of your policy. Please verify with your private health fund to confirm your cover for these service codes.
| Code | Service | Full description |
| 102 | Exercise Physiology | Initial session – once only per course of treatment > 45 min |
| 202 | Exercise Physiology | Standard consultation 30 – 60 minutes |
| 302 | Exercise Physiology | Extended consultation > 60 minutes |
| 402 | Exercise Physiology | Standard consultation requiring travel |
| 502 | Exercise Physiology | Group session 60 minutes (maximum of 8 people) |
| 500 | Physiotherapy | Assessment consultation |
| 505 | Physiotherapy | Subsequent consultation |
| 506 | Physiotherapy | Long subsequent consult (2 areas) |
| 105 | Remedial Massage | Consultation over 30 minutes |
| 205 | Remedial Massage | Consultation up to 30 minutes |
Referrals
For clients with an underlying condition who would like to book a consultation with Atkins Health, simply visit your GP to discuss your needs and request a referral to be made to Atkins Health. Clients with a referral pay a full consultation fee and receive an on-the-spot rebate – all you need to bring to your consultation is your Medicare Card and bank debit card.
Private Paying Clients
Atkins Health provides services to private paying clients without the need of a referral. Services for private paying clients cover an broad range of services, from athletes looking to increase performance, through to personal training and weight management. Don’t forget to check out our membership plans which offer great value.
National Disability Insurance Scheme
Here at Atkins Health, we pride ourselves on being one of the best Allied Health National Disability Insurance Scheme, or NDIS service providers Gold Coast has to offer, delivering NDIS disability services across all of our Gold Coast clinics, in addition to home visits and online consultations. We provide our clients with a holistic approach to their healthcare through a mix of exercise physiology, physiotherapy, remedial massage therapy and personal training, assisting our clients to improve their health, mobility issues and fitness. Atkins Health’s team has extensive experience across a range of conditions, including neurological disorders such as Parkinson’s Disease and Multiple Sclerosis, both of which we operate specially tailored fitness classes for, each week. Learn more about Atkins Health group classes.
Please advise at the time of booking if you qualify for NDIS support services so that we can organise the necessary documentation prior to your first consultation. After your initial assessment, we will liaise with you regarding your treatment plan. Atkins Health sessions are designed to offer incredible value and achieve what it is that you have been looking for, RESULTS. All fees are priced in line with the NDIS disability services pricing guidelines.
Department of Veterans’ Affairs
Need help navigating plans and fees?
Drop us a line and a member of our experienced team will be glad to assist you in understanding the myriad of plans and options.
Late Notice Fees
To ensure we have the appropriate resources to help our customers in a timely manner we manage our schedules carefully and ask that you notify us by phone or by leaving us a message if you are unable to make an appointment.
Should you need to reschedule an appointment, we require at least 24 hours’ notice. If you do not attend an appointment, you will incur a charge equivalent to consultation fee amount. We understand that things happen and get in the way of scheduled appointments, and we do take extenuating circumstances into consideration.
If you have any questions, call our exercise physiology Gold Coast team on 07-3177-7779 or contact us online.
