Insurance & Compensation

Insurance & Compensation

Private health fund

All private health funds give members the option of physiotherapy cover. Health cover for physiotherapy, exercise physiology, massage and myotherapy, dietetics and podiatry vary between health funds – to find out your level of cover you will need to contact your insurer directly. If your policy includes coverage for the services a MPPFG, please bring your private health insurance card to claim your rebate directly from our reception desk. If you are doing Clinical Exercise classes as a part of treatment for an injury you are eligible to claim on your private health insurance. If you are doing Clinical Exercise as part of your normal and general exercise regime, and you are not injured, you are not eligible to claim on your private health insurance.

Medicare – EPC

If you have a chronic problem or condition you may qualify for Medicare benefits under the ‘Enhanced Primary Care’ (renamed Chronic Management Plan’ program. Under this program, you can receive approximately $54* per session back from Medicare for a maximum of 5 allied health services per calendar year – the number of sessions and allied health service allocation is determined by you and your GP. To qualify for these benefits you must obtain a referral from your doctor who needs to complete your care plan before we can bill to Medicare. Please note that medicare referrals in msot cases incur a copay, and some senior/post-graduate physiotherapist require private payment and patients will be rebated by Medicare.

*Medicare scheduled fees are updated usually on an annual basis

TAC

Melbourne Physiotherapy Pilates + Fitness Group is registered to provide services for TAC clients. We do not charge a gap fee for TAC services for standard appointments and Clinical Exercise Classes. Extended consultation lengths if you are not approved as part of your claim may incur a gap fee (please speak with reception for the current fees).

 

WorkSafe

If you have a worksafe claim, MPPFG can bill to the insurer provided your employer medical excess is met, however due to the scheduled fees paid by Worksafe, most standard 1:1 appointments incur a small GAP fee (our receptionist can provide further detail on what services are fully covered). 

 

Veterans’ Affairs

A range of Physiotherapy (including Hydrotherapy) and Exercise Physiology services are offered to “Department of Veterans Affairs” clients. As specified by the DVA fact sheet DVA03: Please note that all DVA patients require current Treatment Cycle Plan by your GP (valid for 12x sessions or 12months, whichever comes first). Please contact reception for further information on TCP, or speak with your GP.

  • “Holders of a GOLD CARD (Repatriation Health Card – For All Conditions within Australia) are entitled to the full range of health care services…aids and appliances to help them to remain in their home”. This includes Physiotherapy and Exercise Physiology for all conditions.
  • “Holders of a WHITE CARD (Repatriation Health Card – For Specific Conditions) are only entitled to be treated at DVA’s expense…..for their accepted service related disabilities or illnesses”. Treatment for all other conditions are at the clients expense.

Please provide your DVA card to reception to record your eligibility details.

 

ComCare

“Comcare” is the Federal Government Workers Compensation program for Federal Government employees and 227 registered self-insured businesses, such as Australia Post, CBA and NAB banks, Telstra and the John Holland Group. “Melbourne Physiotherapy Group” and “Melbourne Pilates and Fitness Group” provide the following services to approved “Comcare” patients:

  • Physiotherapy (including exercise rehabilitation at our Pilates studio)
  • Hydrotherapy
  • Massage.

Exercise Physiology is not covered by the “Comcare” scheme. New Comcare patients will need to bring their employer details to their first appointment.