You can receive a Medicare rebate for an osteopathic service if you are a patient in the Chronic Disease Management (CDM) program. The CDM program allows General Practitioners (GPs) to refer patients for up to five (5) allied health professional consultations in a calendar year for patients with chronic or terminal medical conditions or complex care needs.
For CDM services, you must be referred to an osteopath by a GP, who develops a GP Management Plan and Team Care Arrangement for you. It is up to the GP to decide whether you would benefit from osteopathy as part of your CDM plan.
Your GP is responsible for reviewing and revising your overall CDM care plan, even if an osteopath is involved in providing clinical care, advice and support. Your osteopath will provide reports to the GP as part of your management plan.
There is a schedule of CDM fees which sets the maximum amount Medicare will pay an osteopath for services given to you (currently $62.25 as at November 2018). The osteopath may charge more than the scheduled amount, meaning they charge a gap which will need to be paid by you. Please ask your osteopath about any possible gap fee when you make the appointment.
For more information, please visit the Department of Health website.
You may be able to claim a Medicare rebate for some X-rays referred by an osteopath. These include examinations of the:
One or more regions of the spine
When referred for medical imaging, check with the imaging provider about the rebate amount and whether there are any gap fees.