The Gymea Lily Psychotherapy Centre accepts cash, cheque, as well as Eftpos, Visa and Mastercard. Clients are free to pay directly before or after each session, or an invoice can be sent out if this is what they prefer.

Netbanking has also become a popular option for many of our clients. For more information, see below.

If you have private health insurance that covers psychological treatment, we can offer you instant rebates after your session, without having to wait in lines. Click here for more HICAPS information.

More and more clients are wanting to pay us electronically and we have agreed upon the following procedure to hopefully work well for all parties involved.

Should you have an appointment booked with your therapist on a regular basis it is important that the money is actually credited to the Gymea Lily account the working day before your appointment.

We suggest that you e-mail us at mail@gymealily.org with a copy of your transaction record to show that the payment has been made. We also advise just in case electronic equipment breaks down to bring with you a printed copy of the transaction record so that your therapist can issue you a receipt for the session and the money received.

Commonwealth Engadine
Account name: Gymea Lily Psychotherapy Centre
BSB number: 062 164
Account number: 10348694

PSYCHOLOGY MEDICARE ITEMS

The Medicare scheme allows all Australians to have access to effective psychological treatments from experienced health professionals. Below are some further details.

Who do I have to be referred by?

Clients must be referred by a GP, psychiatrist or paediatrician.

Who is eligible for the Medicare rebate?

Any person with a mental disorder (excluding dementia, delirium, tobacco use disorder and mental retardation) who is being managed by a GP under a GP Mental Health Care Plan or a psychiatrist assessment and management plan. They may also be referred directly by a psychiatrist or paediatrician from an eligible Medicare Benefits Schedule (MBS) service. It is recommended that you speak to your referrer to ensure that you are eligible for the rebate (NB: this is separate and in addition to your EPC Plan/5 sessions).

Your GP needs to bill an Item 2710 (first six sessions), 2712 (six to 12 sessions), 2713 (12 to 18 sessions in exceptional circumstances) to get the new rebates.

What sort of services will be provided to me?

Any Focused Psychological Strategy (FPS), including: psychoeducation, cognitive-behavioural therapy, relaxation strategies, skills training (e.g. problem-solving, anger management) and interpersonal therapy (especially for depression).

How many sessions am I allowed?

Clients are allowed up to 12 individual sessions in one calendar year. These sessions are provided in two sets of six, with the need for the second set to be reviewed by the referring medical practitioner. There are also 12 group sessions allowed per calendar year. If your GP deems that exceptional circumstances apply, you can receive up to 18 sessions per calendar year.

What is my psychologist required to do?

Psychologists must provide a written report to the referring medical practitioner following every six services and on completion of the treatment.

It is also important to note that your psychologist must have a Health Insurance Commission (HIC) provider number.

Multiple consultations on same day

· If there is more than one consultation with the same client on the same day by the same psychologist, the time of each consultation should be stated on the account/receipt.

· The second consultation must not be a continuation of the initial consultation.

· There should be a reasonable lapse of time between each consultation.

Services for Patients who have a Chronic Condition and Complex Care Needs

· A chronic medical condition is one that has been present for at least 6 months.

· A patient is considered to have complex care needs if they require ongoing care from a multi-disciplinary team consisting of their GP and at least 2 other health care providers.

· Patients are considered to be under an EPC plan if during the last 2 years their GP has put in place a GP Management plan and Team Care Arrangements, or has reviewed their existing EPC plan.

· Before a Medicare Rebate can be paid for a psychological service, the patient must have already claimed a rebate for the relevant EPC planning item/s, or the GP must have lodged a direct bill (bulk billing) claim with Medicare.

Exceptional Circumstances

· Defined as a significant change in the patient’s clinical condition or care circumstances which make it appropriate and necessary to increase the maximum number of services.

· It is up to the referring practitioner to determine whether the patient meets the requirements.

· If so, a new referral should be provided and invoices from psychologists should state that exceptional circumstances apply.

Autism or other Pervasive Developmental Disorder

Must be referred by consultant psychiatrist or paediatrician
Children must be under 13 years of age at time of assessment
Report to be written at conclusion of assessment sessions
Report to be written at completion of each course of treatment (up to 10 treatment services)

From 01 January 2007

Eligible Patients	Treatment Type	No. of services per patient per calendar year	Allied Health professionals eligible to provide services
Patients who have a chronic medical / psychological condition and complex care needs	Enhanced Primary Care Plan (EPC)	Up to 5 individual services	Clinical Psychologist Psychologist Social Worker
Patients with an assessed mental disorder	Psychological Therapy Services	Up to 12 individual services AND up to 12 group therapy *Up to 18 under “exceptional circumstances”	Clinical Psychologist Psychologist
Women who are concerned about either a current pregnancy or one that occurred in the previous 12 months	Pregnancy Support Counselling Services	Up to 3 services per pregnancy (not per calendar year)	Clinical Psychologist Psychologist Social Worker
Children under 13 years of age	Pervasive Developmental Disorder Assessment and Treatment	Up to 4 sessions for assessment Up to 20 sessions for treatment	Clinical Psychologist Psychologist

DETAILS OF APPLICABLE REBATES:

MBS Item Number	Service Type	Practitioner Type	Service Length	Rebate	No. Sessions Per Year
80000	Individual	Clinical Psychologist	>30 <50 minutes	$78.40	12
80010	Individual	Clinical Psychologist	50+ minutes	$115.05	12
80015	Individual – place other than rooms	Clinical Psychologist	50+ minutes	$134.60	12
80020	Group (6-10 people)	Clinical Psychologist	60+ minutes	$29.20 per person	12
80100	Individual	Psychologist	>30 <50 minutes	$55.55	12
80110	Individual	Psychologist	50+ minutes	$78.40	12
80115	Individual – place other than rooms	Psychologist	50+ minutes	$98.40	12
80120	Group (6-10 people)	Psychologist	60+ minutes	$20.00 per person	12
81000	Pregnancy Support Counselling	Clinical / Psychologist	50+ minutes	$57.50	3

82000	PDD Assessment	Clinical / Psychologist	50+ minutes	$78.40	4
82015	PDD Treatment	Clinical / Psychologist	30+ minutes	$78.40	20
10956 (EPC Plan)	Mental Health Service	Clinical / Psychologist	20+ minutes	$48.95	5
10968 (EPC Plan)	Psychological Service	Clinical / Psychologist	20+ minutes	$48.95	5

MEDICAL PRACTITIONER
GROUP A20 - GP MENTAL HEALTH CARE
SUBGROUP 1 - GP MENTAL HEALTH CARE PLANS
2710	PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) of a GP MENTAL HEALTH CARE PLAN for a patient (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within twelve months of a previous claim for the same item, within twelve months of a claim for a former 3 Step Mental Health Process (items 2574, 2575, 2577, 2578 and 2704, 2705, 2707, 2708) or within three months following a claim for item 2712, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Mental Health Care Plan. (See para A.40 of explanatory notes to this Category) Fee: $153.30 Benefit: 75% = $115.00 100% = $153.30
2712	Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to REVIEW a GP MENTAL HEALTH CARE PLAN prepared by that medical practitioner (or an associated medical practitioner) to which item 2710 applies or to REVIEW a PSYCHIATRIST ASSESSMENT AND MANAGEMENT PLAN to which item 291 applies (not being a service associated with a service to which items 2713 or 734 to 779 apply). A rebate will not be paid within three months of a previous claim for the same item or within four weeks following a claim for item 2710, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new review of a GP Mental Health Care Plan. (See para A.40 of explanatory notes to this Category) Fee: $102.20 Benefit: 75% = $76.65 100% = $102.20
2713	Professional ATTENDANCE by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) involving taking relevant history, identifying presenting problem(s), providing treatment, advice and/or referral for other services or treatments and documenting the outcomes of the consultation, on a patient in relation to a mental disorder and lasting at least 20 minutes (not being a service associated with a service to which items 2710 or 2712 apply). SURGERY CONSULTATION (Professional attendance at consulting rooms) (See para A.40 of explanatory notes to this Category) Fee: $67.45 Benefit: 100% = $67.45

Some private health funds offer rebates for psychological service; it is strongly recommended that you check this with your provider.

Medicare and Payment Information

Multiple consultations on same day

Services for Patients who have a Chronic Condition and Complex Care Needs

Exceptional Circumstances