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Medicare and Payment Information[Payment Options] [HICAPS] [Netbanking] [Medicare Information] 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. The account number of the Gymea Lily Psychotherapy Centre is Commonwealth Engadine 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). 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). 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. Psychologists must provide a written report to the referring medical
practitioner following every six services and on completion of the treatment.
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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 |
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) |
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) |
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) |
Some private health funds offer rebates for psychological service; it is strongly recommended that you check this with your provider.