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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 gymealily@optusnet.com.au 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 St George Bank, SUTHERLAND 1) New Better Access to Mental Health Care Rebates (12 sessions): NEW PSYCHOLOGY MEDICARE ITEMS The new 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? Who is eligible for the
Medicare rebate? What sort of services will be
provided? How many sessions am I allowed? What is my psychologist/social
worker required to do? It is also important to note that your psychologist/social worker must have a Health Insurance Commission (HIC) provider number. From 01 November 2006 Details of Applicable Rebates:
2) Enhanced Primary Care Plans (5 sessions): People with chronic conditions and complex care needs who are being managed through an Enhanced Primary Care (EPC) multidisciplinary care plan may be eligible for up to 5 allied health services per year on referral from their GP. This is referred to as Item 10968 - services provided by a Psychologist (the rebate is only $44 per session). Is it necessary for the GP to use the EPC
Plan referral form? How do patients get a rebate for these
services? What about patients with private health
insurance cover?
Patients cannot use their private health insurance ancillary cover to "top up" the Medicare rebate. It is important for patients to check with their health fund which ancillary services are covered and what their out of pocket expenses are likely to be. How do I find out more about EPC care
planning? Some basic information about the EPC program is provided below. The Australian Psychological Society has released some further details concerning the benefits for clients undergoing psychological sessions; more information can be found HERE. What is the Enhanced Primary Care Program? There are 28 EPC items on the Medicare Benefits Schedule (MBS). These items cover:
The case conference is a tool for coordinating care across a multidisciplinary team. It is used by team members to identify and discuss the care needs and goals of patients with chronic or complex conditions Those who stand to benefit most from the case-conference approach include patients who:
Healthcare workers other than GPs may initiate case conferences. GPs and private physicians are renumerated for their roles, but community and allied health professionals are not. Some private health funds offer rebates for psychological service; it is strongly recommended that you check this with your provider.
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