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Does Medicare cover Physio?

26/7/2023

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​While we would love for the government to invest more in Australian’s musculoskeletal health, currently the only way to see a Physiotherapist using Medicare is if your GP has referred you under a Chronic Disease Management Plan – formally and still commonly called an Enhanced Primary Care Plan or EPC for short.
​
​What’s an EPC?
An EPC (or Chronic Disease Management Plan) is a plan created by your GP for their patients who suffer from a chronic or terminal medical condition to see other medical providers – such as physiotherapists!
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Am I eligible to get an EPC?
A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions, and stroke. There is no list of eligible conditions, so it is up to the clinical judgement of your GP and the general guidelines set out in the Medicare Benefits Schedule. 


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