Medicare – Chronic Disease Management
Below you will find information for patients who may be eligible to receive assistants from Medicare that assists in the funding of exercise physiology services.
Chronic Disease Management Program (CDM) formerly known as Enhanced Primary Care (EPC)
Chronic Disease Management Program
If you have a chronic medical condition you may get Medicare benefits for allied health services to help manage your condition.
Our Accredited Exercise Physiologists specialise in the delivery of exercise & lifestyle modification programs for people with chronic conditions. The Chronic Disease Management (CDM) program which was formerly known as (Enhanced Primary Care – EPC) is designed to provide specialised individual treatment services to patients who have a chronic medical condition and complex care needs.
The Enhanced Primary Care (EPC) program was originally introduced to provide more preventative care for Australians and improve the coordination of care for people with chronic conditions and complex care needs. The program provides a framework for a multidisciplinary approach to health care.
A ‘chronic’ disease is defined as one that has been or is likely to be present for 6 months or longer. Seventy percent of general practice visits are related to chronic disease. These include a range of commonly preventable health conditions.
Physical inactivity is the second largest contributor towards chronic disease and illness, the first contributor being smoking. The minimum recommended amount of moderate physical activity per week is 150 minutes. Sixty-five percent of patients undertake less than this minimum recommendation.
Examples of Chronic Diseases include:
- Diabetes and Pre-Diabetes
- Heart Disease
- Chronic Obstructive Pulmonary Disease (COPD)
- Low Back Pain
- Poly-Cystic Ovarian Syndrome (PCOS)
- Chronic Fatigue Syndrome
- Cardiovascular Disease
- Musculoskeletal Injury
- Chronic Fatigue
- Back, Neck, Shoulder, Knee Pain
- Occupational Injuries
- Respiratory Diseaseand more…
You can learn more about other chronic conditions here
If you can relate to any of the listed chronic diseases, you can approach your doctor with the forms provided below to discuss being put on a Chronic Disease Management Plan. On the plan your doctor will discuss with your allied health professionals that will collaborate with your GP, to best care for your chronic disease.
For example, if someone had depression, their plan may include the GP, a psychologist and an Exercise Physiologist. As another example, if a patient had diabetes, their plan may include the GP, a dietitian and an Exercise Physiologist.
Getting a referral from your GP. How it works?
To be eligible to receive the rebate through Medicare you need a referral to an Exercise Physiologist from your GP (under item number: 10953). Eligible patients are able to claim up to five (5) Medicare rebates for their CDM plan treatment per calendar year.
We provide a convenient and professional exercise physiology treatment and will continue to consult with your GP over the course of the program. Upon completion of the CDM Program patients can choose whether they would like to pay privately (health fund rebates available) for further Exercise Physiology assisted sessions or to go about achieving their lifestyle goals independently. We also offer on-going personal training sessions or have the option of our group personal training sessions.
If you believe you qualify for a Chronic Disease Management Plan (CDM) and would benefit from Moonee Valley Health and Fitness’s Mobile Exercise Physiology Services please discuss your eligibility with your general practitioner. You may also print out the required forms below and take them to your GP.
Medicare Rebates. How much can you claim through Medicare?
The Medicare Rebate for patients referred by their GP under the Chronic Disease Management (CDM) is $52.95 per consultation. Medicare rebates are only available for patients referred under a CDM Plan by their GP.
The Exercise Program consists of five 45 minute sessions spread over multiple weeks, for more details call (03)9996-0790 of fill out our online enquiry form below.
Consultation Fee per each of the 5 sessions
Initial Assessment: $88.00 (Claim $52.95)
Standard Training Session: $80.00
After Medicare Rebates – out of pocket expenses.
Initial Assessment: $35.05 (Claim $52.95)
Standard Training Session: $27.05 (Claim $52.95)
* There is a choice of either home visits or our personal training studio visits. Our personal training studio is the suggested venue for your consultations, but home visits can be arranged in some situations. Clients must be on an Enhanced Primary Care Plan to receive a Medicare Rebate.
How do I get started?
What you first need to do is speak to your local GP about whether you qualify for a CDM plan and then get a referral from your doctor.
Moonee Valley Health and Fitness Exercise Physiology Services is proud to collaborate with general practitioners in the delivery of high quality allied health services to their patients all throughout Melbourne, VIC. We offer a safe and innovative service that specialises in the delivery of exercise, lifestyle and behaviour modification programs at our fully equipped studio as well as the patients place of residence.
The following forms need to be taken to and completed by your doctor. You then bring these completed forms with you to the first exercise session. A Medicare Rebate can only be received when these forms have been brought along with you to the first exercise session.
Rebates also available from most Private Health Funds.
Rebates available from Department of Veterans Affairs (DVA).
Medicare Rebates are available
Exercise Physiology in Melbourne with an accredited exercise physiologist (AEP). Accreditation as an exercise physiologist is the mark of an experienced and qualified health professional who knows exactly how to help treat clients that suffer from a range of conditions.
Our experienced and skillful Exercise Physiologists at Moonee Valley Health and Fitness achieve the best results possible for our clients by adopting a holistic approach to rehabilitation. Your exercise physiologist will combine clinical exercise prescription with appropriate lifestyle advice to help you regain your quality of life and have you back doing the things you love.
We assist you to achieve and sustain positive health and lifestyle changes through specialist exercise interventions. Our team of Accredited Exercise Physiologists specialise in delivering structured and personalised exercise sessions. The aims of our interventions are to prevent acute or manage subacute or chronic disease or injury, and assist in restoring your optimal physical function, health or wellness.
YES, you can benefit from seeing an Exercise Physiologist
Exercise Physiologist Melbourne
- Moonee Valley Health and Fitness – Exercise Physiology
- Call: (03)9996-0790
- Email: firstname.lastname@example.org
- Fax: 03 8692 6715