Medicare Referral

 

Exercise Physiology under Medicare

ACTIVATE Health Bulk Bills ALL Medicare related REFERRALS

  • Chronic Disease Management
  • Type 2 Diabetes Program
  • Aboriginal and Torres straight island Islander Health Plan

Chronic Disease Management Care Plans

The Chronic Disease Management (CDM) program is an initiative of Medicare Australia, designed to support individuals with the management of a chronic disease and/or a musculoskeletal injury. The CDM enables a multidisciplinary approach to the treatment of chronic diseases and injuries, to enable long-term resolution of the individual’s condition.

A “chronic medical condition” is a medical condition or injury which has been experienced, or is likely to be experienced, for 6 months or longer (as defined by Medicare Australia for the purposes of the CDM program). The following medical conditions represent those typically covered under the CDM program (but are not limited to):

  • Weight loss/ weight managements
  • Osteoporosis and osteoarthritis
  • Falls risk and balance training
  • Cancer
  • Cardiovascular disease
  • Diabetes mellitus (Type 2 diabetes)
  • Musculoskeletal conditions
  • Stroke

Upon a referral from your GP, you will have access to the services of an ACTIVATE Health Exercise Physiologist for up to five (5) visits. In these sessions, our Exercise Physiologists will assess your individual needs, and then tailor an exercise and lifestyle modification program to assist you. Within your exercise sessions, you will experience one-to-one supervision under the care of our Exercise Physiologists, where you will undertake an exercise routine that has been specifically designed to improve your medical condition or injury.

Under the supervision of one of our Exercise Physiologists, you will learn practical strategies and tools to enhance your health and wellbeing through a targeted exercise program. Exercise is the BEST medicine because it has been shown to improve outcomes for ALL medical and lifestyle diseases.


Type 2 Diabetes Group Allied Health Program (Bulk billed with ACTIVATE HEALTH)

Patients with type 2 Diabetes are eligible for a Group Allied Health Referral which consists of the following Medicare subsidised services:

  • 1 Initial Individual Assessment and Consultation (45 minutes)
  • Eligibility and outcome report sent to GP
  • 8 Group Exercise Physiology sessions: Suitable groups are allocated based on client ability to ensure maximal and enjoyable participation. Group sessions can include Hydrotherapy, Mobility Classes (gentle and seated exercise), Seniors, Mens, and Ladies exercise classes.

These services are in addition to the yearly 5 sessions subsidized by Medicare for the above Chronic disease management program.


Aboriginal and Torres Strait Islander Care Plans

For the purpose of this item, a person is an Aboriginal or Torres Strait Islander person if they, or their parent or carer, identify them as being of Aboriginal or Torres Strait Islander descent.

  • GP completes a health assessment and claims item 715
  • Helping the GP – GPs determine if they need a practice nurse, Aboriginal health worker or Aboriginal and Torres Strait Islander health practitioner to help collect information
  • Up to 10 follow up services for item 10987 can be provided, per calendaryear, by a practice nurse or Aboriginal and Torres Strait Islander health practitioner on behalf of GPs
  • GPs can refer patients for up to 5 follow up allied health services in total per calendar year, if identified in the health assessment.