Fees and Rebates
Getting a Referral
Medicare rebates are available for eligible clients with a valid referral, and support attendance both in-person and via telehealth. All our clinicians are able to offer rebates under Medicare according to their qualification. To be valid, a referral needs to be in place before to your first session. Please feel free to fax or email this to us in advance if it is already in place.
To get started you will need to see your GP/Psychiatrist/Paediatrician for an assessment of your eligibility for referral for treatment under one of the following:
Mental Health Care Plan (MHCP)
- You will need to be assessed to meet criteria for diagnosis of one of the disorders listed here.
- A mental health care plan provides up to 10 sessions per calendar year. After your 6th session, you will need to see your referring GP for a re-referral letter, in order to claim the remaining 4 sessions.
Eating Disorder Plan (EDP)
- You will need to be assessed to meet criteria for the diagnosis of an eating disorder as well as additional criteria in some cases. Further information about eligibility for treatment under an EDP is available here
- An EDP provides up to 40 sessions in the 12 months following the development of the plan; EDPs expire after 12 months. You will be referred for a course of 10 sessions at a time. After each course of sessions, you will need to return to your GP for a re-referral letter, in order to attend further sessions.
- In order to access more than 20 sessions under an EDP, you will need to see a Psychiatrist or Paediatrician for a specialist review; this can occur any time between session 1-20. As there can be lengthy wait times to see a specialist, we recommend making an appointment for the specialist review when your EDP is developed.
Tips on Managing Medicare Referrals
- the number of sessions you have been referred for,
- which plan you are being seen under, and
- the condition you are seeking treatment for.
You will need to bring both your doctor’s letter of referral, and a copy of the plan to your first appointment at EBPW.
We typically provide reminders when you are nearing review on your plan. However, your eligibility to claim a rebate under Medicare remains your responsibility. As such, we encourage clients to use the information provided on your receipts to keep a record of your attendance and plan expiry. If you’re uncertain, please don’t hesitate to get in touch.
For anyone electing to attend sessions privately, (i.e. not under Medicare), you will not need to provide a referral to see a clinician.
How to Attend
We offer sessions both in-person and via telehealth where indicated, but encourage in-person attendance where possible. Individual sessions run for 50-55 minutes; initial and extended length sessions run for 80-85 minutes; family sessions run for 60 and 90 minutes respectively.
If you are attending on behalf of a child or young person, it is typical that everyone living in the family home will need to attend.
Flexible Payment Options
Our fees are payable at the time of your session via credit card; you will need to ensure there are sufficient funds available. Those wishing to avoid the card processing fees are able to elect to pay online via EFT. To take up this option and ensure timely payment, payment via EFT is due prior to and must be received in advance of your session.
The cost of sessions will differ depending on which clinician you see and the length and purpose of your appointment. Please talk with our friendly admin staff about current fees.
Please note that we are not a bulk billing practice and there is a gap between the fee and the Medicare or Private Health Fund rebate.
Claiming the Rebate
Once paid in full, and if you are eligible for a rebate, we will submit your rebate to Medicare on your behalf. Once approved, it will be paid directly into your nominated bank account, typically within 48hrs.
Many private health funds offer limited cover for psychological treatment, based on the level of your cover. Please contact your private health fund for further information on the level of support they offer.
However, it is important to be aware clients are not able to claim a rebate from both Medicare and a private health fund for the same session.
How to Cancel
A minimum of 24 hours’ notice is required for cancellations; otherwise, the full fee will apply. This allows us to fill your session time with those waiting and also applies to appointments via telehealth. We typically provide appointment reminders, but attendance and cancellations remain your responsibility.
Please note that Medicare and Private Health Funds do not cover cancellation fees. Appointments and cancellations should be made via telephone or email directly to our admin team.