Funding types:

We are a private practice that is committed to make Speech Pathology Services accessible for those in need. We are also aware that the local community services waitlist is long. We are able to offer our services straight away while you are on the waitlist. Additionally, if you are accessing community health speech pathology services, we will support you in the midst of your therapy block breaks to help you maintain the continuity of intervention.

You may be eligible for funding to assist with reducing out of pocket speech pathology costs. Here we outline the key funding sources that our clients most commonly access.

Chronic Disease Management Plan (CDM)

This is a GP managed plan that provides a Medicare rebate for allied health services. If you or your child present a condition with a minimum of six months, requiring speech services, you may be eligible for a Chronic Disease Management Plan (CDM).

HOW TO GET:

1. Visit your GP for a consult

2. Get your GP to fill in this form and your GP will decide if you will be eligible for this service.

HOW MANY SESSIONS WILL GET REBATED:

A maximum of 5 total rebates per calendar year for all allied health services. e.g If you are see a speech pathologist and an occupational therapist. You are still entitled to 5 rebates for both services combined, not 5 rebates for each health professional.

HOW OFTEN CAN I USE MY CDM:

ANYTIME. Some of our clients use it towards the end of the year to get 5 sessions rebated, so that they can re-apply in January for another block of 5 Medicare rebates as rebates are issued once per calendar year. This will create a 10-week block of speech therapy for the child.

My GP has referred my child to your clinic. Help!:
1. Provide us with your referral form.

2. Clinician will send a letter to your GP along with your child's assessment results and plan of intervention.

3.You will be eligible to claim your 5 rebated sessions per calendar-year, provided that your GP has registered your plan through Medicare.

4. After 5 sessions, we will notify your GP you have used up your rebates.

National Disability Insurance Scheme (NDIS)

The NDIS is a Federal Government funding scheme to assist individuals aged 65-years and under diagnosed with a disability or chronic health conditions.

Currently, Enhance Speech Pathology only accept
1. Plan managed or Self- managed

How to apply for NDIS:

To be eligible for funding, you must be assessed.

Below is a list of requirements, your child must:

Must be a PR or an Australian citizen
Live in a NDIS designated state
Usually require a person/equipment to support getting everyday things done due to an impairment or permanent condition. E.g.
– understand and be understood by other people
– social or emotional difficulties
– understanding, remember and learn new things
NDIS early intervention requirements:

have an impairment or condition that is likely to be permanent (lifelong); or
be a child under 6 with a developmental delay and the delay means you usually need more help with your self-care, communication, learning or motor skills than another child of the same age.

Useful links:

NDIS Access Checklist: https://www.ndis.gov.au/ndis-access-checklist

NDIS Contact Number: 1800 800 110

Health Insurance & Private Health Cover

Private Speech Pathology Services is covered under many health fund plans. Check with your health insurance to see if your of plan entitles you to a rebate.

You will see these codes if you are covered:

320 is the item number for a Speech Pathology Assessment.
340 is the item number for a Speech Pathology therapy consultation.

I have an insurance but I dont have speech services covered:

Speak to your insurance company to add into your cover,

this can take up to 8 weeks to come into effect. In the meantime, you may be eligible for a Medicare rebate for five sessions with a GP Chronic Disease Management Plan (CDM).
My insurance company asked to remove Medicare numbers from the invoices:
All receipts are issued with Medicare and health fund codes for clients to process their claims.

However, if your health fund (Bupa & Teachers Health) is requires these, please let us know so we can make ammendments

My health fund says you’re not registered?
All our speech pathologists are registered as providers for health fund rebates with Australian health funds. However, sometimes errors happen when a new health fund commence/ registration requirements may change without our knowledge. If you do find that we aren’t registered, please contact us. It usually only takes a phone call for us to re-register our providers allowing you to access the rebate according to your health cover in your next session.