Question 1

Medicare Better Access  - Rebate: $145.25

Accepted Answer

Out-of-pocket for initial session: $129.75
Out-of-pocket for each subsequent session: $104.75

Medicare item numbers: 80010 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=80010&qt=item&criteria=80010)(in-person), 91167 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=91167&qt=item&criteria=91167)(telehealth video), 91182 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=91182&qt=item&criteria=91182)(phone), 80012 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=80012&qt=item&criteria=80012)(family and carer)
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You can access a rebate per session if you attend your session under a Medicare mental health care plan, that can be obtained from your GP or psychiatrist. At each session, you will need to pay the full session fee upfront. We will then submit a claim to Medicare on your behalf. Following this, Medicare will transfer your rebate directly to your nominated Medicare bank account. Please note that this rebate only applies if you are attending your session while you are physically in Australia. Medicare card holders are currently entitled to 10 sessions of Medicare-subsidised Clinical Psychology sessions per calendar year.

NOTE FOR ADMITTED PATIENTS OF A HOSPITAL: If you are attending your session with me while you are an admitted patient of a hospital, according to Medicare, you will not be allowed to apply a Medicare rebate. Thus, the full session fee will be applied in this instance and Ananta Psychology's cancellation policy (https://www.anantapsychology.com/cancellation-policy)applies (special circumstances exempted).

Question 2

Medicare Non-Directive Pregnancy Support Counselling  - Rebate: $72.55

Accepted Answer

Out-of-pocket for initial session: $202.45
Out-of-pocket for each subsequent session: $177.45

Medicare item numbers: 81000 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=81000&qt=item)(in-person), 93026 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=93026&qt=item)(telehealth video), 93029 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=93029&qt=item)(phone)
 
Individuals who are currently pregnant or have been pregnant in the previous 12 months and are seeking support around pregnancy-related issues can access up to 3 sessions with Shireen under a Non-Directive Pregnancy Support Counselling referral, which can be obtained from your GP. This does not count towards your 10 Medicare Better Access sessions, so you will still have those 10 sessions to use if you need.
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Again, you will need to pay the full session fee upfront. We will then submit a claim to Medicare on your behalf. Following this, Medicare will transfer your rebate directly to your nominated Medicare bank account. Please note that this rebate only applies if you are attending your session while you are physically in Australia.

NOTE FOR ADMITTED PATIENTS OF A HOSPITAL: If you are attending your session with me while you are an admitted patient of a hospital, according to Medicare, you will not be allowed to apply a Medicare rebate. Thus, the full session fee will be applied in this instance and Ananta Psychology's cancellation policy (https://www.anantapsychology.com/cancellation-policy)applies (special circumstances exempted).

Question 3

Medicare Chronic Disease Management Plan -  Rebate: $61.80

Accepted Answer

Out-of-pocket for initial session: $213.20
Out-of-pocket for each subsequent session: $188.20

Medicare item numbers: 10968 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=10968&qt=item)(in-person), 93000 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=93000&qt=item)(telehealth video), 93013 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=93013&qt=item)(phone)
 
The Chronic Disease Management (CDM) Plan was introduced by the Australian Government to further subsidise the cost of treatment through Medicare for people with chronic (i.e., have been, or are likely to be, present for at least 6 months),  or terminal medical conditions. Individuals with complex and chronic mental health conditions being treated under the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule (MBS) (Better Access) initiative or under an Eating Disorder Treatment and Management Plan (EDTMP) are also eligible to receive a service under this plan. Individuals with a CDM referral can access up to 5 rebated sessions with eligible allied health professionals, including psychologists, per calendar year. This does not count towards your 10 Medicare Better Access sessions, so you will still have those 10 sessions to use, in addition to these 5.
 
As above, you will need to pay the full session fee upfront. We will then submit a claim to Medicare on your behalf. Following this, Medicare will transfer your rebate directly to your nominated Medicare bank account. Please note that this rebate only applies if you are attending your session while you are physically in Australia.
 
Please discuss this further with your GP if you believe that you might be eligible for this plan (GP item number: 723)(https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=723)

Question 4

Medicare Eating Disorder Treatment Plan (EDTP) - Rebate: $145.25

Accepted Answer

Out-of-pocket for initial session: $129.75
Out-of-pocket for each subsequent session: $104.75

Medicare item numbers:  82355 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&qt=ItemID&q=82355)(in-person), 93079 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=93079)(telehealth video), 93113 (https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=93113)(phone)

Under this referral type, if eligible, you can receive up to a maximum of 40 Medicare-rebated appointments within a 12 month period, with each EDTP expiring after 12 months from the date of its creation. At each session, you will need to pay the full session fee upfront. We will then submit a claim to Medicare on your behalf. Following this, Medicare will transfer your rebate directly to your nominated Medicare bank account. Please note that this rebate only applies if you are attending your session while you are physically in Australia.

To check if you are eligible, please read the accompanying notes under the Medicare item numbers listed above or refer to the Butterfly Foundation (https://butterfly.org.au/health-professionals/understanding-medicare-eating-disorder-plans-faqs/)or NEDC (https://nedc.com.au/eating-disorder-resources/medicare-items/ed-treatment-and-mangement-plans)websites for further details.

NOTE FOR ADMITTED PATIENTS OF A HOSPITAL: If you are attending your session with me while you are an admitted patient of a hospital, according to Medicare, you will not be allowed to apply a Medicare rebate. Thus, the full session fee will be applied in this instance and Ananta Psychology's cancellation policy (https://www.anantapsychology.com/cancellation-policy)applies (special circumstances exempted).

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