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Chiropractor Bulk Billing

Can Chiropractor Do Bulk Billing?  

medicare
Medicare

Using Medicare card for billing medical services is a privilege for both Australian permanent residents (PR) and Australian citizens. People with bridging visa that is a transitional visa before getting PR visa can also receive free medical treatment. General practitioner (GP) consultation, diagnostic imaging such as x-rays, ultrasound, computed tomography (CT) scans, some specific medicine are covered by Medicare.

Patients with musculoskeletal conditions such as neck pain and back pain always consult their GPs and get bulk billing. The most frequent search keyword “Bulk Billing Chiropractor” on Google reflects people concerned about whether allied health professionals like chiropractors can do bulk billing. The answer is definitely “YES”, but it has some requirements.

Chronic Disease Management Plan

Referral Form
Referral Form

Chronic Disease Management (CDM) formerly named Enhanced Primary Care (EPC) is under Medicare Benefits Schedule (MBS). The Eligibility of bulk billing for allied health professional services is determined by whether you have chronic conditions.

A medical condition that has been present for over six months or longer is defined as a chronic disease. Asthma, cardiovascular disease, musculoskeletal conditions and diabetes mellitus are the examples of chronic conditions. These chronic conditions may require two or more health care providers for co-management.

There are a few steps to get your CDM plan. First of all, consult your GP. Your GP will diagnose whether your neck pain, lower back pain or sciatica is a chronic condition based on the onset time and presentation.

Secondly, blood tests, diagnostic imaging and/or other tests may be prescribed for the further confirmation. Finally, if any of the above test results prove your condition is chronic or GP believes that you need multidisplinary health care, you will get the EPC plan.

Validity Of Chronic Disease Management Plan

The CDM plan is valid for 1 year from the date it signs. Eligible patients can use the CDM plan for maximal 5 allied health services per calender year. GP can give you up to 5 visits for allied health services based on your conditions. The unused visits will not accumulate in the next calender year.

Bulk Billing for Chiropractic Treatment

Treatmentclient
Chiropractic Treatment

Some bulk billing chiropractors can do no gap payment with the EPC plan while some chiropractors require small gap payment. For the initial consultation, you need to bring your medicare card and the EPC plan to do the payment. Your chiropractor needs to keep the EPC plan, so that you do not have to bring it for each visit.

Kings Park Chiropractic – Chiropractor Near Me

health insurance
Chiropractor Near Me

Kings Park Chiropractic serves not only Sydney CBD, but also Hills district. If you are not eligible to the CDM plan, you can use your private health funds for chiropractic treatment. With private health funds, GP referrals are not needed.

Kings Park Chiropractic Clinic accepts both private health funds and EPC plan. Health fund rebates can be claimed on the spot with the HICAPS terminal.

The article “All You Need To Know About Chiropractors” has more information about chiropractors and other payment methods.

Service Areas:

Kings Park NSW 2148

Kings Langley NSW 2147

Quakers Hill NSW 2763

Blacktown NSW 2148

Kellyville NSW 2155

Castle Hill NSW 2154

Bella Vista NSW 2153

Rouse Hill NSW 2155

Baulkham Hills NSW 2153

Glenhaven NSW 2156

Dural NSW 2158