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Medicare mental health care plan

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11 replies to this topic

#1 tel2

Posted 06 August 2013 - 01:09 PM


Am thinking about getting this mental health care plan for DS so we can access some Medicare rebated OT sessions.

Does anyone use this plan to access OT ? If so, what is the Medicare rebate for each session ?


Edited by tel2, 06 August 2013 - 01:11 PM.

#2 Mumma3

Posted 06 August 2013 - 07:07 PM

I get pretty confused about all these plans, but I think for OT you are better getting the enhanced primary health care plan (it may have a new name). It gives about $50 back for each of 5 visits to a provider. There needs to be 2 types of therapy on the plan, though.
Best to chat to your GP about which plan you need, and when you book your appointment, let them know you are seeking a plan, as some GPs prefer a double appointment to do it.

#3 tel2

Posted 06 August 2013 - 08:01 PM

Thanks for your reply....we have already used up our enhanced primary care plan and just recently found out he mental healthcare plan offer OT sessions subsidised by Medicare. Might call Medicare tomorrow about it.

#4 José

Posted 06 August 2013 - 08:12 PM

I thought the mental health care plan was for psychology.  Sounds like a call to medicare is a good idea

#5 peppaandgeorge

Posted 06 August 2013 - 08:40 PM

Hi Tel,
You can get a Mental Health Care plan for OT. Our OT gave me a brochure titled something like 'Occupational Therapy in Mental Health'. She said that not all GPs are aware you can actually use a mental health care plan to access OT, hence the brochure to take to our GP if we needed it. She was also happy to write a letter in support. As it turned out, we decided to do a Mental Health Care plan for L to subsidise some sessions with her psychologist.  But it can be done.

Hope this helps.

#6 luke's mummu

Posted 06 August 2013 - 08:44 PM

My OT said some GP's will write a mental health plan. If you telll the GP the OT is for things like concentration, self-esteem, anxiety issues you may have more luck than if  you tell the GP OT is for fine motor control or muscle strengthening (for example). Hope that makes sense.

#7 baby*girl

Posted 06 August 2013 - 08:51 PM

Yes we use MHP for all three children, for anxiety due to ASD.  

The OT does a lot of self regulation and transition work with the children for those sessions.  I am over the safety net so get the majority of the sessions back.

#8 evez

Posted 07 August 2013 - 09:42 AM

Hi tel2,
The Medicare rebate for OT is $74.80 and you have 10 sessions per calendar year.
I have never had any trouble with my GP to write the Mental Health Plan.
If you reached a Medicare Safety Net you will get even more back. You probably know that.
I've been using my DD's Mental Plan to see a psychologist but next year all of the sessions will go towards OT.
Good luck!

#9 Ellipses

Posted 07 August 2013 - 10:05 AM

You can actually get 10 individual and 10 group sessions with an OT/psych through the Mental Health Plan. We use the group session for a social skills group run by an OT as well as individual sessions. I think the group session rebate is about $20, but for us that covers half the cost of the social skills group.

#10 ~chiquita~

Posted 09 August 2013 - 07:28 PM

View Postevez, on 07 August 2013 - 09:42 AM, said:

Hi tel2,
The Medicare rebate for OT is $74.80 and you have 10 sessions per calendar year.
I have never had any trouble with my GP to write the Mental Health Plan.
This is correct.

#11 tel2

Posted 09 August 2013 - 09:21 PM

Evez - WOW the rebate is $75 for OT on the mental health care plan...that's great...I was expecting the usual $50...wow what a suprise :smile:

#12 alwayshappy

Posted 12 August 2013 - 04:55 PM

This is really good to know.  I've heard otherwise from the clinic where my son is about to start seeing an OT.  The reception lady said that the mental health care plan could NOT be used for the OT - my GP said it could!  From what I could understand when I researched, it may be that some OT's have special mental health training that enables them to have a provider number that is approved with Medicare for use with a mental health care plan.  Does that sound correct to those who are using this funding?

Edited to add: My son's OT cannot claim on a mental health care plan.  She does require specialist training in order to be able to provide that service under medicare guidelines.  She does not yet have that further training, and therefore, cannot provide the subsidised service.

Edited by alwayshappy, 19 August 2013 - 11:23 AM.

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