FAQ

All our exercise physiologists are registered with Medicare. To make a claim through Medicare, you will need a specific referral from your doctor under Medicare’s Chronic Disease Management (CDM) initiative. Medicare claims are processed at the time of your appointment via a HICAPS terminal. Payment for the appointment is required upfront using EFTPOS, credit card, or cash, and rebates are returned directly to your EFTPOS card. Please note that the rebate from Medicare Australia may take up to one business day to appear in your account.

Formally known as Enhanced Primary Care or EPC, the CDM programme links you with allied health professionals such as exercise physiologists, dieticians, and podiatrists to provide a multidisciplinary, team-based approach to your health care.  The Australian government recognises the
importance of lifestyle changes such as physical activity and exercise in the management of chronic health conditions and provides Medicare rebates towards the costs of these consultations.

If you are diagnosed with a condition that have lasted for 6 months or more, you may be eligible to participate in Medicare’s Chronic Disease Management (CDM) initiative and be referred to an Exercise Physiologist. Chronic conditions may include, but are not limited to:

• Arthritis
• Asthma
• Anxiety or Depression
• Diabetes
• Cancer
• Stroke
• High blood pressure or cholesterol
• Metabolic Syndrome
• Heart Disease
• Neurological Conditions such as Stroke, Parkinson’s Disease or Multiple Sclerosis

Yes, you may be able to claim a rebate for exercise physiology services under certain circumstances.
If you have a chronic medical condition that is managed by your GP and referred to an exercise physiologist as part of your treatment plan, you may be eligible for a Medicare rebate for up to five sessions per calendar year.

The Medicare rebate for exercise physiology services under the Chronic Disease Management Programme is currently $58.30 per session for up to five sessions per calendar year, and 17.50 for group service for the management of type 2 diabetes.

Yes, many private health insurance policies provide cover for exercise physiology services, either as a standalone service or as part of a broader allied health benefit. The level of cover and amount of rebate will vary depending on your policy.

To claim a rebate for exercise physiology services, you will need to provide your exercise physiologist with your Medicare or private health insurance details. The exercise physiologist can then process the claim on your behalf with the HICAPS machine.

Yes, there are a number of government schemes and programs that provide rebates for exercise physiology services, such as the National Disability Insurance Scheme (NDIS) and the Department of Veterans Affairs (DVA). Eligibility for these programs will depend on your individual circumstances.