Medicare for Podiatry
Medicare Podiatry Berwick – GP Chronic Condition Management Plans
Eligible patients referred by their GP may receive a Medicare rebate toward their podiatry consultation at Berwick Podiatry Group.
If you have a chronic condition and complex care needs, your GP may determine that podiatry should form part of your GP Chronic Condition Management Plan.
Our podiatrists provide Medicare-referred podiatry from our clinic at 54 Kangan Drive, Berwick VIC 3806.
Please note: Berwick Podiatry Group is a private billing practice. We warmly welcome patients with eligible Medicare podiatry referrals; however, consultations are not bulk billed. The applicable Medicare rebate may be claimed, with the remaining consultation balance payable by the patient.
Can Medicare Cover Podiatry?
Yes. Medicare may provide a rebate toward podiatry for eligible patients with a chronic condition and complex care needs who are being managed under an appropriate chronic condition management arrangement.
Your GP or prescribed medical practitioner determines whether you meet the eligibility requirements and whether podiatry is appropriate as part of your care.
The maximum of five services is shared across eligible allied health services. It does not automatically mean five podiatry visits. Your GP determines which allied health services are appropriate for your care.
GP Chronic Condition Management Plan – What Changed?
The current Medicare terminology is GP Chronic Condition Management Plan.
You may still hear terms such as EPC, Enhanced Primary Care, CDM, Chronic Disease Management Plan, GP Management Plan or Team Care Arrangement.
These terms are still commonly used by patients and healthcare providers, but new chronic condition plans are now generally referred to as GP Chronic Condition Management Plans.
Transitional Medicare arrangements may apply to certain older referrals and care plans. If you are unsure whether your referral is still valid, please contact our reception team and we can review the referral information with you.
Who May Be Eligible for Medicare Podiatry?
Medicare eligibility is determined by your GP or prescribed medical practitioner.
The chronic condition management pathway is intended for patients with an ongoing health condition and complex care needs who may benefit from a coordinated approach to their healthcare.
Chronic Health Condition
The patient has an ongoing health condition requiring structured management.
Complex Care Needs
The patient's healthcare needs may benefit from involvement of multiple health professionals.
Podiatry Is Recommended
The referring practitioner determines that podiatry is appropriate as part of the patient's management plan.
Why Might Your GP Refer You to a Podiatrist?
Podiatry may form part of the management of a range of chronic health conditions where foot health, mobility or lower-limb function requires ongoing care.
Diabetes Foot Care
Assessment of foot health, circulation, sensation and relevant diabetes-related risk factors.
Arthritis
Management of foot pain, pressure and mobility concerns associated with arthritis.
Chronic Foot Pain
Assessment of ongoing foot, heel or lower-limb symptoms.
Reduced Mobility
Assessment of foot-health factors that may be contributing to difficulty walking.
Skin & Nail Concerns
Treatment and management of appropriate ongoing skin, nail, corn and callus concerns.
Footwear & Pressure
Assessment of footwear, pressure areas and relevant foot-health concerns.
Having one of these conditions does not automatically make a patient eligible for Medicare-funded podiatry. Your GP must determine whether the relevant Medicare requirements are met.
How Many Medicare Podiatry Visits Can You Have?
Eligible patients can access up to five individual Medicare-supported allied health services per calendar year under the chronic condition management arrangements.
These services can be shared between different eligible allied health professionals.
For example, a patient's care may include a combination of podiatry, physiotherapy, dietetics or another eligible allied health profession.
The annual service limit resets each calendar year. Any unused services from the previous calendar year are not added to the next year's allocation.
Medicare Podiatry Rebate & Private Billing
The current Medicare rebate for an eligible podiatry service under MBS item 10962 is $63.40.
Berwick Podiatry Group is a private billing practice. We warmly welcome patients with eligible Medicare podiatry referrals; however, consultations are not bulk billed.
Eligible patients may claim the applicable $63.40 Medicare rebate, with the remaining consultation balance payable by the patient.
Berwick Podiatry Group is a private billing practice. Medicare referrals are warmly welcomed; however, consultations are not bulk billed.
Eligible patients may claim the current Medicare rebate of $63.40 for MBS Item 10962, with the remaining consultation balance payable by the patient.
Medicare rebate amounts are set by the Australian Government and may change following future MBS updates.
How to Get a Medicare Podiatry Referral
What to Bring to Your Medicare Podiatry Appointment
To help us process your appointment correctly, please bring the relevant information supplied by your GP.
GP Referral
Bring your current allied health referral from your GP or prescribed medical practitioner.
Medicare Card
Please bring your current Medicare card and relevant patient details.
Relevant Health Information
Bring any information your GP has provided that may assist with your podiatry assessment.
How Long Is a Medicare Podiatry Referral Valid?
Referral validity can depend on when the referral was issued and the timeframe specified by the referring practitioner.
If you are unsure whether your referral is still current, please contact our reception team before your appointment.
Please contact our team and we can review the referral information provided before your appointment.
Communication With Your GP
Medicare chronic condition management involves communication between the podiatrist and the referring GP or prescribed medical practitioner.
Where required under the Medicare arrangements, our podiatrist provides appropriate clinical communication to the referring practitioner.
This may include relevant assessment findings, treatment provided and recommendations for future management.
Medicare Podiatrist in Berwick
Berwick Podiatry Group provides Medicare-referred podiatry in Berwick from our clinic at:
54 Kangan Drive
Berwick VIC 3806
(03) 9707 4007
We welcome patients from Berwick and surrounding suburbs including Beaconsfield, Officer, Pakenham, Narre Warren, Narre Warren South, Endeavour Hills, Hallam, Cranbourne, Clyde and surrounding South East Melbourne areas.
Need Podiatry at Home?
Berwick Podiatry Group also provides home visit podiatry across Melbourne for private, Support at Home, NDIS and other appropriately funded clients.
If attending the Berwick clinic is difficult, contact our team to discuss whether a home visit service may be appropriate for your circumstances.
Other Podiatry Funding Options
Medicare is one of several referral and funding pathways available at Berwick Podiatry Group.
Depending on your circumstances, podiatry services may also be accessed through Support at Home, NDIS, DVA, WorkCover, TAC, private health insurance or privately.
Medicare Podiatry FAQs
How much is the Medicare rebate for podiatry?
The current Medicare rebate for eligible podiatry services under MBS item 10962 is $63.40.
Does Medicare cover podiatry in Berwick?
Eligible patients may receive a Medicare rebate toward podiatry when referred under the applicable chronic condition management arrangements. Berwick Podiatry Group welcomes eligible Medicare podiatry referrals.
How does billing work for Medicare podiatry appointments?
Berwick Podiatry Group is a private billing practice. We warmly welcome patients with eligible Medicare podiatry referrals; however, consultations are not bulk billed. Eligible patients may claim the applicable Medicare rebate, currently $63.40 for MBS item 10962, with the remaining consultation balance payable by the patient.
Is EPC podiatry still available?
The term EPC is still commonly used, but the current Medicare pathway is generally referred to as the GP Chronic Condition Management Plan. Transitional arrangements may apply to certain older referrals.
Can I get five podiatry visits through Medicare?
Eligible patients can access up to five individual Medicare-supported allied health services per calendar year. These services may be shared between different allied health professions, so five podiatry appointments are not automatically guaranteed.
Do unused Medicare podiatry visits roll over?
No. Unused allied health services do not roll over into the following calendar year.
Do I need a GP referral for Medicare podiatry?
Yes. A valid referral from a GP or prescribed medical practitioner is required to claim Medicare benefits under the chronic condition allied health arrangements.
Can I see a podiatrist without a Medicare referral?
Yes. Private patients can generally book directly with a podiatrist without a GP referral. A referral is required when claiming under specific funded pathways such as Medicare.
Book a Medicare Podiatry Appointment in Berwick
Have a GP Chronic Condition Management Plan, Medicare podiatry referral, EPC referral or older CDM referral?
Contact Berwick Podiatry Group and our team can help arrange your appointment and confirm what documentation to bring.
Current Medicare rebate for MBS item 10962: $63.40.
Berwick Podiatry Group is a private billing practice. Medicare referrals are warmly welcomed; however, consultations are not bulk billed and an out-of-pocket balance may apply.