Eligible patients with a chronic or complex condition can access up to 5 Medicare-subsidised physiotherapy sessions per calendar year under a Chronic Disease Management (CDM) plan — also known as an Enhanced Primary Care (EPC) plan — arranged by your GP.
A Chronic Disease Management (CDM) plan — previously called an Enhanced Primary Care (EPC) plan — is a GP-arranged care plan that lets patients with a chronic condition access up to 5 Allied Health sessions per calendar year, with a partial Medicare rebate on each. Your GP decides whether you’re eligible and which Allied Health services to include on the plan.
Chronic low back pain, osteoarthritis, rheumatoid arthritis and other musculoskeletal conditions present for 3+ months.
Diabetes, COPD, cardiovascular disease and other chronic conditions where physiotherapy helps manage symptoms and maintain function.
Exercise programs for osteoporosis and low bone density — building strength and balance to reduce fracture risk.
Chronic neurological conditions such as Parkinson’s disease, stroke recovery and multiple sclerosis managed over the long term.
Thrive Functional Health is a NIB First Choice Provider, meaning NIB extras members may receive reduced or no gap on top of their Medicare CDM rebate. If you’re a NIB member, ask us to check your extras cover before your first appointment — you may pay less than you expect.
Tell your GP you’d like a Chronic Disease Management (CDM) plan with physiotherapy included. They’ll assess your eligibility and write the plan — it usually takes a single GP appointment.
Contact us with your CDM plan in hand. We’ll confirm the Medicare billing details and book your first appointment. No additional paperwork needed.
Your physiotherapist will assess your condition, set goals aligned to your plan and use all 5 sessions to drive meaningful progress. A summary goes back to your GP when your plan concludes.
Eligibility is determined by your GP. Generally, you need a chronic or complex condition requiring care from multiple providers. Common qualifying conditions include chronic pain, diabetes, COPD and cardiovascular disease. Your GP will assess this at your CDM planning appointment.
Medicare subsidises a portion of the session fee under a CDM plan. The current rebate is approximately $58 per session. Any gap between our fee and the rebate is payable by you. NIB extras members may also contribute, potentially reducing your gap further.
Your 5 CDM sessions can be used at any time within the calendar year (January–December). Most patients spread them across the year for ongoing management. Your physiotherapist will help you plan how to use them most effectively.
Once your 5 Medicare-subsidised sessions are used, you can continue as a private-paying patient. Many patients combine Medicare sessions with private-health extras rebates to reduce their ongoing out-of-pocket cost. We’ll help you understand your options.
Bring your GP CDM/EPC referral and we’ll get you booked. We’ll also check your private health extras to minimise your gap before your first appointment.
Medicare CDM/EPC · NIB First Choice Provider · Parramatta, NSW
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