Can Medicare Provide Bulk Billing for Chiropractor Appointments?
Medicare can bulk bill the cost of Chiropractic Care
Frequently we are asked "Does Medicare cover the cost for Chiropractic?"
As part of your Medicare coverage you may be entitled to up to five medicare bulk billed chiropractor visits per calendar year. This can be organised by your GP through a Chronic Disease Management Plan (CDM)
Are you Eligible?
You are eligible if you have a chronic condition and hold a current Medicare card. You will need to first consult your GP about your specific chronic condition and discuss with them your eligibility for Chiropractic care under a CDM plan. You may then receive up to 5 visits bulk billed per calendar year (1-5 visits is up to the discretion of your GP)
Is the consult fully bulk billed?
Depending on the Chiropractic clinic you visit you may be required to pay a gap payment towards your Chiropractic consult. At My Spine Chiropractic, new patient appointments using a CDM Medicare plan will require a gap payment of $39.00 and regular/follow up appointments have a gap payment of $11.00
Do I have a chronic condition?
A chronic condition may be defined as a condition that has been present for 6 months or longer, conditions that have recently started may be a flare up of an underlying chronic condition. The most common chronic conditions are:
- Low back pain
- Headaches or Migraines
- Scoliosis
- Neck pain
- Shoulder pain
- Nerve pain
- Bulging or Prolapsed Disc injuries
- Degenerative conditions including Arthritis
- TMJ (jaw) issues
What to do Next
- Make an appointment at your GP
- See if you are eligible for a CDM plan
- Once approved, book an appointment with us
- Bring your referral form with you to your Chiropractic appointment
