How to see a Dietician or Physio through Medicare.

In Australia, the Medicare referral system allows individuals to access subsidised healthcare services, including visits to Physiotherapists and Dieticians. Here’s how it works:

  1. Eligibility: To be eligible for a Medicare referral to see a Physiotherapist or Dietician, you generally need to have a couple of chronic or complex medical conditions that requires ongoing care. These may include conditions like diabetes, heart disease, arthritis, low back pain, anxiety or other chronic conditions. Your primary healthcare provider, usually your General Practitioner (GP), will determine if you meet the eligibility criteria.
  2. GP Assessment: If your GP believes that you would benefit from the services of a Physiotherapist or Dietician, they will assess your condition and create a care plan. This care plan outlines the healthcare services you need and how they will be delivered.
  3. Referral: Your GP will provide you with a referral that outlines the specific services you require, such as Physiotherapy or Dietetics. This referral is important as it allows you to claim Medicare rebates for these services. Your GP may allow a Medicare subsidy for up to five allied health practitioner appointments per year.
  4. Choosing a Healthcare Provider: With your referral in hand, you can choose a qualified Physiotherapist or Dietician. It’s essential to select a healthcare provider who participates in the Medicare program such as Destiny Health, which means that Medicare will cover a significant portion of the cost.
  5. Service Delivery: When you visit the Physiotherapist or Dietician, they will work with you to address your condition based on the care plan provided by your GP. These services aim to improve your health and well-being, manage your chronic condition/s, and enhance your quality of life.
  6. Medicare Rebates: After your consultation with the Physiotherapist or Dietician, you can claim a Medicare rebate for the services you received. The amount of the rebate will depend on the specific service provided, and Medicare will pay a portion of your initial cost back to you.
Your GP will decide if you qualify for a Medicare referral to allied health.
They may allocate up to 5 subsidised sessions per year.

It’s important to note that while Medicare can provide some financial assistance, it will not cover the entire cost of the services, meaning you will have out-of-pocket expenses. The Medicare referral system is designed to make healthcare services more accessible for those with chronic or complex medical conditions and to encourage preventive care.

Please keep in mind that healthcare policies and regulations can change, so it’s a good idea to check with your GP or the Department of Health in Australia for the most up-to-date information on the Medicare referral system.