Question 1

Chronic Condition Management Plans

Accepted Answer

This is a comprehensive document that sets out and enables evidence-based management of your chronic health and care needs. A chronic condition is deemed to be one that you have, or will have, for more than 6 months. This plan can last a life time, with regular reviews (every 3 months) of your progress against the plan, and it is directly billed to Medicare. The most common chronic conditions are: diabetes, asthma, emphysema, coronary heart disease, cancer of any type, osteoporosis and arthritis.
 
The plan involves you meeting with your regular GP, to discuss your medical condition and work with you to set tasks, to help you meet any goals listed. The doctor will want to see you every 3 months to review the outcomes and discuss any issues you have about the plan.

Question 2

Access to Allied Health

Accepted Answer

The following groups of allied health professionals are eligible to provide services under Medicare for patients with a chronic condition and complex care needs and must be registered with Medicare Australia. Some of these are: Aboriginal Health Workers, Audiologists, Chiropractors, Osteopaths, Podiatrists, Diabetes Educators, Dietitians, Exercise Physiologists, Mental Health Workers, Occupational Therapists, Physiotherapists, Psychologists, Speech Pathologists.
 
If you wish to seek Medicare rebates for allied health services, you will need to have a Referral form for chronic condition allied health (individual) services under Medicare signed by your GP. If there is any doubt about your eligibility, a staff member can contact Medicare Australia to confirm the number of allied health services already claimed by you during the calendar year.
 
Medicare benefits are available for up to 5 allied health services per eligible patient, per calendar year.

Question 3

Mental Health Plan

Accepted Answer

The GP Mental Health Treatment Plans are for patients suffering from anxiety, stress or depression who would benefit from a structured approach to the management of their treatment needs. Many people suffer from stresses in their lives that significantly interfere with their thinking, behaviour, socialisation and emotions.
 
The treatment plan involves a discussion between your doctor and you regarding assessment, your needs, goals and actions, referrals and required treatment/services, and review date.   You or your doctor might suggest a referral to any of the following services; a psychiatrist; clinical psychologist, an appropriately trained GP or allied mental health professional for further management of your disorder.
 
Medicare benefits are available for up to 10 – 20 mental health services per eligible patient, per calendar year, to help with the cost of attending these health professionals.

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Chronic Condition Information