05/07/2025
Changes to the Medicare Care Plan system. From July 1st 2025 the Federal Government has implemented changes to the system of Care Plans (also previously known as Chronic Disease Plans, Enhanced Primary Care Plans, Team Care Arrangements and GP Management Plans). Much of the bureaucracy around these plans has been reduced and the eligibility of patients expanded.
At The Elms, attendance for these plans will continue to be Bulk Billed. Review appointments for these plans can be every 3 to 6 months (bulk billed). Attendances for unrelated appointments will continue to attract our usual fees. People already on Care Plans will be transitioned across to the new program and will not notice much change except for the option for more review appointments that are Bulk Billed (previously this was only every 6 months).
To qualify for what are now called Chronic Condition Management Plans, a patient needs to have at least one chronic medical condition lasting at least 6 months (eg. Diabetes, Asthma, Heart Disease, Arthritis, etc) and would benefit from a structured approach to managing their condition. This structured approach may include reviews every 3 to 6 months. The aim behind this is to improve the health of patients by optimising the management of long term conditions. There is strong evidence that people do better with regular long term attendance with one doctor or practice (called “continuity of care”).
Also as part of this structured approach, we may (if needed) refer a patient to allied health professionals for up to 5 visits (that attract Medicare rebates) in a calendar year (eg, Podiatrist, Physiotherapist, Dietitian, etc).
Please discuss with your doctor if you think you may be eligible to be on one of these Bulk Billed plans.