FUNDING
NDIS FUNDING
ESP is a registered NDIS provider, for both plan managed and self-managed families.
​
At ESP we see Self Managed and Plan Managed NDIS funded clients and bill in accordance to the NDIS fee schedule.
In order to receive speech pathology services, we require a copy of your child’s NDIS plan before their initial consultation.
Contact Us for more information or visit the NDIS Website.
​
MEDICARE
Your child may be eligible for a Medicare rebate when accessing Essential Speech Pathology services. If so, your GP can provide you with a Chronic Disease Management Plan (CDMP). We are required to have a copy of this form at the first appointment in order for you to claim the rebate.​
​
Please Note: These sessions are not bulk billed. An out of pocket cost is charged, with Medicare providing a subsidised rebate.
The following is an outline of the Medicare rebate available when receiving Speech Pathology services:​
Chronic Disease Management Plan (CDMP) - Medicare Item Number: 10970. Five (5) sessions per calendar year can be shared across all allied health providers - that is, 5 sessions in total can be allocated to services such as Speech Pathology, OT, Physio and Podiatry. As of 1/7/2024, the Medicare rebate for each of the 5 sessions is $60.34.
You can discuss with your GP how you would like to implement your CDMP. You may choose to allocate all 5 rebatable services to 1 allied health provider or spread them across multiple providers (eg, 2 sessions to Speech Pathology, 2 to Physio and 1 to Podiatry).
Rules:
You cannot claim an appointment under both Medicare and Private Health Insurance. If you are using Medicare to claim on a consultation, it is illegal to claim the gap using Private Health Insurance.
PRIVATE HEALTH INSURANCE
Depending on your private health fund and 'extras' cover, you may be eligible for a rebate on your Speech Pathology consultations.
​
Your eligibility for a rebate and the exact rebate amount will vary depending on your specific private health cover. You will need to contact your private health insurance provider to determine if you are covered for Speech Pathology and if an annual limit applies with the service.
If you would like to check exactly how much you will get back for therapy services with your specific private health fund, please contact your health insurance fund directly and quote the following item numbers:
​
​Item 320 – Initial consultation/assessment
Item 350 – 60 minute therapy session
Following your payment, we will provide you with a receipt that will enable you to claim directly with your private health fund to obtain your rebate.