Can my child get Medicare rebates for Speech Pathology?

Some children may be eligible for Medicare rebates through a Chronic Condition Management (CCM) Plan or a Medicare Mental Health (M10) referral. Eligibility is determined by your GP or referring practitioner.

How do I get a Medicare referral for Speech Pathology?

To access Medicare rebates under a CCM plan, you will need to speak with your GP to determine whether your child is eligible and obtain the appropriate referral documentation.

What is a Chronic Condition Management (CCM) Plan?

A CCM Plan is a Medicare initiative that may help people with chronic medical conditions access rebates for allied health services, including Speech Pathology.

What is an M10 referral for Speech Pathology?

An M10 referral is part of the Medicare Mental Health initiative and may allow eligible children to access Speech Pathology services as part of their mental health care.

Does Medicare cover the full cost of Speech Pathology?

No. Medicare rebates contribute towards the cost of services but do not cover the full appointment fee. Any gap payment remains the responsibility of the family.

Do I need a referral to see a Speech Pathologist?

No. Families can access Speech Pathology services privately without a referral. A referral is only required if you wish to claim eligible Medicare rebates.

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Medicare

Some children may be eligible for Medicare rebates to support access to Speech Pathology services.

Chronic Condition Management (CCM)

Children with a chronic medical condition may be eligible for Medicare rebates through a Chronic Condition Management Plan (formerly known as an EPC or CDM referral).

To access Medicare rebates under a CCM plan:

Visit your GP.
Discuss whether your child may be eligible.
Obtain a referral and management plan.
Provide the referral to our team prior to your appointment.

Please note that Medicare rebates generally cover only a portion of the appointment fee.

Medicare Mental Health (M10)

Some children may be referred to Speech Pathology under the Medicare Mental Health initiative (M10) where communication support forms part of their mental health care.

Eligibility and referral requirements are determined by the referring medical practitioner.

If you have received an M10 referral and are unsure how it applies to Speech Pathology services, please contact our team and we will be happy to discuss this with you.

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A Note About Medicare Rebates

Medicare rebates are set by the Australian Government and do not cover the full cost of appointments.

Any gap payment remains the responsibility of the family.

If you are unsure whether your child may be eligible for Medicare-funded services, we recommend speaking with your GP or contacting our team for further information.