Do I need a referral?
Referrals are welcome but are not essential for private patients. If you are a WorkCover, Veterans Affairs or Medicare Chronic Disease Management (EPC) patient, then you will need a referral.
Do you have HICAPS at Physio for Life?
Yes we do have HICAPS on the spot claiming.
Will I get a rebate for my Physio consultation?
If you have private health insurance which covers physiotherapy then you will receive a rebate from your health fund. We can claim your rebates on the spot for you through HICAPS. To do so, we will need to swipe your health insurance card, so be sure to bring this with you to every consultation.
Where are you located?
Our clinic is located in the Fitness First Gym at the intersection of Pittwater Road and Warringah Road in Dee Why, just next to Officeworks. Enter through the main entrance of Fitness First and walk up the stairs on your left.
Is there onsite parking?
There is limited 1 and 2 hour free parking on site in the above and underground carparks around Fitness First and Officeworks. Be aware that in peak times, the car park can get busy.
Is the consultation covered by Private Health Insurance?
Provided you have the appropriate level of health cover, you can claim back from your health fund for your consultation.
Can you tell me how much my Health Fund will give back?
We do not know how much your rebate will be, as different funds can provide different rebates. If you need to know what the rebate will be before your consultation, you will need to contact your Health Fund directly to find out from them.
Can I claim with Medicare?
Medicare do not offer rebates on physiotherapy and massage, unless you have a Chronic Disease Management referral. (see Medicare below).
Can I get a rebate from my Health Fund on products such as clinically recommended braces or supports?
Although you may qualify for rebates on certain products with your Health Fund, our HICAPS facility can only process the treatment component of your claim. In this case, you would pay for the product(s) on the day and submit the receipt to your Health Fund to obtain any applicable rebate.
Can I get a rebate on my Orthotics?
You may get a rebate for orthotics, but it depends on your health fund and your level of cover. We always recommend checking with your health fund before ordering orthotics if there is any doubt.
Can I get a rebate for my Massage?
If your extras cover remedial massage and you have not yet reached your limit, you will get a rebate for your massage.
I have reached my limit, when can I use my card again for rebates?
Health Funds work on a calendar year system. You will start with a new annual limit every January 1st.
Is it covered by Medicare?
Medicare will contribute towards treatment for those with chronic medical conditions under the Chronic Disease Management Scheme (CDM). Read below to find out if this applies to you.
What is Chronic Disease Management (formerly EPC)?
Chronic Disease Management was formerly known as Enhanced Primary Care (EPC). The Chronic Disease Programme is a government incentive which allows individuals with a chronic medical illness or condition to receive Medicare rebates for a maximum of five (5) allied health services, such as physiotherapy, each calendar year. A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, musculoskeletal conditions. There is no list of eligible conditions; however, the CDM items are designed for patients who require a structured approach, including those requiring ongoing care from a multidisciplinary team.
Your GP will prepare a CDM plan and refer you to an allied health practitioner (such as Physio for Life – Dee Why) if you qualify for treatment. Whether a patient is eligible for CDM services is a clinical judgement made by the GP, taking into account the patient’s medical condition and care needs, as well as the general guidance set out by Medicare
How much is the Medicare rebate?
The Medicare rebate varies for each individual. Currently for CDM it is $52.95 per service, with out-of-pocket costs counting towards the extended Medicare safety net.
Is there an out of pocket cost to me?
There will be a gap between the full Physio for Life consultation fee you pay and the Medicare rebate you will receive back after your consultation. We are able to process the Medicare rebate on the spot for you, so make sure to bring your card with you to each consultation.
Can I use my Private Health card too?
It is not possible to use both a CDM claim and your private health insurance for the same physio treatment. If you prefer, you may opt to use Private Health Insurance, but then you cannot claim the CDM rebate as well..
What happens if I need more than five physio sessions?
Once you have used your five CDM sessions in a calendar year, you have the option to continue on with treatment (if required), however there will be no Medicare rebate for these treatments.
I am a Workers Compensation patient. What information do I need to bring with me to my first appointment?
If you are a WorkCover patient, we need the following details from you at the time of your initial appointment:
- Your name & address
- Employer’s name & contact details
- Name of Insurer
- Claim No.
- Name & contact details of case manager
- Injury Date
- Referring doctor’s name & contact details
- Letter accepting liability from Insurer
What if I have not received a letter from my Insurer accepting liability?
If you have not yet received confirmation from you insurer that they accept liability for you claim, it is your responsibility to pay all outstanding accounts until this letter is received. You must then seek reimbursement from your insurer for any accounts settled directly by you.
I am a Veterans Affairs patient. What do I need to bring with me to my first appointment?
If you are a veteran’s affairs patient, a doctor’s referral and your DVA card are required at your first appointment.