Medicare
| Medicare Gaps |
|---|
| Reservoir - Physiotherapy Gaps: Initial $51.70 | Subsequent $36.70 |
| Heidelberg - Physiotherapy Gaps: Initial $51.70 | Subsequent $36.70 |
| Footscray - Physiotherapy Gaps: Initial $51.70 | Subsequent $36.70 |
| Kew - Physiotherapy Gaps: Initial $62 | Subsequent $42 |
| Kew - Podiatry Gaps: Initial $68 | Subsequent $38 | Comprehensive Repeat (long) $67 |
| Heidelberg - Podiatry Gaps: Initial $66 | Subsequent $37 | Comprehensive Repeat (long) $67 |
| Reservoir - Exercise Physiology Gaps: Initial $56.70 | Subsequent $36.70 |
| Heidelberg - Exercise Physiology Gaps: Initial $56.70 | Subsequent $36.70 |
| Footscray - Exercise Physiology Gaps: Initial $56.70 | Subsequent $36.70 |
![]() |
|---|
| Medicare (To check unpaid claims): 13 21 50 #6 |
| EPC Stands for Enhanced Primary Care Plan, and is a referral given by Doctors for those with chronic conditions. |
| Patients can get this EPC referral from their GP's for up to 5 allied health visits per calendar year. The referral is valid for 12 months, after that they will need to get a new referral. |
| Any EPC's that are submitted on Hicaps on a Saturday won't show up on Proda until the following Tuesday. |
| Gaps are normal prices minus the $58 that Medicare pays (search gaps above), and can be offset against any one-on-one appointments (not classes) |
| Upload the care plan to Nookal documents, and note the following in the patient file In Nookal: EPC x5 Provider Number Medicare Number Date of referral |
| Booking In |
|---|
| Follow steps as new patient booking |
| Select Physio Medicare Initial EPC Consultation (40 mins) or Subsequent EPC (20mins) |
| Payer is Medicare |
| Gap for all Physio, Podiatry, Ex Phys appointments are different. It is normal appt price - $58 that medicare covers. |
