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admin@aspirealliedhealth.com.au
0435828585 | 1800 828 585
402/1 Como Crescent, Southport QLD 4215

Copyright © 2019 Aspire Allied Health & Home Modifications

Medicare

Rebates

Payment Options

Aspire Allied Health accepts payment from the following methods:​​​​

  • Funding bodies such as FahCSIA, Medicare, insurance companies, NDIS etc.

  • HiCaps is available at the Aspire Occupational Therapy clinic.

  • Direct Deposit

Cancellations

Please cancel or reschedule appointments that you are unable to attend by 8.30am on the day of the appointment (or at least 45 minutes before for appointments prior to 8.30am). Aspire Allied Health requires a 90%of the fee as the cancellation fee for all appointments that are cancelled/rescheduled, with no adequate notice. We understand that extenuating circumstances occur and try to be as flexible as possible, however we appreciate your consideration and communication.

It is our goal to accommodate the needs of our clients professionally and economically.To ensure that your needs are met, please be aware of funding and payment options that are available to you. Occupational therapists at Aspire Allied Health will assist families with completing funding applications as requested.

 

Medicare Rebates

Your child may be eligible to receive a Medicare rebate when they access services through Aspire Allied Health. Please review these commonly asked questions:

  • Do I need a referral from my GP/paediatrician to use the Medicare rebates?
    Yes, you do. We cannot process your claim without one.

  • Can I claim the gap on my private health fund?
    No, you cannot. You need to choose whether you will claim through Medicare or private health funds. You can use your Medicare sessions and then use private health funds for remaining sessions.

  • Do you communicate with the referring GP?
    Yes, at the first and final sessions, your therapist must report back to the GP.

  • Can you process our Medicare payment in the clinic?
    Yes, we can. This enables you to pay the gap only.

  • Are there any out of pocket expenses?

  • Expenses not covered by Medicare must be paid for by the family. Any out of pocket costs will count toward the Medicare safety net for that family. Gaps cannot be claimed through your private health fund.

Enhanced Primary Care Program (EPC) or Chronic Disease Management

Who is eligible?

  • Must have complex and chronic health needs

  • Need support from at least 3 health care providers (e.g. GP, Occupational Therapy, Speech Therapy)

  • Must have a GP Management Plan and Team Care Arrangements in place (as determined by your GP.

What do you receive?

Client can claim a maximum of 5 Allied Health and Dental Care services in each 12 month period, at the specified rebate amount which can only be used for individual services.

Item numbers
Occupational Therapy: 10958

Helping Children with Autism

Who is eligible?

Children with Autistic Spectrum Disorders (including Asperger’s Syndrome and Pervasive Developmental Delay) under 13 years of age, for the purposes of assisting with diagnosis.

Intervention: Children with a pervasive developmental disorder (including ASD) aged under 15 years.

What do you receive?

Up to 4 assessment sessions, shared between a range of health professionals as discussed with your child’s paediatrician.

Intervention: A maximum of 20 sessions in total until 15 years of age, across all services. These may be used for individual sessions only.

Item numbers

  • Occupational therapy assessment: 82010

  • Occupational therapy sessions: 82025

Better Start for Children with Disabilities

Who is eligible

Children with Cerebral Palsy, Down Syndrome, Fragile X, hearing impairment or visual impairment will be eligible.

What do you receive?

Children may access services from Allied Health professionals including psychologists, speech pathologists, occupational therapists, physiotherapists, audiologists, optometrists and orthoptists.

Eligibility criteria:

  • Hearing impairment: Children with hearing loss of 40 decibels or greater in the better ear, across 4 frequencies (including children with permanent conductive hearing loss and auditory neuropathy)

  • Sight impairment: Children who have vision of less than or equal to 6/18 or equivalent field loss, in the better eye with correction.

  • Deaf/Blind: Child diagnosed by a specialist multidisciplinary team which includes an ophthalmological and audiological evaluation (therefore application of a threshold is not necessary).

  • Down Syndrome: All children with a confirmed diagnosis of Down Syndrome, including those with mosaic Down Syndrome.

  • Fragile X Syndrome: All children with a confirmed diagnosis of Fragile X syndrome with full mutation.

  • Cerebral Palsy: All children with a confirmed diagnosis of Cerebral Palsy.

Better Access for Mental Health

Who is eligible?

People who are experiencing:

  • Anxiety

  • Sleep difficulties

  • Eating difficulties

  • Hyperkinetic (attention deficit) disorder

  • Enuresis/encopresis (toileting difficulties)

What do you receive?

A person can have a maximum of 12 therapy sessions per calendar year for the provision of focused psychological strategies. We provide focused psychological strategies including:

  • Education for parents and the children/adolescents

  • Behavioural intervention and modification

  • Activity scheduling

  • Attention regulation

  • Problem solving skills training

  • Cognitive awareness

Occupational Therapy: 80125 20-50 mins
80135 50 mins+

Follow Up Allied Health

Who is eligible?

Clients of Aboriginal and Torres Strait Islander descent with a referral from their GP are eligible for this plan. This is in addition to the 5 Enhanced Primary Care Plan sessions.

What do you receive?

A person can have a maximum of 5 allied health sessions each calendar year. These can only be used for individual services.