Referral & Billing Information

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At Body Maintenance Centre, we offer physiotherapy and exercise physiology services funded through NDIS, Medicare (CDM), DVA, WorkCover, TAC, and Private Health Insurance. Below you’ll find what you need to provide, referral requirements, and how billing works for each funding option.

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🧾 NDIS (National Disability Insurance Scheme)

📋 What We Need

• Your full name, date of birth, and NDIS participant number

• NDIS plan dates and how your plan is managed (self, plan, or NDIA-managed)

• Contact details for your support coordinator or plan manager (if applicable)

• Consent to share reports and invoices

🔁 Referral Requirements

• No formal referral is required

• We recommend a service agreement — we can assist you with this

• Reports may be requested for plan reviews or ongoing support

💳 Billing Information

• Charges align with the NDIS Price Guide

• Item numbers used include:

  • Physiotherapy: 12_025_0128_3_3 (Capacity Building - Improved Daily Living – Physiotherapy)

  • Exercise Physiology: 12_027_0126_3_3 (Capacity Building - Improved Health and Wellbeing – Exercise Physiology)

• Self-managed: invoices sent directly to you

• Plan-managed: invoices sent to your plan manager

• NDIA-managed: claims submitted via the NDIS portal

• No out-of-pocket costs for approved services

 

🏥 Medicare CDM (Chronic Disease Management Plan)

📋 What We Need

• A valid CDM referral from your GP specifying physiotherapy or exercise physiology

• Your Medicare card

• Information on how many allied health visits you have left this year (max 5 visits per calendar year)

• Consent to process your rebate

🔁 Referral Requirements

• The referral must be signed and dated by your GP

• It should specify the service (physiotherapy or exercise physiology)

• Valid for 12 months or for the number of sessions stated

💳 Billing Information

• Medicare rebate is $58.30 per session (2025 rate)

• Bulk billing may be available for eligible clients

• Gap fees may apply and will be advised when booking

• Rebates can be claimed on the spot or by you after payment

 

🎖️ DVA (Department of Veterans’ Affairs)

📋 What We Need

• A DVA referral from your GP (D904 form or letter) specifying physiotherapy or exercise physiology

• Your Gold or White DVA card

• Details of your accepted condition if you hold a White Card

• Consent to communicate with your GP

🔁 Referral Requirements

• GP referral specifying the service required

• Usually valid for 12 months

• White Card holders must have an accepted condition to be eligible

💳 Billing Information

• We bill DVA directly

• No out-of-pocket costs for approved services

• Progress reports may be sent to your GP as part of ongoing care

 

⚙️ WorkCover & TAC (Injury Rehabilitation)

📋 What We Need

• Claim number and insurer or case manager contact details

• Date of injury or accident

• Referral from your GP or specialist specifying physiotherapy or exercise physiology

• Confirmation of claim approval if applicable

• Consent to communicate with your insurer and medical team

🔁 Referral Requirements

• Referral must be injury-related and from your treating doctor

• Valid as per insurer requirements

💳 Billing Information

• Approved claims are billed directly to WorkCover or TAC

• You may need to pay upfront if your claim is pending approval

• No out-of-pocket costs once the claim is approved

• We provide progress reports as required

 

💳 Private Health Insurance

📋 What We Need

• Your full name and date of birth

• Details of your private health fund and membership number

• Confirmation that your policy includes allied health cover for physiotherapy or exercise physiology

• Referral from your GP (if your insurer requires one)

• Consent to process claims on your behalf

🔁 Referral Requirements

• Some health funds require a GP referral for allied health services — please check your policy

• If required, the referral should specify physiotherapy or exercise physiology

• Referral validity varies by insurer (usually 12 months)

💳 Billing Information

• We can submit your claims directly to your health fund for on-the-spot rebates where available

• You may be responsible for any gap fees depending on your policy and provider rates

• Please check with your insurer about limits on annual sessions and rebate amounts

• We recommend bringing your health fund card and referral (if needed) to your appointment

 

 

⚠️ Important Notes

• Missed or late cancellations may incur fees that are not covered by any funding body

• Please keep us informed of any changes to your funding or referrals

• Our team is happy to assist with any paperwork or communication required

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How to Submit Your Referral

We accept referrals:
📍 In person at your appointment
📧 By email to: admin@bodymaintenancecentre.com

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