Rebates from Private health funds are determined by the duration of the appointment and the level of cover that you have. Due to privacy laws, Kid Sense cannot access your anticipated rebate level but instead suggest that you call your health fund to check what the rebate will be for the different disciplines using the applicable codes below and whether the appointment is an initial or subsequent (for either 45 minutes or under, or over 45 minutes)
100
assessment/initial consult
200
treatment/subsequent consult
310
assessment/initial consult up to 45 mins
320
assessment/initial consult 46-90 mins
320
treatment/subsequent consult up to 45 mins
Kid Sense also services Medicare plans which clients can access from their GP or Paediatrician (plan dependent), at their doctors discretion.
When using Medicare Plans, the specific Medicare Plan must be obtained from the referring doctor in advance of the therapy appointment. Payment in full is required on the day of service with rebates obtained from Medicare accessed after payment to Kid Sense has been completed.
*Note: Medicare Plan reimbursements do not cover the full Kid Sense fee – the client is required to pay the gap between the Medicare Plan and the Kid Sense fee.
For more information on Medicare plans, contact Medicare on phone 13 20 11 (seven days a week, 24 hours a day) Or visit servicesaustralia.gov.au
Please note that clinicians require additional qualifications to administer some of the Medicare Plans resulting in longer waitlist for some plans.
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