There are two types of GP referrals that provide our clients with a Medicare rebate on their psychology sessions. These are:
- Mental Health Care Plan (MHCP)
- Eating Disorder Management Plan (EDMP)
For both types of referral plans, the current Medicare rebate from 1st July 2021 is $129.55.
Mental Health Care Plans:
Clients with a valid Mental Health Care Plan (MHCP) psychology referral provided by their GP/Psychiatrist are eligible for up to 10 Medicare rebated psychology sessions per calendar year. MHCPs are designed to help provide financial assistance to those people with mental health difficulties to access the services of a General Psychologist or Clinical Psychologist. Book an appointment with your GP to discuss getting a MHCP if you feel you would benefit from psychological help.
Note: Medicare is currently providing up to 20 rebated sessions per calendar year until June 2022 due to covid.
Medicare is also allowing access to Telehealth sessions until December 2021.
Note: Medicare does not provide a Medicare Rebate for ‘Relationship Counselling/Couples Therapy’ under the MHCP as the Medicare rebates are for treatment of mental health issues. If you require couples counselling, the applicable consultation fee is payable in full by the client. If you have private health cover, you may be able to receive a rebate from your Private Health Care Fund. Please enquire with your individual fund.
Eating Disorder Management Plans:
Clients with an Eating Disorder Management Plan (EDMP) are also eligible for Medicare rebated sessions. Similarly to the MHCP, you can receive this treatment plan from your GP however you will receive up to 40 sessions with a Psychologist under Medicare rather than 10. You will also receive 20 additional sessions with a Dietician under the eating disorder dietetic treatment (EDDT) within a 12-month period.
HOW MHCP’S/EDMP’S WORK:
- To obtain a plan, the client will need to see their GP or Psychiatrist and discuss their mental health/eating disorder issues with their doctor for the doctor to assess if they are eligible for a MHCP or EDMP. Eligibility is at the discretion of the doctor.
- Once a MHCP is in place, the client is able to access the initial 6 psychology sessions under Medicare. Once the client has completed the initial 6 sessions (if the client requires all 6 sessions of psychology), the client is required to see their referring GP for a review of their MHCP to obtain access to the remaining 4 Medicare sessions. The review is required to be in place before the client attends for their 7th session.
- Once the client has completed 10 psychology sessions, the client is required to go back to their referring Doctor to obtain a new MHCP before their next session.
- If a client has used all 10 Medicare psychology sessions in the calendar year, no more Medicare rebated sessions are available until January of the following year. (Exceptions exist until June 2022 for an additional 10 sessions per calendar year due to Covid). If the client wishes to continue with psychology treatment after all Medicare rebates have been exhausted, the client has the option to pay for their consultation privately.
- If the client has a Private Health Fund that provides cover for psychology treatment, the client can obtain part of their consultation fee back from their health care fund. The client will need to contact their Private Health Fund directly to find out how much rebate they are entitled to as this varies between health funds and by level of cover.
- With an EDMP, the client is able to access up to 10 initial psychological sessions. If the provider believes the client requires further sessions, the provider will send an updated letter and sends a referral to the client for a “first review” on their plan.
- The client is then eligible to complete sessions 11-20 on their plan.
- This process repeats after the client’s 20th session and 30th session.
- After the client’s 40th session, the provider sends an updated letter to the GP to complete the plan for that year.