What is a Medicare EPC Plan? 

Medicare EPC stands for Enhanced Primary Care, a program that allows patients to access specialised care with a portion of the costs covered by the Australian Government. This system is in place to make it easier and more affordable for patients to see specialists such as physiotherapists, podiatrists, occupational therapists, or other allied health professionals. 

Eligibility: Your GP must assess your condition and determine that specialist care would benefit you. If so, they will issue a referral. You can then use this referral to consult with a Medicare-accredited specialist. 

How Does the Referral Process Work? 

  1. Consult Your GP: Discuss your condition with your GP and determine if a Medicare EPC referral is appropriate. 
     
  2. Receive a Referral: If your GP agrees, they will provide a referral to a specialist. 
     
  3. Visit the Specialist: Take your referral to a Medicare-accredited specialist. The specialist will then bulk bill Medicare for the consultation, covering part of the cost. 

Additional Information 

  • Specialist Participation: Not all specialists are part of the EPC scheme. It is advisable to confirm with your chosen specialist to avoid unexpected costs. 
     
  • Broad Access: With an EPC referral, you are not limited to a single specialist. You can consult any Medicare-accredited provider across various fields of allied health. 
     

he Medicare Enhanced Primary Care (EPC) Plan, also known as the Chronic Disease Management (CDM) Plan, allows individuals with chronic or complex care needs to access Medicare-subsidized visits to allied health professionals. Your GP can create a care plan and refer you for up to five allied health visits per year, which are partially covered by Medicare.

If you need assistance with the Medicare EPC Plan, contact us at 1300 007 424 or 0477 889 233.

Medicare EPC Referrals

If you’ve recently received a Medicare EPC plan from your doctor, you might be wondering how it all works. Medicare EPC (Enhanced Primary Care) referrals are designed to help you access necessary specialist care at a reduced cost. Here’s a comprehensive guide to understanding and utilising these referrals effectively. 

Discussing Health Care Plans with Senior Man
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