FEES AND REBATES

REFERRALS

You do not require a referral to access our services, though most clients are referred by their GP, psychiatrist or pediatrician.

We require all clients with eating disorders to maintain regular contact with their GP, psychiatrist or paediatrician for medical monitoring due to the inherent medical risks associated with an eating disorder. With your permission, we will also regularly communicate with your medical team to optimise your care.

REBATES

Medicare Rebates

Medicare rebates are payable if you have been referred by your GP (with a mental health care plan, chronic disease management/enhanced primary care plan or Eating Disorder Treatment plan), psychiatrist or paediatrician.

There are several paths by which you may be referred to our service and receive a rebate from Medicare to offset the cost of your treatment. Please note that we are a private billing service and there is a gap between the cost of an appointment and the rebate offered by Medicare.

Medicare rebates are payable if you have been referred by your GP (with one of the various plans – see below), psychiatrist or paediatrician. These are payable for both face-to-face and telehealth consultation.

The current Medicare rebate is currently set at $77.80 – $129.55 per individual psychology appointment (depending on clinician), $55.10 for dietetic appointments and $77.65 – $233.75 for psychiatry (depending on appointment type). The rebate will be higher if you have exceeded the Medicare Safety Net – we recommend that all clients register for this with Medicare to enable maximum rebates for all your health care requirements.
Rebates are also payable for up to ten group sessions in a calendar year, in addition to individual appointments. No rebates are available for appointments with provisionally registered psychologists.

You will need to see your GP to discuss plan options before your appointment at our service. Medicare does not pay rebates for appointments completed before a plan is activated. During your treatments, you will need to see your GP for reviews so they can decide whether you require further psychological support and, if so, your GP will activate further sessions of your particular treatment plan.

1) Better Access Initiative

You will obtain a rebate towards the cost of mental health care from our psychologists if you have a letter of referral from a psychiatrist or paediatrician, or if your GP has referred you using a Mental Health Care Plan (MHCP).

Medicare rebates are paid towards the cost of up to ten appointments (this has recently been changed to 20) in a calendar year, with the current rebate up to $129.55 depending on which mental health clinician you see. It is recommended that all clients register for this with Medicare to enable maximum rebates for all your health care requirements. Rebates are also payable for up to ten group sessions in a calendar year, in addition to individual appointments.

You will need to see your GP for a mental health care plan before your appointment at our service – Medicare does not pay rebates for appointments completed before a mental health care plan is activated. After you have completed the first 6 sessions of this plan, you will then need to see your GP for a review and re-referral to access further Medicare rebated sessions.

2) Eating Disorder Plan (EDP)

These plans were introduced in November 2019 to recognise that eating disorders are complex difficulties and clients typically require more sessions to make significant progress towards recovery. An EDP allows an individual to claim a Medicare rebate towards the cost of 20 dietetic treatment sessions and up to 40 psychological treatment sessions over a 12-month period.

Your GP can develop an EDP if you have anorexia nervosa, or if you have another eating disorder (bulimia nervosa, binge eating disorder or OSFED) and meet specific criteria. Further information about EDPs, including an EDP template, can be found here. For tips on managing your EDP, please click here.

The Medicare rebate for each psychological treatment session under an EDP is the same as that for a MHCP – currently set at $129.55. The Medicare rebate for each dietetic treatment session is $55.10.

For further information please refer to the Australian Psychological Society website or call Medicare on 132 011.

Private Health Insurance

You do not need a referral if you plan to claim appointment costs from your private health insurance.

The rebate provided by your health fund will vary depending on your fund and level of cover. Your health fund will be able to advise you of the rebate payable. You cannot use your private health fund rebate to simultaneously ‘top up’ the rebate from Medicare.

FEES

Payment is required on the day of your session.

All of our clinicians are registered Medicare providers, and where applicable, we are also able to process Medicare Rebates at the time of payment.

Telehealth appointments are charged at the same rate as face-to-face appointments, and Medicare rebates are available for these if certain criteria are met.

At the Swan Centre, we endeavour to provide quality, specialised services to clients at a reasonable cost. Currently, the Australian Psychological Society (APS) recommends a fee of $261.00 per hour for clinical psychology.

Our current fees are as follows:

Clinical Psychologist

  • $325.00 per assessment appointment*
    Medicare Rebate $129.55
    Out of Pocket $195.45
  • $260.00 per appointment
    Medicare Rebate $129.55
    Out of Pocket $130.45

Psychologist/Clinical Psychology Registrar

  • $215.00 per appointment
    Medicare Rebate $88.25
    Out of Pocket $126.75

Provisional Psychologist

  • $50.00-$100.00 per appointment
    No rebate available

Accredited Practising Dietitian

  • $205.00-$220.00 per initial appointment*
    Medicare Rebate $55.10
    Out of Pocket $106.20
  • $165.00-$185.00 per subsequent appointment*
    Medicare Rebate $55.10
    Out of Pocket $

Mental Health Professional

  • $205.00 per appointment*
    Medicare Rebate $77.80
    Out of Pocket $127.20

Psychiatrist

  • $390 per initial appointment and EDP reviews*
    Medicare Rebate $233.75 – $254.05
    Out of Pocket $156.25 – 135.95
  • $170.00-$220.00 per subsequent appointment**
    Medicare Rebate $77.65-$164.90
    Out of Pocket $92.35-$55.10

 *Typical appointments run for 50-60 minutes.
**Excluding EDP reviews

All of our clinicians are registered Medicare providers.
Payment is required on the day of your session.
Where applicable, we are also able to process Medicare Rebates at that time.

Telehealth appointments are charged at the same rate as face-to-face appointments. Medicare rebates are available for these if certain criteria are met, for more information click here.

Cancellation Policy

When appointments are booked, our clinicians reserve the whole hour especially for you.

We understand that sometimes you may be unable to attend an appointment because of sudden illness or an unexpected personal emergency. If this happens to you, please contact us as soon as possible to ensure a cancellation fee is not unfairly applied.

We require at least 48 hours notice to reschedule or cancel a session to prevent you from incurring a cancellation fee.

This policy is in place to allow us to offer the allocated time to another client who is in need of an appointment.

Cancellation Fee

50% of the full fee of your appointment will be charged in instances in which less than 48 hours notice of a cancellation is given.

If a pre-booked session is unattended after 20 minutes, it will be assumed that the session is cancelled/will be unattended, and the full fee for your appointment will be charged.

FOR MORE INFORMATION

FOR MORE INFORMATION