Medicare Chronic Condition Plans –

What You Need to Know (From 1 July 2025)

A simple guide for patients at Your Family Osteo 

From 1 January 2026, Medicare appointments at our clinic are billed at each practitioner’s standard private fee.
You will receive your Medicare rebate of $61.80 back after the appointment.

GP Chronic Condition Management Plans (GPCCMPs)

  • Who is Eligible

    You may be eligible for Medicare-subsidised allied health sessions if you have a chronic condition. A chronic condition is any condition that has lasted (or is expected to last) 6 months or longer.

    Examples:

    • Back or neck pain
    • Arthritis
    • PCOS
    • Chronic pelvic pain
    • Asthma
    • Diabetes
    • Heart disease
    • Neurological conditions
    • Long-standing musculoskeletal issues

  • What You Get...

    ✔ 5 Medicare-subsidised allied health sessions per calendar year

    These 5 sessions can be:

    Used across multiple providers

    Or all used with one provider (e.g., all 5 with osteopathy)

    Medicare pays a rebate toward the fee.
    You pay the remaining gap.

    See below for more information about the payment process at Your Family Osteo.

  • What is Required

    You Need Ongoing Care From Your GP + Another Health Professional

    To be eligible, your condition must require coordinated care from:

    Your GP, and At least one allied health provider, such as an osteopath, physio, podiatrist, diabetes educator, or dietitian.

    You Must Have a GP Chronic Condition Management Plan

    From 1 July 2025, these plans are called:

    GP Chronic Condition Management Plans (GPCCMPs)

    If your plan was created before 1 July 2025, don’t worry — it remains valid until 30 June 2027.

  • How Often Can I Get One?

    How Often Do You Need a New Referral?

    Medicare works on a calendar year:

    ⭐ You receive 5 sessions per year

    1 January → 31 December

    Even if your referral is valid for 18 months, you cannot use more than 5 sessions in a single calendar year.

    Example: Late-Year Referrals

    If you get a referral in November 2025:

    • You can use up to 5 sessions before 31 Dec 2025
    • If you use all 5, you have used your full entitlement for the year
    • Your eligibility resets on 1 January 2026

    When can you start using your 2026 sessions?

    👉 From 1 January 2026

    Do you need a new referral for 2026?

    👉 Yes.
    Your GP must issue a new referral for your 2026 sessions.

We’re Here to Help!

If you are unsure whether you’re eligible or when you can next use your Medicare sessions, our reception team can guide you through the process. 

Email us.

How Medicare Billing Works at Our Clinic

1. You pay the full appointment fee on the day

Payment is required at the end of your consultation.

2. We lodge your Medicare claim for you

You do not need to submit anything yourself.

3. Medicare pays your rebate directly to your bank account

Most patients receive the rebate within 24 hours.

  • Consultation Rates

    • Initial Consultation (1 hour) – $175/$165
      • Out-of-pocket after Medicare: $113.20 - $103.20

    • Long Return (45 min) – $145
      • Out-of-pocket after Medicare: $83.20

    • Standard Return (30 min) – $115
      • Out-of-pocket after Medicare: $53.20

  • Dr Jasmine Cotton, Dr Claudia & Dr Olivia Markovski

    • Initial Consultation (1 hour) – $145
      • Out-of-pocket after Medicare: $83.20

    • Long Return (45 min) – $130
      • Out-of-pocket after Medicare: $68.20

    • Standard Return (30 min) – $105
      • Out-of-pocket after Medicare: $43.20

  • Consultation Fees

    Exercise Physiology Initial (1 hour)
    $145.00
    • Medicare rebate: $61.80
    • Out-of-pocket: $83.20

    Exercise Physiology Long Return (45 minutes)
    $130.00
    • Medicare rebate: $61.80
    • Out-of-pocket: $68.20

    Exercise Physiology Standard Return (30 minutes)
    $105.00
    • Medicare rebate: $61.80
    • Out-of-pocket: $43.20