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DVA

Department of Veterans’ Affairs (DVA) physiotherapy helps provide treatment for eligible DVA members. If you are a current or former serving member of the Australia defence force, you may be eligible for pensions or benefits from the DVA. These benefits may also apply if you are the spouse, widow, or child of an eligible DVA member or veteran.

Under the DVA benefits scheme, eligible clients can access physiotherapy treatment. With DVA Gold Card holders, DVA will pay for physiotherapy services to meet your clinical needs. For DVA White Card holders, DVA will pay for physiotherapy services if they are required due to an accepted war or service caused injury or disease.

Click here for more information on eligibility for DVA physiotherapy services.

Yes, Eligible clients need a physiotherapy referral through their General Practitioner, medical specialist, treating doctor in hospital, hospital discharge planner, or another physiotherapist with a current referral.

If you are an eligible DVA card holder, Pivotal Motion Physiotherapy directly bills DVA for services. You will not need to pay a gap payment for DVA physiotherapy.

  • A DVA Gold or White Card
  • A current referral for physiotherapy


WORKCOVER PHYSIOTHERAPY

Our jobs often require us to work in physically taxing environments or situations. Workplace injuries can often be prevented, but are not totally unavoidable. Even sitting at a desk can have negative health effects. Injuries can happen at work, travelling to and from work, or while on a break at work. Depending on where you work, Workcover physiotherapy funding may come from different sources.

WorkCover Queensland is a government owned body that provides insurance covering workplace injuries. Employees with a workplace injury may be eligible to claim WorkCover Queensland benefits. WorkCover Queensland will pay for physiotherapy appointments, BUT you must have 2 important documents.

For us to directly bill WorkCover you must bring these 2 documents to your physiotherapy appointment:

  • An approved WorkCover Queensland claim number. If you have submitted your claim in the last few days, it is likely still pending approval from WorkCover Queensland. We can treat WorkCover patients with a pending claim, but you will be responsible for covering the cost of the appointment. Once WorkCover Queensland approves your claim, they can reimburse you. Contact WorkCover Queensland on 1300 362 128 to find out the status of your claim.
  • A current medical certificate from your General Practitioner (GP). If your physiotherapy appointments fall outside the dates of the medical certificate, you will need to return to your GP and obtain a new certificate.

WorkCover Queensland will pay for 5 appointments initially, but only for patients with an approved claim. If patients need more than 5 physiotherapy visits, your physiotherapist will discuss this with you and your WorkCover claims officer. To find out more about WorkCover Queensland claims, click here or contact them on 1300 362 128.

The FPES Physio Recovery program covers employees of Woolworths and Big W.

After reporting your injury to your manager, they will contact FPES to report your injury. FPES then makes an appointment with a nearby physiotherapist in the FPES network, usually within 48 hours. FPES will pay for 6 physiotherapy visits initially. If patients need more than 6 physiotherapy visits, they will need to file a WorkCover Queensland claim. Your workplace manager can guide you through this if needed.

Injury Net covers employees of Australia Post, Myer, Coles, Telstra, and Woolworths Liquor groups.

Once you have reported your injury to your workplace manager, they will send you to an InjuryNet registered General Practitioner (GP). For InjuryNet to cover the costs of physiotherapy services, the GP referral must come from a registered InjuryNet GP. You do not need an approved WorkCover Queensland claim or claim number. WorkCover will pay for 4 physiotherapy visits initially. If patients need more than 4 physiotherapy visits, they will need to file a WorkCover Queensland claim. Your workplace manager can guide you through this if needed.


HCF MORE FOR MUSCLES PROGRAM

Do you have private health cover with HCF? You may be eligible for the HCF More for Muscles program.

Unfortunately, not all levels of health cover with HCF offer the More for Muscles benefits. The HCF levels of extras cover which offer More for Muscles benefits are listed below:

New range of HCF cover:

  • Gold and Platinum

Old range of HCF cover:

  •  Super multi cover
  • Extra benefits
  • General extras plus
  • Fit and free
  • Young singles and couples

Corporate HCF cover organized through your employer:

  • Active lifestyle
  • Lifestyle plus
  • Ultimate extras

Manchester Unity (health insurer purchased by HCF):

  • Healthmate essentials
  • Healthmate starter
  • Healthclub
  • Smart extras
  • Healthcover plus extras
  • Top extras
  • Healthmate advanced
  • Healthmate ultimate

You are only eligible for one appointment per calendar year which HCF More for Muscles will cover. The appointment must also be for a new health condition.

To check your level of cover and if you qualify for More for Muscles, click here to log into your HCF account or give HCF a call on 13 13 24. If you would like to book an HCF More for Muscles appointment, click here to book online, or ring us on 07 3352 5116.


ENHANCED PRIMARY CARE

As of March 1, 2018 Pivotal Motion Physiotherapy is no longer accepting EPC referrals for new patients. We will accept EPC referrals for existing or previous patients.

The road to recovery can be longer than we expect. Sometimes, we don’t realise the extent of our injuries and what is needed to manage them. For those with a chronic injury or illness, ongoing treatments may be needed, which can be expensive. For select people, the Enhanced Primary Care plan can help with the expenses.

The Enhanced Primary Care Plan (EPC) is now the Chronic Disease Management (CDM). CDM allows General Practitioners (GP) to organise the health care of patients with chronic conditions. A GP can allocate a total of 5 sessions per person, per calendar year which Medicare will help fund. Health providers who can provide sessions include:

– Physiotherapist – Podiatrist – Exercise physiologist – Dietetician – Occupational therapist – Psychologist – Chiropractor – Aboriginal health worker – Audiologist – Diabetes educator – Mental health worker – Osteopath – Speech pathologist

You are not able to claim 5 appointments for each provider, only a total of 5 appointments. For example, in one calendar year you can claim 2 physiotherapy appointments, 2 podiatry appointments, and 1 audiology appointment.

If you have received a CDM from your GP, you can receive medical rebates when you visit health providers. Pivotal Motion Physiotherapy can assist you with injury recovery, but our physiotherapy services are NOT covered by bulk billing schemes. This means you will have to pay the difference between the fee charged and the Medicare rebate.

Patients who have both a valid Medicare card and a chronic medical condition are eligible. A chronic medical condition is one that has been present for at least six months. Examples of chronic conditions can include, asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions, and stroke. You must see a GP who must complete a GP management plan and team care arrangements for you.

As of March 1, 2018 Pivotal Motion Physiotherapy is no longer accepting EPC referrals for new patients. We will accept EPC referrals for existing or previous patients.

  • Available for patients with a chronic medical condition
  • Referrals must be from a GP
  • Maximum of 5 services per patient each calendar year
  • Pivotal Motion does not accept the Medicare benefit as full payment for the service – we do not bulk bill
  • As of March 1, 2018 Pivotal Motion Physiotherapy is no longer accepting EPC referrals for new patients. We will accept EPC referrals for existing or previous patients.

More information about CDM can be found here. If you have any questions about the CDM program or would like to book an appointment, speak to our friendly physio reception staff on 07 3352 5116.

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