Speech Therapy Funding
Through NDIS & Private Health Cover
Communicate Speech Pathology accepts and is a registered provider of a range of funding options.
National Disability Insurance Scheme (NDIS)
Communicate Speech Pathology is a registered provider with the National Disability Insurance Scheme. We provide mobile, community-based and telehealth speech pathology services to eligible NDIS participants of all ages across Sydney, Wollongong, Newcastle, Brisbane Canberra and Melbourne.
Funding for Communicate Speech Pathology services generally falls under ‘Improved Daily Living’. Therapists are able to provide standardised assessments, reports and progress reports to submit to the NDIS when a clients funding is being reviewed.
Private Health Cover
Speech Pathology Assessment and Therapy sessions can be claimed through Private Health Cover under extras cover. The rebate amount per session and the number of sessions covered is dependent on the individual’s level of cover. The rebate for assessments is usually higher than that for therapy sessions. A typical rebate would be somewhere between $30-$80 per therapy session for 10-16 sessions per calendar year.
Before commencing therapy, please check with your health fund to ensure that Speech Pathology is included in your cover and the amount you are eligible to claim for each individual assessment and therapy session.
Chronic Disease Management
Medicare provides a rebate for up to 5 Speech Pathology sessions per calendar year for individuals with chronic conditions and complex needs that require a multi-disciplinary approach (treatment from several health professionals).
Eligible conditions are those that are likely to be present for 6 months or longer such as Autism, Dyspraxia, Learning Disorders, Down syndrome, ADHD, Cerebral Palsy, Cleft Lip and Palate, chronic middle ear infections, Intellectual Disability and severe speech or language impairments.
For adults these may also include Stroke, Traumatic Brain Injury, Progressive Neurological Diseases (Motor Neurone Disease, Parkinson’s Disease), stuttering, vocal cord pathologies and Dementia.
Clients must obtain a CDM referral from their GP who will lodge and complete a GP Management Plan and Team Care Arrangements Plan. Referrals are valid for 12 months and must be in place prior to the commencement of therapy in order to claim. Unused services from the same referral can be used in the following calendar year.
The rebate is $52.95 per session for 5 sessions. Clients cannot claim a Medicare rebate and private health care rebate for the same service.
People of Aboriginal or Torres Strait Islander Descent are eligible for another 5 sessions per calendar year in ADDITION to the 5 annual CDM services. Eligibility criteria is identical to the 5 CDM sessions. The rebate for these additional services is also $52.95 per session.