What is the Mental Health Care Plan and how can I use it?
The mental health care plan is an Australian Government initiative that subsidises up to 10 therapy sessions per calendar year through Medicare. The Mental Health Care Plan applies to Clinical Psychologists, Psychologists, Occupational Therapists and Social Workers that are registered with Medicare only.
Not all of the professionals on Radiant are available for rebates. However, often counsellors or psychotherapists charge less - so your payment may end up being the same. You should take this into account when selecting a professional.
Double check with your professional that they are registered with Medicare either on their profile or during your call. You also must be registered with Medicare in Australia to claim a rebate.
I have found an eligible professional. What next?
To be eligible for the Mental Health Care Plan you’ll need a referral letter from your GP prior to the appointments. Head to your GP and ask for a Mental Health Care Plan. They will ask you some simple questions to assess your eligibility, then they can give you a referral to your preferred professional.
How many sessions can I claim with Medicare through the Mental Health Care Plan?
This initial referral means you can claim up to 6 sessions with Medicare per calender year. After a review with your GP, you may claim an additional 4 sessions for the calendar year.
These sessions do not accrue over time and therefore you are limited to 10 rebated sessions per year. If you are attending your sessions via video conference, you may claim up to 7 sessions with Medicare.
What other rules are there for Video Conference Sessions?
Note: Eligibility for Medicare benefits under the “Video Conference” Is subject to 4 criteria:
- the attendance is by video conference; and
- the patient is not an admitted patient; and
- the patient is located within a telehealth eligible area; and
- the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist.
Up to 7 Video Conference Sessions can be claimed on Medicare.
How much will I get back?
Different classifications of professionals have different rebates available, depending on the location and length of the service provided. Below are a list of these amounts. Please keep in mind that this is the rebate amount you will receive from Medicare once claimed. Each professional will charge a unique price for their service and thus your out-of-pocket amount will vary.
While we try to keep this information as accurate as posisble, this is intended to be a guide only.
If your professional is a CLINICAL PSYCHOLOGIST:
$84.80 30-50 Minutes. At Consulting Room/ Video Conference
$106.00 30-50 Mins. Outside Consulting Room
$124.50 50+ Minutes. At Consulting Room/ Video Conference
$145.65 50 Minutes. Outside Consulting Room
If your professional is a PSYCHOLOGIST
$60.10 20-50 Minutes. At Consulting Room/ Video Conference
$81.75 20-50 Minutes. Outside Consulting Room
$84.80 50+ Minutes. At Consulting Room/Video Conference
$106.55 50+ Minutes. Outside Consulting Room
If your professional is a SOCIAL WORKER
$52.95 20-50 Minutes. At Consulting Rooms/ Video Conference
$74.55 20-50 Minutes. Outside Consulting Rooms
$74.80 50+ Minutes. At Consulting Rooms/Video Conference
$96.35 50+ Minutes. Outside Consulting Rooms.
I’ve had my appointment and want to claim with Medicare. How?
Some professionals will be able to process your rebate on the spot. If they can't do this, ask for an invoice from your mental health professional, which includes an MBS number. You will use this number when claiming your benefit, either with your Medicare App or in person.
More information about claiming with Medicare can be found on the Medicare website.
This information was updated based on information from Medicare on 30 April 2018. For the most accurate and up-to-date information on the Mental Health Care Plan, please visit the Medicare website.
Return to www.myradiant.com.au