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WHAT'S
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| Psychologists
often receive referrals from doctors to assist their patients. However,
Medicare benefits can now be paid for psychological services provided
to you by a psychologist registered with Medicare Australia. The Australian
Government has introduced a number of new programs in recent years,
which enable Medicare benefits to be paid for psychological services:
the MedicarePlus Chronic Disease Management initiative, which is part
of the Enhanced Primary Care program (EPC); the Better Access to Psychiatrists,
Psychologists and General Practitioners through the Medicare Benefits
Scheme initiative, and the Non-Directive Pregnancy Support Counselling
initiative. On 1st November 2006, the Better Access to Psychiatrists, Psychologists, and General Practitioners through the Medicare Benefits Scheme initiative was introduced to enable people with diagnosed mental health conditions to access services from a range of mental health service providers, including psychologists. This initiative provides considerable assistance to people with mental health conditions and to their families, allowing them greater access to psychologists and providing more affordable mental healthcare. These Medicare services promote a team approach to mental health care, with general practitioners, psychiatrists and paediatricians encouraged to work with psychologists, and other allied mental health professionals as well as mental health nurses, to increase the availability of care. |
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| Shelley Jackson is a registered provider with Medicare Australia | ||||||||||||||||||||||||||||||||||||||||
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Shelley Jackson is a registered Psychologist and a registered provider with Medicare Australia. Under the Medicare Better Access to Mental Health Care initiative, as a registered psychologist, Shelley is able to provide consultations using Focused Psychological Strategies (FPS). Focused Psychological Strategies (FPS) includes provision of psycho-education, cognitive-behavioural therapy, relaxation strategies, skills training (including problem-solving, anger management, social skills, communication skills, stress management, parent management), and interpersonal therapy. |
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| How many sessions am I entitled to? | ||||||||||||||||||||||||||||||||||||||||
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Eligible patients can generally receive:
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| Who is eligible for these benefits? | ||||||||||||||||||||||||||||||||||||||||
| You must be referred to a psychologist by your GP, your psychiatrist or paediatrician. Patients who have been identified by their referring doctor as having a mental health condition can be referred to a psychologist for additional assistance. The referring doctor may decide that a particular patient would benefit from services beyond what the practitioner can offer, for example psychological services. Back to the top | ||||||||||||||||||||||||||||||||||||||||
| What is meant by a mental health condition? | ||||||||||||||||||||||||||||||||||||||||
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Mental health conditions include a range of clinically diagnosable conditions that significantly impact on a person's emotions, thoughts, decision-making, and social skills. This includes mental health conditions arising from:
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| How does referral work? | ||||||||||||||||||||||||||||||||||||||||
| The
referring doctor should provide a referral letter, and when the patient
is referred by a GP who is managing the patient under a GP Mental
Health Care Plan, a copy of the plan may also be provided (with the
patient's permission). For Medicare benefits to be paid, your first
consultation for psychological services must be provided on or after
the date on your doctor's referral letter, not before. Your doctor
may allow you to request a specific psychologist or may refer you
to a registered psychologist that he/she recommends. Psychologists must also provide a written report to the referring doctor following the first six services and/or on completion of the course of treatment. This report will include information on any assessments carried out on the client, any treatment provided and recommendations on future management of the client's condition. |
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| How can a psychologist help me? | ||||||||||||||||||||||||||||||||||||||||
| Psychologists
specialise in providing therapies for common mental health conditions
to help reduce distress and to enhance and promote emotional wellbeing.
This therapeutic process can provide you with a means to explore your
personal and life issues in a confidential, respectful and supportive
environment with a qualified and experienced professional. For example, where a patient has a condition that involves problems with mood (e.g. anxiety, depression), cognition (e.g. memory, concentration), pain (e.g. headache, musculo-skeletal), adjustment problems (e.g. acute distress, grief) or behaviour (e.g. anger, self-management, sleep) they could benefit from psychological interventions. There is now well-validated evidence that many mood conditions are best managed by psychological as well as (or in place of) drug interventions. |
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| What will it cost me? | ||||||||||||||||||||||||||||||||||||||||
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Psychologists providing Medicare rebateable services may set their own fees, but the Medicare rebate for each item is a set amount. The cost to you and the rebate available from Medicare can vary depending on the:
If the psychologist decides to bulk bill then you will not have to pay anything. However if the psychologist does not use the bulk billing method then you would pay the difference between what the psychologist charges you (which may be the schedule fee or a fee set by the psychologist) and the Medicare Rebate. This will vary and you must check this out with the psychologist before commencing your treatment. |
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| What if I have private health insurance? | ||||||||||||||||||||||||||||||||||||||||
| You cannot use your private health insurance ancillary cover to top up the Medicare rebates for these services. You need to decide if you will use Medicare or your private health insurance ancillary cover to pay for psychological services you receive. You can either access rebates from Medicare by following the claiming process or claim where available on your insurer's ancillary benefits.Back to the top | ||||||||||||||||||||||||||||||||||||||||
| Medicare rebates available | ||||||||||||||||||||||||||||||||||||||||
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The Medicare rebates payable (from 1/11/09) under the Better Access initiative for Focused Psychological Strategies services include:
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| How do I pay? | ||||||||||||||||||||||||||||||||||||||||
If
the psychologist charges the schedule fee or above, then the settlement
of the account is your responsibility. You may claim a rebate by lodging
a claim through Medicare. When billed you can either:
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| Bulk billing | ||||||||||||||||||||||||||||||||||||||||
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decision to offer bulkbilling to clients rests with the individual
psychologist. Shelley
Jackson offers bulk billing to eligible clients by arrangement. (More
info...) You will be asked to sign a Medicare form in which you assign your right to a benefit to the psychologist, as full payment for the psychological service. The psychologist cannot make any additional charge for this service if it has been bulk billed, and he/she will receive the relevant Medicare rebate or 'benefit' directly from Medicare Australia for the service provided. |
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| The Medicare Saftey Net | ||||||||||||||||||||||||||||||||||||||||
| You are responsible for paying any charges in excess of the Medicare rebate for items under this initiative. However, these out-of-pocket expenses will count towards both the original and the extended Medicare safety nets. Once you or your family reach the relevant threshold in the calendar year, Medicare benefits will increase to 100% of the schedule fee under the original safety net, and 80% of your total out-of-pocket expenses for out-of-hospital services under the extended Medicare safety net. The Medicare safety nets are designed to protect high users of health services from large out-of-pocket expenses. | ||||||||||||||||||||||||||||||||||||||||
| For further information about this program | ||||||||||||||||||||||||||||||||||||||||
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The information contained on this webpage is meant to be a guide only, for the benefit of clients of this service and is not a substitute for direct information from Medicare Australia. It has been compiled from information provided by the Australian Psychological Society (for its members) and by Medicare Australia. It is understood to be correct at the time of submission on to this site. For further information about this program, please consult Medicare Australia, Ph 132 150, your GP, or visit the Medicare Australia website: www.medicareaustralia.gov.au |
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Website privacy policy - This site and all contents © 2004-2008 Shelley Kim Jackson |
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| Contact Us | ||||||||||
| Shelley
Jackson Psychologist MAPS Reiki Master/Teacher |
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PO Box 1611 Ballina NSW 2478 Ph. (02) 6686 7093 Fax. (02) 6686 7983 Mob. Ph. 0438 867 093 |
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Consultations available weekdays, evenings & Saturdays |
