Funding & Rebates

Ish is registered with Medicare and with Speech Pathology Australia (the national body for speech pathologists). This allows you to access a number of funding pathways.

 

Healthfund

Depending on your level of cover, you may be eligible to access a rebate from your private health fund for any speech therapy services received.

Following payment your session, you can immediately make a claim from your health fund.

The health fund item codes are below:

  • 320 – for in clinic assessments
  • 340 – for in clinic therapy up to 45 minutes
  • 350 – for in clinic therapy 45 minutes or longer
  • S501- initial assessment telehealth
  • S502 – 30-45 minute telehealth therapy session

This will allow you to find out from your health fund if you are eligible or not, and if you are, how much your rebate will be.


Medicare

Your child may be eligible for a Medicare Enhanced Primary Care program (EPC)/Chronic Disease Management (CDM), if they have a chronic medical condition or have complex needs, and are accessing at least two health care providers (other than your GP).

The EPC/CDM offers a partial rebate for up to five sessions during a calendar year. It is important to note that as we are not a bulk billing service, there will be a gap payable.

This gap will be the difference between the amount rebated from Medicare and the cost of our service.

Please email us to find out more information regarding our prices and the gap payable. Please contact your GP if you feel your child may be eligible for this service.

 

 

National Disability Insurance Scheme

The NDIS is Australia’s first national scheme to support individuals under the age of 65 with disabilities.

Speech Therapy Services can provide therapy under the NDIS. We accept both self managed and planned managed plans.

In order to determine eligibility for NDIS funding, please visit ndis.gov.au or call 1800 800 110. If you already have an NDIS plan and are self managed or planned managed, then we may be able to support you and your child’s needs.

Some of the services we can provide include but are not limited to:

  • Improving independence to complete daily tasks
  • Improving family, peer and community relationships
  • Improving verbal and written communication
  • Improving mealtimes
  • Improving social skills

See our blog for information, resources and strategies to support your child.

 

 

Frequently Asked Questions

What is the NDIS?

 

The NDIS is an insurance scheme that supports individuals with disabilities and their families. The individual/family has more control over the types of supports they wish to access, as the NDIS provides direct funding to the individual/family.

 

What are the age requirements?

 

They will support any individual under 65 years of age. In order to improve outcomes later in life, the NDIS invests in individuals early, taking a lifetime approach.

 

Is my child eligible?

 

Ultimately the final decision is up to the National Disability Insurance Agency (NDIA), however, you can complete an eligibility checklist on the NDIS website. This checklist asks a few simple questions to determine eligibility to apply for the NDIS.

 

Does my child need a diagnosis in order to receive NDIS funding?

 

Your child may qualify for the Early Childhood Intervention approach if they do not have a diagnosis and are aged between 0-6. The ECEI approach is designed to help support children in their early years, as this time is crucial in setting up outcomes later in life.