funding for speech pathology

Adults Speech Pathology accepts a variety of funding options.

NDIS

Adult Speech Pathology is a registered provider with the National Disability Insurance Scheme. We provide clinic based and mobile Speech Pathology services to eligible NDIS participants across the Central Coast.

Funding for Speech Pathology services falls under the ‘Improved Daily Living’ budget. Under this budget therapists can provide assessments, reports, therapy and review reports when funding is being review.

For more information on the NDIS, please contact us on 0415913346 or visit https://www.ndis.gov.au/index.html

Private Health funds

Speech Pathology assessment and therapy sessions can be claimed through your 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.

Medicare Partial rebates

Medicare provides a partial rebate for up to 5 Speech Pathology sessions per calendar year for individuals with chronic conditions and complex needs. Eligible conditions are those that are likely to be present for 6 months or longer such as 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 only part of the total fee. 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. 

Grandparent and child reading book

We've got you covered

Adults Speech Pathology is registered with Medicare, Veteran’s Affairs and Private Health funds. We accept Chronic Disease Management and Enhanced Primary Care referrals from your GP. We are also a registered NDIS provider.