How to Use a CDM Care Plan for Physio

Physiotherapy · Medicare

A care plan from your GP takes real money off physiotherapy. Medicare calls it a Chronic Disease Management plan, most people call it a care plan, and if you have a condition that has hung around longer than six months, it gives you up to five rebated visits a year. Here is how it works, what Medicare pays, and how to spend those five visits well.

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Physiotherapy at Yarraville, Hampton East and Kensington. Medicare claiming on the spot, HICAPS for private health.
01

One referral, several names

GPs and clinics use a handful of names for the same piece of paper. You might hear chronic disease management plan (CDM), care plan, GP Management Plan (GPMP) with Team Care Arrangements, or the older name, an Enhanced Primary Care (EPC) plan. Whatever your GP calls it, it is the same Medicare referral and it works the same way at the practice.

The plan itself is a Medicare initiative for people managing a long-term condition. Once your GP writes one and includes physiotherapy on it, Medicare pays a rebate on each eligible physio appointment, which turns full-fee visits into gap-fee visits.

02

Who qualifies

The test is time, not severity. If a condition has lasted six months or more, or your GP expects it to, you may be eligible. Common examples we see on referrals: arthritis and osteoarthritis, chronic back or neck pain, osteoporosis, diabetes, heart and lung conditions, and pain that arrived with an injury and never properly left.

Your GP makes the call on eligibility. If you are not sure whether you qualify, ask at your next visit. It is a routine question and they will know immediately.

03

What Medicare pays

With a valid care plan, Medicare rebates $63.40 per physiotherapy appointment (as of 2026). At All for One we process the claim on the spot, the rebate comes straight off your appointment fee, and you pay the remaining gap. No forms to post, no waiting for money to come back.

If you have reached your Medicare Safety Net for the year, the rebate on each visit can be higher again. The Safety Net kicks in once your family’s out-of-pocket medical costs pass an annual threshold, and plenty of people managing a chronic condition get there without realising. Worth checking through your Medicare account if you have had a big year of appointments.

04

Five visits, shared across your plan

A care plan gives you up to five allied health visits per calendar year. The five are shared across everything your GP has put on the plan, so if it includes podiatry or dietetics as well as physio, those visits all come out of the same pool. It is worth checking how yours is split before you book, and we can help you read the referral if it is not clear.

The count resets each calendar year, so if your condition is ongoing, a conversation with your GP early in the year about how you want to use the five is time well spent.

Care plan, CDM, GPMP, EPC. Different names, same referral.

05

How to get one

Book an appointment with your GP and ask whether you are eligible for a chronic disease management plan. If you are, ask for physiotherapy to be included and for the referral to name All for One Physiotherapy. Bring the referral to your first appointment, or ask the clinic to send it to us directly.

From there the paperwork is ours. We look after the Medicare claiming at every visit, and the front desk will flag when you are close to using your five.

06

Using a care plan for Clinical Pilates

The visits on a care plan are one-on-one physiotherapy appointments, and one of the best uses for them is setting up an exercise program that keeps working after the plan runs out. Clinical Pilates at All for One starts exactly that way: a one-on-one assessment with a physiotherapist, who builds a program specific to your body and history.

A care plan visit can go toward that assessment and your follow-up physiotherapy appointments. The ongoing classes themselves are usually claimed through private health extras rather than Medicare, and the front desk can walk you through how the two fit together.

07

No care plan? You can still come in

You do not need a referral of any kind to see a physiotherapist here. A care plan only changes what Medicare gives back, not whether you can book. Private health extras are claimed on the spot through HICAPS, and if you think you might qualify for a care plan later, we can write to your GP after your first appointment with what we found.

08

Make the five count

Five rebated visits is not many, so spend them deliberately. A proper assessment first, a clear plan second, and appointments spaced so each one moves you forward rather than repeats the last. Done that way, what you build in five visits keeps paying you back long after the plan is used up.

Referral in hand? Bring it in.

Book a physiotherapy appointment at Yarraville, Hampton East or Kensington, or call and we will sort the Medicare side for you.

FAQ

Questions we hear a lot

What is a CDM plan for physio?

A chronic disease management plan is a Medicare referral your GP writes for a condition that has lasted, or is expected to last, six months or more. It gives you up to five allied health visits per calendar year with a Medicare rebate on each. You will also hear it called a care plan, a GP Management Plan, or by its older name, an EPC plan. They are the same referral.

How much is the Medicare rebate for physio on a care plan?

The rebate is $63.40 per physiotherapy appointment as of 2026. At All for One it is claimed on the spot and comes straight off your appointment fee, and you pay the remaining gap. If you have reached your Medicare Safety Net for the year, the rebate on each visit can be higher.

How many physio visits do I get on a care plan?

Up to five allied health visits per calendar year, shared across every allied health service your GP has included on the plan. If your plan lists podiatry or dietetics as well as physiotherapy, all of them draw from the same five. The count resets each calendar year.

Do I need a care plan to see a physio?

No. You can book physiotherapy at All for One without any referral. A care plan only adds the Medicare rebate. Private health extras are claimed on the spot through HICAPS either way.

Can I use my care plan for Clinical Pilates?

The visits on a care plan are one-on-one physiotherapy appointments, so they can fund the assessment and follow-up appointments that set up your Clinical Pilates program. The ongoing classes are usually claimed through private health extras rather than Medicare.

Do I pay anything on the day?

Usually yes. The Medicare rebate is processed on the spot and deducted from your appointment fee, and you pay the gap between the two. Bring your Medicare card and your referral and the front desk does the rest.

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