Do I need a referral to use private health insurance or claim Medicare rebate?

You do not need a referral to access speech pathology services. You will, however, need a doctor’s referral if you are planning to claim a rebate through Medicare.

Private health insurance usually covers speech pathology services under “extras” or “ancillary” options. Your eligibility for rebates will depend on your coverage level, and reimbursement amounts vary by fund and service type. For specific details on your rebates, please reach out to your health fund directly.

You may also be eligible for rebates for up to five (5) appointments each calendar year through the Medicare Allied Health Initiative. To qualify, your doctor must complete an Enhanced Primary Care (EPC) form before your speech pathology appointment. Payment for services is required at the time of your visit, and we can assist you with processing the Medicare claim for reimbursement.

Additionally, some clients may qualify for extra rebates through the “Helping Children With Autism” package.
We are NDIA registered. For inquiries about our fee structure for NDIS clients, please contact us by phone at (03) 6234 5717 or email reception@spt.com.au.