Work Cover and other services:

- Work cover
- Compulsory Third Party
- Medicare/ Care plans
- DVA
- NDIS

Workcover Claims

WorkCover insurance typically covers all Queensland employees for injuries sustained in workplace accidents, although some larger employers may have self-insurer arrangements. In Australia, workers’ compensation schemes generally protect casual, full-time, and part-time workers. This insurance also extends to injuries or harm sustained while:

  • Performing work-related tasks

  • Commuting to or from work

  • Traveling for work-related purposes

  • Participating in work-related activities or events

Before you come in for your appointment please send all necessary paperwork, or notify us the details by phone. Important details to pass onto us include your workcover medical certificate from your GP, claim number, case manager details and any other contact details for parties involved with your case.

In some instances you may need urgent treatment before the claim has been approved by Workcover. In these cases, you will need to pay workcover rates out of pocket, but once the claim has been approved you can then be reimbursed these expenses by Workcover. 

Compulsory Third Party

Compulsory Third Party (CTP) Insurance in Queensland is a mandatory type of insurance that provides coverage for personal injury claims resulting from motor vehicle accidents. Here’s what you need to know:

Key Features of CTP in Queensland:

  1. Mandatory Insurance:

    • Every registered motor vehicle in Queensland must have CTP insurance.

    • It is included as part of the vehicle's registration fee.

  2. Coverage Provided:

    • CTP protects you against legal liability if you are at fault in a motor vehicle accident that causes injury or death to other people.

    • It covers medical expenses, rehabilitation, loss of income, and other associated costs for injured parties.

    • CTP does not cover damage to property, vehicles, or injuries to the at-fault driver in some cases. Additional car insurance (e.g., comprehensive or third-party property) is needed for these.

  3. Insurers:

    • In Queensland, several licensed private insurers provide CTP insurance. You can choose your insurer when registering your vehicle.

  4. Claims Process:

    • If you are injured in a motor vehicle accident, you can lodge a claim with the at-fault driver’s CTP insurer. If the accident was not your fault, you can seek compensation through this process.

  5. Scheme Managed by MAIC:

    • The Motor Accident Insurance Commission (MAIC) oversees the CTP scheme to ensure fairness and accessibility for all Queenslanders.

Prior to coming in for your initial appointment under the CTP scheme, make sure that all necessary paperwork and contact details have been sent through to the clinic. 

Medicare plans

What is a Medicare Allied Health Plan?

A component of the Chronic Disease Management (CDM) Plan (previously known as the Enhanced Primary Care or EPC Plan). Provides Medicare rebates for up to 5 allied health services per calendar year. Designed to support individuals with long-term medical conditions requiring multidisciplinary care. The plan may also be delivered for early prevention. 

Your general practitioner must prepare the CDM Plan and make referrals to allied health professionals.

Additional Notes

  • The 5-service cap per year applies to all allied health services combined, not per type.

  • Some providers may charge a gap fee if their rates exceed the Medicare rebate

At Body Solution Physiotherapy we do have mixed billing when it comes to Medicare plans. Some therapists here will provide bulk bill service for medicare plans, and others may charge a gap fee. Please call to discuss. 

Department of Veterans Affair 

The Department of Veterans’ Affairs (DVA) provides support and services to eligible Australian veterans, their families, and dependents. In Queensland (and across Australia), DVA offers a range of health care services, including physiotherapy, to improve veterans' quality of life and assist in their recovery and rehabilitation.

Who is Covered for Physiotherapy Under DVA?

DVA provides physiotherapy coverage for individuals with the following:

  1. DVA Health Cards:
    Coverage depends on the type of card:

    • Gold Card: Covers all clinically necessary physiotherapy services.

    • White Card: Covers physiotherapy services for specific accepted conditions or injuries.

    • Orange Card: Does not cover physiotherapy; it is for pharmaceutical benefits only.

  2. Eligibility Criteria:

    • Veterans with service-related injuries or conditions.

    • Eligible dependents of veterans (e.g., widow/ers).

  3. Approved Treatment Plans:

    • A referral from a GPspecialist, or hospital discharge summary is required for the first physiotherapy session.

    • The physiotherapist must be registered with DVA as a provider.

NDIS 

The National Disability Insurance Scheme (NDIS) is a program in Australia designed to provide funding and support to people with permanent and significant disabilities. It enables participants to access necessary services, therapies, and equipment to improve their quality of life, increase independence, and achieve personal goals.

Physiotherapy is covered under the NDIS for participants whose disability affects their mobility, physical function, or ability to perform daily activities. 

NDIS Plan:

  • If you’re eligible, your NDIS plan will outline funding for physiotherapy under the category of Capacity Building Supports or Improved Daily Living Skills.

Funding Management:

Currently at Body Solution Physiotherapy we cater for the following NDIS clients:

  • Self-Managed: You pay and claim reimbursements.

  • Plan Managed: A third party manages payments.

Prior to coming in for your appointment please bring in all necessary paperwork and contact details that we may require. 

 

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