Current Medicare benefit for eligible physiotherapy item 10960.
Medicare physiotherapy
Use your Medicare care plan with clarity.
Your GP may refer you for physiotherapy under a GP Chronic Condition Management Plan when you meet the Medicare requirements. Bring a valid referral, pay the clinic’s usual private fee and receive the applicable Medicare benefit after the claim is processed.
Eligible allied-health services in total per calendar year—not automatically five physio visits.
The service must be consistent with the relevant management plan.
You pay the clinic fee, then Medicare processes the benefit.
The five services may be shared across allied health
The annual limit generally covers eligible individual services across physiotherapy and other participating allied-health disciplines. Your GP allocates referrals according to the plan; using another allied-health service may reduce the number remaining for physiotherapy.
Five clear steps
How the GP Chronic Condition Management Plan pathway works
Speak with your GP
Your GP decides whether you meet the Medicare requirements for this pathway.
Plan and referral
Your GP prepares or reviews the plan and refers you for eligible physiotherapy.
Bring documents
Provide the valid referral and Medicare details before or at the appointment.
Pay the clinic fee
Physio Cure charges the applicable usual private consultation fee.
Receive the benefit
Medicare processes the $63.40 benefit to your nominated account when the claim is accepted.
Older plans are in transition.
GP Management Plans and Team Care Arrangements prepared before 1 July 2025 may continue under Medicare transition rules until 30 June 2027. New care uses the GP Chronic Condition Management Plan framework. Your GP should confirm which arrangement applies.
Avoid a delayed claim
What to bring to your appointment
Valid referral
The referral for eligible physiotherapy under the applicable plan.
Medicare card
Your current Medicare card or correct Medicare details.
Relevant reports
Imaging, letters or reports that are relevant to safe care, if available.
Health information
Medicines, medical history and other current healthcare relevant to treatment.
Services already used
The number of eligible allied-health visits already claimed this calendar year, if known.
Your consultation
What physiotherapy may include
- Assessment of the condition, function and your priorities.
- A working clinical impression explained in plain language.
- Shared goals and an individual treatment plan.
- Education, activity advice and appropriately dosed exercise.
- Optional hands-on care or adjuncts only when clinically justified and consented.
- Progress communication to your referring GP as required by Medicare arrangements, privacy law and consent.
A Medicare referral does not guarantee a particular treatment, recovery time or number of physiotherapy appointments.
Shared care
A straightforward clinical pathway
- 01Verify
Check referral, plan and available services.
- 02Assess
Understand symptoms, function and health context.
- 03Agree
Set meaningful goals and options together.
- 04Treat
Use an appropriate evidence-informed plan.
- 05Review
Measure response and adapt or refer.
- 06Communicate
Report to the referring GP as required.
Fees and benefit
Your gap is the clinic fee minus the Medicare benefit
Physio Cure requires payment of the applicable usual private consultation fee. For a valid, accepted item 10960 claim, the current Medicare benefit is $63.40.
Simple calculation
Out-of-pocket amount = applicable clinic fee − $63.40 Medicare benefit
The exact gap depends on the clinician and appointment type shown on the current fees page.
View current Physio Cure feesThe MBS benefit, eligibility rules and clinic fees can change. Check the current information before relying on an amount.
Frequently asked questions
Before you book
Your GP decides clinical eligibility for a plan; Medicare decides whether a submitted claim is payable.
Email receptionIs this still called an EPC plan?
“EPC” remains a familiar informal term, but new Medicare arrangements from 1 July 2025 use the GP Chronic Condition Management Plan framework. Older eligible plans made before that date have transition arrangements until 30 June 2027.
How many physiotherapy visits can I claim?
The limit is generally up to five eligible individual allied-health services in total per calendar year, shared across applicable disciplines. Your GP’s referrals and services already used determine what remains for physiotherapy.
Do I need a new referral for every appointment?
Not automatically. The referral must remain valid under the applicable Medicare requirements and include the services your GP has referred. Ask your GP or reception if the allocation or validity is unclear.
Will Medicare pay the full physiotherapy fee?
No. Physio Cure charges its applicable usual private fee. The current item 10960 benefit is $63.40, leaving a gap equal to the clinic fee minus the Medicare benefit when the claim is accepted.
Can I use private health insurance for the remaining gap?
Generally, the same service cannot be claimed from both Medicare and private health insurance. Confirm your circumstances with Medicare and your insurer before relying on another benefit.
What if Medicare rejects my claim?
You remain responsible for the clinic fee. Reception can check whether the submitted details appear correct, but only Medicare can decide eligibility or reverse a rejection.
Choose a clinic
Medicare care-plan physiotherapy in Elwood or Beaumaris
Elwood
Physio Cure
Level 1, 61 Brighton RoadElwood VIC 318403 9525 6077
Beaumaris
Physio First
19 Keys StreetBeaumaris VIC 319303 9589 0088
Ready for the next step?
Bring your referral and Medicare card.
Book at your preferred clinic or contact reception if you need to check the documentation first.