NDIS

The National Disability Insurance Scheme (NDIS) provides financial support to people with disability, ensuring they have access to the necessary services and supports to live an ordinary life. As the most significant social reform since Medicare, the NDIS is designed to take a lifetime approach, investing in individuals early to help them build skills, independence, and community participation.

At Peninsula Plus, we are a registered NDIS provider, offering a range of services under all three funding management options:

  • Self-Managed – You control your NDIS funds, choosing and paying for services directly. Learn more.
  • Plan-Managed – A plan manager handles payments and admin. You still have choice and control over providers, even if they are not NDIS-registered. Learn more.
  • NDIA (Agency) Managed – The NDIA manages your budgets and pays providers directly. This reduces admin for you, but you must use NDIS-registered services. Learn more.

medicare chronic disease management plan

Previously known as the Enhanced Primary Care Plan (EPC), the Chronic Disease Management Plan (CDMP) provides partial Medicare rebates for allied health services, including occupational therapy, speech pathology, and psychology.

This plan is available to individuals with at least one medical condition that has lasted (or is expected to last) six months or more, or is terminal.

Eligible individuals can access up to five allied health sessions per year with a partial Medicare rebate. Individuals will need to pay a gap fee for each session, as Medicare only covers part of the cost.

Important: Counselling or psychotherapy services are not covered under a CDMP.

A GP referral is required to access this plan.

  1. Book an appointment with your GP
  • Contact your GP to set up an appointment.
  • Let your GP know you’d like to discuss a Chronic Disease Management (CDM) Plan.
  1. Discuss your health needs
  • During the appointment, talk to your GP about your chronic condition(s) and how they affect your daily life.
  • Your GP will assess whether a CDM Plan is suitable for you.
  1. Develop the plan
  • If eligible, your GP will create a plan outlining your healthcare needs and goals.
  • If your treatment requires multiple health professionals, your GP may set up a Team Care Arrangement to coordinate your care.
  1. Access allied health services
  • With a CDM Plan, you can be referred to allied health professionals like occupational therapists, speech pathologists, psychologists, physiotherapists, or dietitians.
  • A CDM Plan provides partial Medicare rebates for up to five allied health sessions per year, with a gap fee payable each time.
  1. Regular Reviews
  • Your GP will review your plan in follow-up appointments to ensure it continues to meet your needs.

For full details on eligibility and rebates, visit:

medicare mental health care plan

Eligible individuals can receive partial rebates for up to 10 sessions per year with clinical psychologists at Peninsula Plus.

For full details, visit: 

medicare complex neurodevelopmental disorders and eligible disabilities

Medicare provides rebates for assessments and treatment planning for individuals diagnosed with complex neurodevelopmental disorders or eligible disabilities. This funding supports early diagnosis, intervention, and treatment planning by allied health professionals.

To qualify, the individual must:

  • Be under 25 years old
  • Have a complex neurodevelopmental disorder or an eligible disability, such as:
    • Autism
    • Intellectual Disability
    • Cerebral Palsy
    • Genetic disorders that impact development

Eligible individuals can access:

  • Up to 4 allied health sessions for assessment and diagnosis
  • Up to 20 treatment sessions for early intervention

A gap fee may apply for each session, as Medicare may only cover part of the cost.

A specialist referral (paediatrician, psychiatrist, or neurologist) is required to access this funding.

For full details on eligibility and rebates, visit:

private health insurance

Many private health insurance plans cover occupational therapy, speech pathology, psychology, and counselling services (typically listed on “Extras” policies).  Peninsula Plus is a provider for most of the major private health funds.

Please contact your private health fund directly to determine what support is offered for you to access occupational therapy, speech pathology, psychology, or counselling services.

DVA

The Department of Veterans’ Affairs (DVA) provides fully funded allied health services for eligible veterans and their dependents. Allied health services include speech pathology, occupational therapy, and psychology.

  • Gold Card holders – Access a wide range of allied health services with no out-of-pocket costs.
  •  White Card holders – Coverage for services related to approved conditions.

A GP referral is required, and sessions must align with DVA treatment guidelines.

Each referral allows for up to 12 sessions with the allied health provider. If further treatment is needed, the GP can issue a new referral to continue care.

TAC

The Transport Accident Commission (TAC) provides funding for rehabilitation and therapy for people injured in road accidents in Victoria.

  • Covers occupational therapy, speech pathology, psychology, physiotherapy, and other allied health services.
  • No out-of-pocket costs if services are pre-approved by TAC.
  • Services must focus on rehabilitation, recovery, and returning to daily activities.

A GP or specialist referral is typically required, and a TAC claim must be submitted to obtain pre-approval for services.

WorkSafe Victoria

WorkSafe provides funding for treatment and rehabilitation for employees injured at work, helping them recover and return to work.

  • Covers allied health services like occupational therapy, psychology, speech pathology, and physiotherapy.
  • Pre-approval may be required for some services.
  • No out-of-pocket costs if treatment remains within WorkSafe fee schedules.

A GP referral is usually required.

home care packages

Home Care Packages (HCP) are government-funded programs designed to help older Australians live independently at home. Funding can be used for allied health services that support mobility, independence, and well-being.

Home Care Packages cover occupational therapy, speech pathology, and other essential health services.

Funding is based on individual needs, with four levels available:

  • Level 1 – Basic care needs
  • Level 2 – Low-level care needs
  • Level 3 – Intermediate care needs
  • Level 4 – High-level care needs

Eligibility is assessed through My Aged Care. Clients are assigned a Home Care Package provider to manage their funding. Services can be self-managed (greater control) or provider-managed (less admin).