Payment and Fee Policy

PGSW is a private billing clinic. Therefore, payment is required on the day and time of treatment.

Payment is accepted via credit card (Visa & Mastercard), EFTPOS or cash. We do not accept physical cheques or american express cards. For your convenience, we use the HICAPS and Medicare instant claim system for on-the-spot health fund rebates.

If you do not have your Private Health Care Card with you, you will need to pay the full amount. We will provide you with a receipt and and you may claim your refund directly from your Private Health Care Provider.

Workers Compensation and Motor Vehicle Accident Claims

Clients who have been involved in a work accident or motor vehicle accident, may be eligible for treatment funding under the employer’s workers compensation or motor vehicle accident insurer. If you wish to access payment through the claim, prior to your appointment, we will require the following:

  • Name of insurer
  • Address of insurer
  • Contact phone numbers for the insurer
  • Claim number
  • Claims officer name and direct phone number
  • Employers name and contact address
  • Letter from the insurer stating that liability has been accepted*

If you do not provide the above information prior to your treatment, you will be required to pay for your treatment at private rates on the day of treatment. Alternatively you may wish to reschedule your appointment until you have these details.

*Note: Letters from any insurer providing a claim number but not admitting liability is not proof that the insurer, as yet, will be responsible for your treatment.

DVA (Veteran Affairs)

You may be eligible for funding through DVA. We will invoice DVA directly for treatment costs however we will require the following information prior to your appointment:

  • A referral from your GP, on the GP’s letterhead stating the condition to be treated, GP’s provider number and date of referral.
  • Your white or gold card.

DVA clients will be required to pay for treatment costs at private rates until the above information is provided. 

EPC (Enhanced Primary Care)

Physiotherapy does not routinely attract medicare rebates. Rebates from Medicare for allied health costs are strictly limited and your GP must confirm that you are eligible and complete an EPC plan before treatment can be started.

The EPC plan is a special referral form from your GP. EPC clients will need to provide this form prior to treatment so that we can correctly bill your treatment in order for you to claim a rebate from Medicare. This process may take some time, and will need to confirm your plan has been approved prior to your treatment as any appointments without the plan approval will not receive a medicare rebate and will incur private fees on the day.

PLEASE NOTE: We are not a bulk billing clinic, so a gap payment will apply. The full fee will be debited from your nominated account. The rebate will then be processed on the day if you have provided your medicare card. The rebate should arrive back in your account within 12-24 hours.

Please also note, the rebate can only be accessed with a savings or cheque account, not credit. If you wish to pay the full fee on credit that is not a problem, just be sure to also bring a savings or cheque card with you.

For more information go to www.medicareaustralia.gov.au

NDIS

PGSW is not a registered NDIS provider. We are predominantly a musculoskeletal clinic. Some clients may be eligible for funding for Physiotherapy under the NDIS. We may be able to provide Physiotherapy for musculoskeletal conditions under the NDIS if you are self managed or plan managed.

We endeavour to ensure you are receiving the best care for you and your condition. We will assess each client to ensure we are the best service for you, and will provide our recommendations if we feel we are not. 

As with all fees associated with the scheme, NDIS physiotherapy fees are set by the National Disability Insurance Agency (NDIA). The NDIS regulates service fees – including prices for physiotherapy – to help ensure participants get good value for money from their supports. Our fees for NDIS clients are in line with the NDIS set fees. The NDIS updates their pricing regularly, typically every 12 months. As such our fees may change in line with the NDIS set fees.

PGSW requests payment on the day for all Self Managed clients. We will provide you with a receipt for you to submit to NDIS.

For Plan Managed clients, we may send invoices directly to your plan manager. Prior to your initial appointment, we will require the following:

  1. Plan manager Name
  2. Plan manager email address
  3. Plan manager phone number
  4. Plan number
  5. Client name, phone number and address.

If we do not have this information prior to your appointment, we will require full payment on the day.

 

Disclaimer: All private fees may be subject to change at all times. We reserve the right to change our product and service prices and fees at any time without further notice.