Entitlements & Benefits

Many services offered by The Sports Injury Clinic may be covered by Private Health Insurance, Medicare Plans, TAC, Workcover or Department of Veteran Affairs (DVA).

If you are entitled to claim a benefit, you may incur low or even no out of pocket expenses.

Private Health Insurance

At The Sports Injury Clinic most, if not all, of our services are claimable on your health insurance. Of course not all health funds are the same so it’s important that you make enquiries as to what you can claim through your particular health insurance fund. In fact, in some cases, there is no gap for certain services, so for instance you could enjoy gym sessions at no out of pocket costs! Now that’s making the most of your premiums.

Medicare Health Plans

Enhanced Primary Care Program (EPC) is a Medicare initiative which enables people with a complex and chronic condition access to a Medicare rebate for up to 5 allied health services each calendar year with a referral from their GP.

GP’s determine whether the patient has a chronic medical condition and whether they would benefit from allied health services (such as Exercise Physiology, Physiotherapy or Podiatry – all available at The Sports Injury Clinic).

All EPC services except Exercise Physiology incur an out of pocket expense.

TAC Accredited Services

TSIC practitioners are accredited and experienced with TAC claims and motor vehicle accident rehabilitation. We provide treatment to TAC claims that have an approved claim number and are approved for treatment in relation to your injury.

Before you arrive at our clinic, we will need to confirm the status of your claim by contacting the TAC. This is arranged by our experienced administration team. Please inform us of your details at the time of booking. In the event that your claim is not accepted, you will be responsible for the immediate payment of the full cost of all treatments.

For more specific information about TAC visit www.tac.vic.gov.au.

Department of Veterans’ Affairs

Physiotherapy, Podiatry and Exercise Physiology services are available for all Department of Veteran Affairs (DVA) patients who hold a Gold Card. A referral is required from your General Practitioner. Patients who hold a White Card, as long as the appointment relates to the injury covered under the white card, a referral is also required from your General Practitioner if you hold a white card. To download a brochure from the government which outlines the aims, processes and principles of DVA Rehabilitation, as well as giving some examples of how it can help you achieve real results click here.

Work Cover Claims

The Sports Injury Clinic is an Authorised Workcover Provider. If you have been injured at work your employer may ask you to visit a specific health practitioner but you have the right to choose your treating doctor, health practitioner or physiotherapist, as long as that person is an Authorised Work Cover Provider.

The Sports Injury Clinic can assist with all the requirements. As well as assessing and treating your injury, we can discuss suitable work options with your employer so you can stay at work performing modified duties to suit your injury, so that you can return to full duties as soon as possible. Workcover has a maximum fee structure for medical and similar services. Some practitioners charge patients over and above that fee however the “gap” cannot be claimed through Medicare or your Private Health Fund.

At The Sports Injury Clinic, we believe that a work place injury is stressful enough; you don’t need extra financial burden so we do not charge over the Workcover maximum fee structure (*excludes massage).

For more information regarding Workcover visit the web site at www.workcover.vic.gov.au

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