Medicare (Chronic Condition Management)
Serving Mount Hutton & surrounding Lake Macquarie suburbs. Evidence-based chiropractic care for back pain, neck pain, headaches, sciatica and more. No referral needed.
If you have an ongoing condition, your GP may be able to refer you for Medicare-subsidised chiropractic care under a GP Chronic Condition Management (CCM) plan — previously known as a Chronic Disease Management or EPC plan. It's designed for people managing a chronic or terminal medical condition that has been (or is likely to be) present for at least six months.
What you'll get back
Medicare pays a set rebate (approximately $63 per visit as at 2026) for each eligible chiropractic appointment under your plan. You can access up to 5 rebated allied-health visits per calendar year in total — these are shared across all allied-health services on your plan (for example chiropractic, physiotherapy or podiatry), not 5 each. With a valid plan and referral, we bulk-bill these visits so there's no out-of-pocket cost to you for the covered appointments.
What you need from your GP
- A GP Chronic Condition Management (CCM) plan prepared by your regular GP.
- A referral to Elvin Chiropractic for allied-health services under that plan (your GP completes the standard referral form).
- The referral names the number of visits your GP recommends, up to the yearly maximum of 5.
Good to know
- The 5 visits reset at the start of each calendar year, provided your plan and referral are still current.
- A CCM plan supports the management of your condition — it isn't a substitute for a full course of care, so some patients continue privately once their rebated visits are used.
- Eligibility is decided by your GP, not by us. If you're unsure, ask your GP whether a CCM plan is right for you.
How to get started
- 1Book a standard appointment with your regular GP and ask whether you're eligible for a Chronic Condition Management plan.
- 2Ask your GP to include chiropractic in the plan and to refer you to Elvin Chiropractic.
- 3Bring your plan and referral to your first visit — we'll handle the Medicare claim on the day.
Why Choose Us
Care you can trust, close to home
- Rated 5.0 on Google by our patients
- New patient special — $70 for your first visit
- Open weekends and no referral needed
- HICAPS on site for instant health-fund claims
- A wide range of funding options supported
- Gentle, low-force techniques available
Frequently Asked Questions
How much will I pay under a Medicare plan?
With a valid GP Chronic Condition Management plan and referral, we bulk-bill your covered visits, so there's no gap to pay for those appointments. Once your rebated visits for the year are used, you can continue as a private patient.
How many visits does Medicare cover?
Up to 5 allied-health visits per calendar year, shared across all the allied-health services on your plan (not 5 per service). Your GP decides how many to allocate to chiropractic.
Do I need a new plan every year?
Your GP will review your plan periodically. The 5-visit allowance resets each calendar year while your plan and referral remain current — your GP can advise when a review is due.
Ready to feel better?
Book online in under a minute, or give us a call — no referral needed.