Member
User Guide

Medicare

Are all CU Health appointments eligible for Medicare rebates?

No. Currently, Medicare requires you to have had a face-to-face visit within the last 12 months to access Medicare subsidised tele-health services, and there are limited exceptions to this rule.  The exception applies to specific GP or Psychologist led appointments.

Psychologists: You may be eligible for Medicare subsidised psychology appointments under a Mental Health Treatment Plan. You will need to consult with a GP first for an eligibility assessment, referral and activation of Mental Health Treatment Plan.

GP: If your visit with the GP is in relation to a Mental Health Treatment Plan, you may be eligible for a Medicare rebate. During this visit, the GP will assess your eligibility and develop the Mental Health Care Plan for your psychologist.

 

What CU Health appointments are eligible for Medicare rebates?

Medicare rebates only apply for a specific number of attendances with a general and clinical psychologist if you have a Mental Health Treatment Plan issued by a GP. Your GP will decide how many sessions in a course of treatment. There is a maximum of six sessions in the initial course with a subsequent course of up to 4 to a maximum of 10 sessions within a calendar year. Certain GP appointments including to prepare a new Mental Health Treatment Plan is also covered by Medicare.

 

When will I receive my rebate?

If you have your current bank details registered with Medicare and have added your Medicare card to your CU Health account, our team will process the claim on your behalf. You should receive the funds within 48 hours after your appointment. If you have not received your rebate within 48 hours, login to the Medicare app and view your claims history and check if your bank details are accurate. This will allow you to determine if there was a rejection/delay and why. If you need a copy of your invoice to resubmit this can be obtained within your CU Health member’s profile.

 

What should I do If my claim is rejected by Medicare?

There are many reasons why a claim may be rejected. This includes inaccurate address or simply that at the time of your billing you were not eligible for the claim. Usually when new Medicare cards are issued there is a change in the card number or expiry, and this may lead to a rejected claim.

 

Do I need to add my Medicare card to my CU Health profile?

No however if you would like our team to process any Medicare claims on your behalf, you’ll need to add your Medicare Card details to your profile.

 

How do I add my Medicare card to my CU Health profile?

You can add the card number, line number and expiry date in your profile in your CU Health dashboard.