How do I know if I am eligible for a GP Mental Health Treatment Plan?
You may be eligible if you have had a mental health disorder diagnosed by a medical practitioner (including GP). You can read more in this resource.
To further confirm your eligibility, we advise that you phone Services Australia on 132 011 and query your eligibility for Medicare item numbers: 92116 and 92117. Please have your Medicare card ready.
If Services Australia determine that you are not eligible as at the current date, it is possible that you have had a plan issued within the last 12 months. We recommend enquiring with Services Australia from what future date you would be eligible.
Note: Services Australia cannot assess whether you are clinically eligible. Please refer to the question below for more information.
Is my Mental Health Treatment Plan issued by a non-CU Health GP valid?
Yes. Any GP can prepare a GP Mental Health Treatment Plan for you. Please send us a copy of your plan to records@cuhealth.com.au at least 24 hours prior to your first appointment to receive a rebate for that service.
How can I be assessed for a GP Mental Health Treatment Plan?
Due to the nature of these appointments, we ask that you book an ‘Extended Appointment’ with any one the CU Health General Practitioners or your regular GP. The GP will then assess if you meet the medical criteria for a Mental Health Treatment Plan.
I already have a Mental Health Treatment Plan with another GP, do I need to see a CU Health GP to be eligible for Medicare rebates with a CU Health Psychologist?
Any GP can prepare a GP Mental Health Treatment Plan for you. If your plan was prepared by another practitioner outside of CU health, you will need to provide a copy of your GP Mental Health Treatment Plan to CU Health before your first Psychology appointment to receive a rebate for that service. Please send a copy of your plan to records@cuhealth.com.au at least 24 hours prior to your first appointment.
Do I need to see a GP before booking with a psychologist to receive a rebate?
Yes – Your psychologist must have a copy of your GP Mental Health Treatment Plan, along with a referral.
Do I need to do anything to receive my rebate if I am eligible?
No – if you have added your Medicare card to your CU Health account, we will process the claim on your behalf. You should receive the rebate within 48 hours after your appointment.
How do I know if my previous Mental Health Treatment Plan was over 12 months ago?
You should call Services Australia on 132 011 with your Medicare Card information and ask whether you are eligible for the following Item numbers 92116 and 92117. If the operator from Services Australia advises you that you are not eligible as at the current date, it could be because you had a plan done in the previous 12 months. You may request from them the date in which you would be eligible. Note: Services Australia cannot assess whether you are clinically eligible. Please refer to question below for more information.
What if I have reached the limit of appointments prescribed in my original Mental Health Treatment Plan?
You may be eligible for additional appointments. Book an appointment with a GP, preferably the GP that issued the original plan, to review your Mental Health Treatment Plan.
How do I link my bank details to Medicare?
Download and Login to the Medicare app and add/edit your bank details. You can also access Medicare through the MyGov online portal.
If I receive a new Medicare card, do I need to update CU Health?
Yes. Usually, when new cards are issued there is a change in the card number or expiry, and this may lead to a rejected claim.
What if I have not received my rebate within 48 hours?
Login to the Medicare app, or MyGov portal, and view your claims history. This will allow you to determine if there was a rejection/delay and why. If you need a copy of your invoice to resubmission this can be obtained through your CU members portal.
What should I do If my claim is rejected by Medicare?
There are many reasons why a claim may be rejected. This includes incorrect address or that were not eligible for the rebate at the date of service.