Medicare rebates for speech pathology

If your child has a long-term condition (lasting 6+ months) and needs support from multiple health professionals, your GP may be able to create a Chronic Condition Management Plan.

• Up to 5 sessions per calendar year
• 💳 Out-of-pocket cost: $132.19 per session
• ⏱ 45 minutes of one-to-one speech assessment or therapy, tailored to your child
• Rebate: You’ll pay the full session fee on the day, and receive $61.80 back from Medicare. 
• Referral required from your GP

If your child has (or is being assessed for) autism or another eligible neurodevelopmental condition:

• Up to 8 Medicare-rebated assessment sessions - These are used to help confirm a diagnosis and understand your child’s developmental profile.
• Up to 20 Medicare-rebated therapy sessions - These can be used for speech pathology, occupational therapy, psychology, or physiotherapy.
• 💳 Out-of-pocket cost: $108.79 per session
• ⏱ 45 minutes of one-to-one speech assessment or therapy, tailored to your child
• Rebate: You’ll pay the full session fee on the day, and receive $85.20 back from Medicare
• Referral must come from a paediatrician or child psychiatrist under the Helping Children with Autism (HCWA) or Better Start for Children with Disability Medicare items.
• These sessions are a one-time allocation and do not renew yearly

Children of Aboriginal or Torres Strait Islander background may be eligible for:

• Up to 5 follow-up allied health sessions per year, including speech therapy
• 💳 Out-of-pocket cost: $132.19 per session
• ⏱ 45 minutes of one-to-one speech assessment or therapy, tailored to your child
• Rebate: You’ll pay the full session fee on the day, and receive $61.80 back from Medicare
• These sessions can be used in addition to the GPCCMP plan

• We’ll provide a receipt with all the details needed to claim through Medicare.
• Claims can be submitted through the Medicare app, your MyGov account, or at a Medicare office.

Please note: Medicare rebates do not cover the full cost of your session. The remaining “gap” is your out-of-pocket cost payable at your appointment as listed above.