THE INS AND OUTS OF 3RD PARTY PAYERS

We accept referrals for most types of 3rd party payers including:
- Workcover
- DVA (Veteran's Affairs)
- Motor vehicle accident
- Medicare Enhanced Primary Care (EPC)

Understanding how each works reduces the pain of dealing with bureaucracy. The following information will help guide you through the process of working with these systems. Please note that it is a summary of our experience, and not necessarily directly from that organisation.

WORKCOVER

There are two options now, if you do not require time off work as a result of your injury you may attend a chiropractor without a GP referral. our feeling is that it may be better to have ther referral, in case there is some complication in the future. Alternatively, if you have a work place injury you need to report it as soon as possible and see a GP for a referral. The referral must specify chiropractic otherwise the insurer may not cover your expenses. Your employer will lodge the claim with their insurer and you should hear back in writing in about 7-10 days if the claim is accepted. Any treatment you have during this time you will be required to pay for, but if accepted will be covered by the claim and you can request a refund from the insurer directly.

If your claim is accepted, as soon as you receive a claim number and provide us with it, we will bill the insurer directly to avoid out of pocket expenses. Workcover allows for up to 8 treatments before we are required to request an extension of treatment in blocks of up to 10 visits.

Workcover's primary goal is to have you back at work at pre-injury duties as quickly as possible.

DVA

You will need to have a specific referral from your GP for chiropractic. Bring this letter with you along with your DVA card and we will take an imprint and send the bill to DVA.

MOTOR VEHICLE ACCIDENT

You will need to have reported the injury to your insurer and obtain a GP referral for chiropractic care. When you begin care we are required to notify the insurer that you are receiving chiropractic care. Until we have received notification that the insurer will cover costs you will be required to pay for any treatment. Once the claim is accepted and we have the information, we will bill the insurer directly.

MEDICARE (EPC)

if eligible your GP may formulate a care plan and refer you for chiropractic care. There are a range of health care providers that can be accessed using the EPC system, and there is a limitation of 5 treatments total in the calendar year from when the EPC referral is generated. This does not mean 5 per treatment type, but 5 in total across the disciplines. We will provide you with completed paperwork and receipt of payment which you take to a medicare office and obtain a refund. it can take a few days from when the process is started by your GP, so we recommend a few days delay until you seek the refund.