How the $63.40 rebate works
Physiotherapy under a care plan is billed to Medicare as MBS item 10960. The schedule fee is $74.55 and Medicare pays 85% of that — $63.40 — back to you for each eligible session (figures from 1 July 2026). The rebate is the same whichever physiotherapist you see and whichever clinic you attend; what changes your out-of-pocket cost is the clinic’s consultation fee.
At Daisy Hill Physio a standard private consultation is A$105–125, so after the rebate you are typically out of pocket about A$41.60–61.60 a session. If your out-of-pocket medical costs are high across the year, the Extended Medicare Safety Net (threshold-based, cap $223.65 for this item) can lift the rebate further — ask Medicare or your GP whether you qualify.
Five sessions — shared across all allied health
A care plan funds up to 5 individual allied health services per calendar year, pooled across every allied health profession on your plan — not five each. If you use two with a podiatrist, three remain for physiotherapy. The count resets in January and unused sessions do not roll over. Telehealth physiotherapy (items 93000 video and 93013 phone) draws on the same five. One more rule worth knowing: you cannot claim the Medicare rebate and your private health extras for the same visit.
Getting a care plan from your GP
Your GP prepares a chronic condition management plan (GPCCMP — MBS items 965, 392, 92029 or 92060, which replaced the old GPMP and TCA items in July 2025) for conditions that have lasted, or are expected to last, six months or more. The plan must have been prepared or reviewed within the last 18 months. Plans written before 1 July 2025 under the old item numbers remain valid until 30 June 2027.
The referral itself is a signed, dated letter from your GP. It no longer needs to state a session count, it stays valid for 18 months from your first physiotherapy service, and it is portable — you can bring an existing referral to Daisy Hill Physio even if it names another clinic. We report back to your GP at the start and end of care, as Medicare requires.
Five sessions, used properly, go a long way
Five rebated sessions is not much for a chronic condition — so we make each one count: clear assessment, a plan you can run yourself between visits, and honest advice about whether you need to keep coming. When the five are used, you can continue privately (A$105–125, extras claimable through HICAPS) or ask your GP about next year’s plan.
Book a care plan appointment in Daisy Hill
Daisy Hill Physio is at Unit 4, 11–13 Allamanda Drive, Daisy Hill QLD 4127 — in Logan City, Queensland, Australia (not Logan, Utah), close to Springwood, Shailer Park, Slacks Creek, Underwood, Cornubia and Loganholme. Bring your referral, book online or call 07 3209 2000. More detail: Medicare physiotherapy, our guide to what a GP referral covers, all fees and costs, DVA fees and NDIS rates.
Reviewed by Teya Williams, Physiotherapist, Daisy Hill Physio. Figures current at 26 August 2026; Medicare indexes rebates annually.
Sources: MBS Online, item 10960 (schedule fee $74.55, benefit 85% = $63.40, EMSN cap $223.65, from 1 July 2026) and explanatory notes on allied health referrals and the GPCCMP items 965 / 392 / 92029 / 92060. Accessed 26 August 2026.
