National Disability Insurance Scheme

Simplify OT provides services to participants through the NDIS scheme as an unregistered provider. We can provide services to Self and Plan Managed Participants.

See information about the NDIS at https://www.ndis.gov.au/

Fees for NDIS clients are:

Plan Managed Participants – $193.99 per hour for Occupational Therapy

Travel is charged at 50% of the hourly rate of the service provided. Travel is capped according to the NDIS travel guidelines, based on the appointment location. 

Self-Managed Participants – $219.11 per hour

Travel at $219.11 per hour

Kilometre rate of $1.50 per kilometre

Private Health Insurance

A large number of private health insurers provide a rebate for occupational therapy services. Please contact your health fund directly to confirm your level of cover and eligibility for rebates.

**Please note you are unable to claim a rebate from both Medicare AND your private health insurance. A gap payment will apply for private health insurance clients.

Fees for Private Health Insurance clients are $219.11 per hour

Travel is charged at the same hourly rate as the service provided

Kilometre rate of $1.50 per kilometre

Full payment for services is required. A receipt will be issued to enable the client to claim back from their private health insurer

Medicare

Simplify OT is able to provide services covered by funding under Medicare with appropriate doctor’s referral. Please view the following link for more information:

Chronic Disease Management Program (formerly known as Enhanced Primary Care Plan) –

https://www.servicesaustralia.gov.au/allied-health-and-other-primary-health-care-referrals-for-gp-chronic-condition-management-plans?context=20http://www.health.gov.au/internet/main/publishing.nsf/Content/health-medicare-health_pro-gp-pdf-allied-cnt.htm

Please note a gap payment will apply for all Medicare clients

**Please note you are unable to claim a rebate from both Medicare AND your private health insurance. A gap payment will apply for private health insurance clients.

Fees for Private Health Insurance clients are $219.11 per hour for OT

Travel is charged at the same hourly rate as the service provided

Kilometre rate of $1.50 per kilometre

Full payment for services is required. A receipt will be issued to enable the client to claim back from their private health insurer

Private Clients

Fees for Private Health Insurance clients are $219.11 per hour for OT

Travel is charged at the same hourly rate as the service provided

Kilometre rate of $1.50 per kilometre