At Learn Sense Grow we are mindful of the financial challenges supporting your child can create. Please review the options available to support OT services for your child or contact us to discuss further.

National Disability Insurance Scheme (NDIS)

Learn Sense Grow provides Occupational Therapy services to clients who are Plan Managed or Self Managed under the NDIS.

Plan Managed – A third-party Plan Manager is responsible for processing invoices on your behalf. Invoices will be sent directly to your nominated Plan Manager for payment.

Self Managed – You are responsible for payment of invoices. Invoices will be sent directly to you, and you can then claim reimbursement through the NDIS portal.

Occupational Therapy services are billed in line with the NDIS Pricing Arrangements and Price Limits. 

For more information about the NDIS and to determine eligibility, please visit the National Disability Insurance Scheme (NDIS) website or speak with your support coordinator or plan manager.

Medicare Plans

There are a variety of funding options and Medicare rebates available to eligible families. Eligibility for these plans is determined by your GP, Paediatrician or Psychiatrist.

Chronic Condition Management Plan (CCMP)
Previously known as the Enhanced Primary Care Plan, this plan is prepared by your GP and provides access to allied health services, including Occupational Therapy.
Eligible clients may receive up to 5 Medicare rebates per calendar year under this plan.

Medicare Item 82025 – Complex Neurodevelopmental Disorders and Eligible Disabilities
This item allows for up to 20 allied health therapy sessions per patient (lifetime cap) for individuals under 25 years of age with a diagnosed complex neurodevelopmental disorder or eligible disability (such as Autism Spectrum Disorder). A referral from a Paediatrician or Psychiatrist is required, along with an approved treatment and management plan.

Please note that rebates are set by Medicare and a gap fee will apply.

Private Health

Please contact your Private Health fund to determine the level of cover you might have of Occupational Therapy support.  Use the following reference codes when contacting your Private Health fund:
100 – initial consult
200 – subsequent consult