Do I need a Referral?

You do not need a referral to see a Psychologist, but with certain types of referrals you are able to claim a significant medicare rebate.

Most people are referred by their GP. You usually need to book a long consultation with your GP to discuss your concerns and allow them time to make the appropriate referral. If you book a short time your GP may ask to return at another time for a longer appointment.

You may also be referred by a Psychiatrist or Paediatrician.

How do Medicare Referrals Work?

In order to receive a rebate for the majority of your session fees through Medicare, you need to have a valid referral from your GP, Psychiatrist or Paediatrician. Your GP will also need to complete a Mental Health Care Plan at the beginning of treatment. This 'opens the door' to receiving Medicare for Psychology.

Only certain mental health conditions are eligible to receive Medicare rebates for Psychology. Not all Psychology services qualify for Medicare.

Under the Medicare scheme, clients can have a maximum of 10 Medicare rebated sessions each calendar year.

Your referring doctor will need to refer you for further sessions after the initial 6 (if more are required).  These 10 sessions may or may not cover your entire treatment.

Your GP will decide if the rebates apply in your situation and will either refer you on Medicare, or privately. If you are referred privately, and do not qualify for a Medicare rebate, you may still qualify for a rebate from your private health insurance. You will need to contact your insurer and ask about your cover.

With a referral, the Medicare rebates are:

- Clinical Psychologist $137.05 (typical gap payment is approximately $75-$80)

-Registered Psychologist $93.35 (typical gap payment is approximately $110)