Claiming Medicare Rebates

What Are Medicare Rebates for Psychological Services?

Under the Better Access to Mental Health Care initiative, Medicare provides rebates for psychology sessions when you have a valid referral from a GP, psychiatrist, or pediatrician. These rebates can significantly reduce the cost of accessing mental health care, making support more affordable.

Who Is Eligible for Medicare Rebates?

To access rebates, you’ll need:

1. A Mental Health Treatment Plan: Created by your GP, psychiatrist, or pediatrician during a consultation
2. A Referral Letter: Addressed to a psychologist of your choice or left open for you to choose.

How Many Sessions Are Covered?

Medicare currently allows rebates for:

• Up to 10 individual sessions per calendar year
• An additional 10 group sessions, if recommended Addressed to a psychologist of your choice or left open for you to choose.

Initially, your GP will refer you for up to six sessions. After these, a review is required to access further sessions within the same year.

How Much Can I Claim?

The rebate amount depends on the type of psychologist and the service provided. As a guide:

• Clinical Psychologists: Approximately $136 per session
• Registered Psychologists: Approximately $92 per session

Your out-of-pocket costs will depend on the psychologist’s fees and the Medicare rebate

How to Claim Medicare Rebates

1. Book an appointment with your GP
   Book an extended appointment with your GP to get a Mental Health Plan and a referral letter
2. Pay for your Psychologist’s Session
   You will be charged the private fee after your session. Part of this session fee can be rebated through a Medicare self-claim
3. Receive an Invoice
   Your psychologist will provide an invoice with session details and their AHPRA registration number, required for Medicare claims
4. Submit Your Claim
   You can claim your Medicare rebate:
   • Online: Log in to your MyGov account and link your Medicare service. Upload your invoice and submit your claim.
   • In-Person: Visit a Medicare service center with your invoice.
   • Through the Psychologist: Many psychologists use Medicare's online claiming system and can process your rebate on the spot. Check with your psychologist to see if this option is available.

Need More Information?

If you’re unsure whether you’re eligible for rebates or have questions about the claiming process, speak with your GP or reach out to Medicare at 132 011.