Fees

Fee Schedule

Occupational Therapy Fees

Appointments (pro rata per hour): $193.99

Please note: Appointments consist of both 1:1 therapy time plus 15 minutes of planning, set up, clinical notes, and administrative time. A standard one hour appointment (charged at $193.99) therefore consists of 45 minutes 1:1 therapy and 15 minutes of planning, set up, clinical notes, and administrative time.

Reports, letters, case conferences (pro rata per hour): $193.99

Assessments: Please contact us for our assessment fees.

Occupational Therapy Assistant Fees

Appointments (pro rata per hour): $86.79

Please note: Appointments consist of both 1:1 therapy time plus 15 minutes of planning, set up, clinical notes, and administrative time. A standard one hour appointment (charged at $86.79) therefore consists of 45 minutes 1:1 therapy and 15 minutes of planning, set up, clinical notes, and administrative time.

Travel Fees

As a mobile occupational therapy service, travel fees are charged in addition to appointment fees (excluding Telehealth appointments), unless waived or reduced.

Provider travel labour costs (pro rata per hour): $193.99 (full rate) / $96.99 (discount rate)

Where possible, the discount rate will be charged for provider travel labour costs. Please see below, for further information on the discount, reduction or waiving of travel costs.

As per the NDIS Guidelines, the 2019 Modified Monash Model (MMM) is used to determine the maximum travel time that can be billed each way, which consists of 30 minutes for services provided in MMM1-3 areas and 60 minutes for services provided in MMM4-5 areas.

Provider travel non-labour costs: While many providers also charge non-labour travel fees (for each km travelled to and from an appointment (e.g. $1 per km travelled)) in addition to provider travel labour costs, which is permitted by the NDIS, Pottsville Occupational Therapy is currently trialling waiving these fees, in an effort to reduce the burden of therapy costs on clients and their families, as well as do our part to reduce the burden on the NDIS.

Discount, reduction or waiver of travel costs: Pottsville Occupational Therapy is dedicated to being a socially responsible business. Where possible, we do our best to reduce travel costs by providing our mobile therapy services to more than one client in a region to reduce the overall travel expenses for clients and their families, as travel expenses are shared between all clients in that region on the day of the appointment. The discount, waiving or reduction of travel fees is at our complete discretion, but we will do our best to reduce the financial burden of our services, where this is possible. This also allows us to place less financial burden on our clients and on various funding arrangements, including the NDIS.

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Payment and Funding

Self Managed NDIS

An invoice will be provided following your session. Payment is required within one (1) week.

Following payment, a receipt can be provided to you. The invoice or receipt can be used to arrange reimbursement through the NDIS.

Plan Managed NDIS

An invoice will be emailed to your plan manager following your session. Payment from the plan manager is required within one (1) week.

Please note, if your plan manager does not provide timely payment, we may not be able to continue providing our services to you.

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Medicare

An invoice will be provided following your session. Payment is required within one (1) week.

Following payment, a receipt can be provided to you.

Contact your GP for an Occupational Therapy referral through an Enhanced Primary Care Plan, Chronic Disease Management Plan, Better Access to Mental Health, Helping Children with Autism, or an Aboriginal or Torres Strait Islander Referral. This referral may allow you to receive a Medicare rebate for a certain number of sessions. The Medicare rebate is approximately $50 to $60 per session and must be claimed through Medicare using the receipt provided following payment.

Private Health Insurance

An invoice will be provided following your session. Payment is required within one (1) week.

Following payment, a receipt can be provided to you. The receipt can be provided to your private health insurer for possible reimbursement of part of the fees (if your private health insurance includes extras cover for occupational therapy). Contact your private health insurer for further information.

Aged Care

For clients receiving a My Aged Care Home Care Package managed by an external provider, where possible, fees will be charged directly to your aged care package external provider, unless otherwise agreed to.

An invoice will be emailed to your provider following your session. Payment from the provider is required within one (1) week, unless otherwise agreed to.

Please note, if your provider does not provide timely payment, we may not be able to continue providing our services to you.