Medicare exercise physiology Sydney

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CDM · GPMP · TCA Plans

Medicare-rebated Exercise Physiology
for chronic conditions.

If your GP has placed you on a Chronic Disease Management Plan (also called a Care Plan, GPMP, or TCA), you can claim back part of your Exercise Physiology sessions through Medicare. Cover up to 5 allied health sessions per calendar year.

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How Medicare Covers EP

Chronic Disease Management Plans (CDM), explained.

If you have a chronic medical condition (lasting six months or longer) and complex care needs, your GP can place you on a Chronic Disease Management Plan. This unlocks Medicare rebates for up to 5 allied health sessions per calendar year — including Exercise Physiology, Physiotherapy, Dietetics, and others.

There are three main planning items your GP might use:

GP Management Plan (GPMP — item 721) — your GP develops a written plan documenting your condition, goals, and needs.

Team Care Arrangement (TCA — item 723) — your GP coordinates care between at least two other health professionals (this is what allows EP sessions to be rebated).

Review of GPMP/TCA (item 732) — periodic review of your plan as conditions change.

What it costs
Medicare rebate covers part of the session — there's a small gap fee.
Medicare currently rebates $61.80 (as of 2025-26) per CDM-eligible Exercise Physiology session (item 10953). Our standard session fee is higher than this, so you'll pay the gap out of pocket. We'll explain the exact gap fee when you book — there are no surprises. We process Medicare rebates immediately at the appointment via HICAPS.
What We Treat

Conditions commonly seen under CDM Plans.

Your GP determines if your condition qualifies. The conditions below are the ones most commonly referred to us under Medicare CDM — but if your GP thinks Exercise Physiology will help with your chronic condition, we can almost certainly support you.

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Type 2 DiabetesOne of the strongest evidence bases — exercise improves insulin sensitivity, glucose control, and weight management. The cornerstone of clinical EP work.
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Cardiac RehabilitationPost-heart attack, post-bypass, post-stent, or living with heart failure. Structured progressive cardiovascular training under clinical supervision.
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Osteoporosis & OsteopeniaResistance training and weight-bearing exercise to build bone density and reduce fracture risk — particularly important for older Australians.
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OsteoarthritisKnee, hip, and spinal arthritis — strengthening surrounding muscles, improving range of motion, and managing pain through exercise.
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Obesity & Weight ManagementSustainable, evidence-based exercise programming as part of a broader medical weight management plan.
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Pulmonary Conditions (COPD, Asthma)Breathing-focused conditioning to reduce breathlessness, improve exercise tolerance, and maintain quality of life.
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Mental Health (also via MHCP)Depression, anxiety, and chronic stress — exercise as adjunct treatment. Available through CDM and through Mental Health Care Plans.
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Falls PreventionOlder adults with falls history — strength, balance, and confidence work proven to reduce fall risk by up to 40% in published evidence.
Group Classes

Type 2 Diabetes group classes.

In addition to individual sessions, Medicare provides separate funding for group exercise physiology classes specifically for type 2 diabetes — covering up to 8 group sessions per calendar year (item 81115), in addition to your standard 5 individual allied health sessions.

Group diabetes classes are an evidence-based, more affordable way to access ongoing exercise physiology support. They run with 2-12 participants and provide structured, supervised exercise programming alongside the social and motivational benefits of training with others in similar situations.

To access these classes, your GP needs to prepare a specific Group Allied Health Service referral form. We complete a one-on-one assessment first (item 81100) and then enrol you into the appropriate group class.

Eligibility: Type 2 diabetes diagnosis, GP-prepared CDM Plan plus a Group Allied Health Service referral, and an initial individual assessment with us.

Enquire About Diabetes Classes For GPs — Group Referral Info
How to Access

Getting Medicare-rebated EP is three steps.

1
See your GP
Talk to your GP about whether a Chronic Disease Management Plan (CDM/GPMP/TCA) is right for you. If your condition qualifies, they'll prepare the paperwork.
2
Get the referral form
Your GP will provide a CDM referral form indicating Exercise Physiology as one of the allied health services in your plan. Bring this to your first session.
3
Book your session
Book online, call us, or have your GP fax the referral directly. We process the Medicare rebate via HICAPS at the time of your appointment, so you only pay the gap.
Book Your First Session For GPs — Refer Online
For Referring GPs

Streamlined CDM referrals.

We make CDM referrals simple — clear paperwork, prompt initial assessments, and outcome reports back to you. If you have patients with chronic conditions who'd benefit from clinical exercise programming, get in touch and we'll guide you through.

Refer a Patient Call (02) 8054 3775