Medicare chiropractic care in Parramatta
If you have a chronic condition and a care plan from your GP, Medicare can help pay for up to 5 allied health visits a year, and chiropractic is one of them. At Spirit Chiropractic, returning patients on a GP plan are bulk billed, so there is nothing to pay for those visits.
- Returning plan visits: bulk billed, no out-of-pocket cost.
- First visit on a plan: a gap applies (the new-patient consultation fee less the Medicare rebate).
- Up to 5 visits a calendar year, shared across all allied health services on your plan.
- You need a referral letter from your GP.
Who is eligible?
You may be eligible if you have a chronic medical condition, generally one that has been present (or is expected to last) for six months or more, such as ongoing back or neck pain, osteoarthritis, or another long-term condition your GP is managing.
Your GP decides whether you're eligible and prepares a GP Chronic Condition Management Plan. You may know these plans by their older names: EPC (Enhanced Primary Care), CDM (Chronic Disease Management), GP Management Plan or Team Care Arrangement. Plans made before 1 July 2025 can still be used for allied health visits until 30 June 2027.
How it works
See your GP
Book a longer appointment and ask whether a chronic condition management plan is right for you.
Get a referral letter
If you're eligible, your GP refers you to a chiropractor by letter. The referral is valid for 18 months from your first visit unless your GP says otherwise. It doesn't need to name our clinic.
Book with us
Choose "Medicare consultation" when you book online, or call us. Bring your referral letter, or ask your GP to send it to us.
Assessment and care
Your first visit is a full assessment. Every plan visit is at least 20 minutes, one-on-one with your chiropractor.
We report back to your GP
We send your GP a short report so your care stays coordinated.
What you pay
| Visit | With a GP plan | Without a plan |
|---|---|---|
| First visit (initial consultation) | Gap applies: $150 fee less the Medicare rebate ($130 for members) | $150 (50 minutes) Members: $130 |
| Return visits | Bulk billed, nothing to pay | $90 standard (20 min) or $60 short (10 min) Members: $70 standard |
| After your 5 Medicare visits for the year | Standard fees apply. Private health extras may cover part of the cost, depending on your policy. | |
The 5 visits are shared across all allied health services on your plan, such as physiotherapy, podiatry or dietetics. Aboriginal and Torres Strait Islander patients may be eligible for up to 10. You can't claim Medicare and private health insurance for the same visit.
Frequently asked questions
Do I need a referral from my GP?
Yes. Medicare only covers chiropractic visits when your GP has prepared a chronic condition management plan and referred you by letter.
How many visits does Medicare cover?
Up to 5 allied health visits per calendar year in total, shared across all the allied health professionals on your plan. If you plan to see a physio or podiatrist too, talk to your GP about how to split them.
Is my old EPC or CDM plan still valid?
Plans made before 1 July 2025 (GP Management Plans and Team Care Arrangements) can still be used for allied health visits until 30 June 2027. Referrals written before 1 July 2025 stay valid until their visits are used.
What counts as a chronic condition?
Generally a condition that has been present, or is likely to be present, for six months or more. Your GP decides whether you're eligible.
What happens after my 5 visits?
You can keep seeing us at our standard fees. Your referral letter can still be used next calendar year, while it remains valid, when your new visits become available.
Can I use my private health insurance as well?
Not for the same visit. You claim either Medicare or your private health extras for each consultation.
Have a GP referral, or not sure if you're eligible?
Call us and we'll explain how it works for your situation.
Shop 3/29 Hunter St, Parramatta NSW 2150 (entrance from O'Connell St) · Mon, Wed, Fri, Sat 10am–6pm · Getting here
Medicare rules can change. This page reflects the Services Australia rules for chronic condition allied health items as of October 2026. Your GP and Services Australia can confirm your eligibility.