Our GPs specialise in management of diabetes, heart disease, COPD, asthma, arthritis and other chronic conditions. GP Management Plans and Team Care Arrangements include Medicare Allied Health visits.
A Chronic Disease Management plan (CDM) is a structured Medicare-funded plan for patients living with one or more chronic conditions — diabetes, cardiovascular disease, COPD, arthritis, cancer, mental illness, or chronic musculoskeletal pain.
Your GP develops the plan with you, then coordinates care across our onsite Allied Health team (dietitian, physiotherapist, podiatrist, diabetes educator, psychologist) — up to 5 Medicare-rebated Allied Health visits per calendar year.
A GP Chronic Disease Management Plan (formerly called a GPMP/TCA) is a written, structured plan prepared by your GP for any long-term condition that has lasted (or is expected to last) at least 6 months. It coordinates your care across providers and unlocks Medicare rebates for Allied Health visits.
Your nurse and GP review your conditions, current management, gaps in care and goals. Bring your medication list and any specialist letters.
A written plan covering goals, management strategy, treatments, referrals and review timing.
Reviews are billed under MBS item 967. If 2+ providers are involved (e.g. GP + dietitian + physio), this also unlocks 5 Medicare-rebated Allied Health visits per calendar year (gap fees may apply with the practitioner).
You leave with referrals to use as needed throughout the year — onsite or external practitioners of your choice.
Short GP review appointments to update goals, adjust medications, refresh referrals and track progress.
Around 1.3 million Australians have diabetes. Whether you're managing established diabetes, recently diagnosed pre-diabetes, or pregnant with gestational diabetes, our team provides comprehensive care.
High blood pressure is one of the biggest preventable causes of heart attack and stroke. We work with you on lifestyle change, accurate home monitoring, and the right medication where needed.
Includes 24-hour ambulatory BP monitoring referrals, lipid management (statins where indicated), absolute cardiovascular risk assessment, and Heart Health Checks for ages 45–74.
Written, individualised Asthma Action Plans and COPD Action Plans — including spacer technique training, peak-flow monitoring, exacerbation rescue plans, smoking cessation support and pulmonary rehabilitation referrals via your Chronic Disease Management plans.
The Medicare Heart Health Check is a 30-minute risk assessment, free for ages 45–74 (or 30+ if Aboriginal/Torres Strait Islander). Plus ECG, ambulatory BP, lipid management, statin/anti-hypertensive prescribing and visiting cardiology onsite via Dr Alex Adel for stress echo and echocardiogram.
A Team Care Arrangement under your Chronic Disease Management plans unlocks Medicare rebates for up to 5 Allied Health sessions per calendar year, split across any combination of:
You can split the 5 sessions however you like — e.g. 2 dietitian + 3 podiatrist. Most of our onsite Allied Health practitioners accept Chronic Disease Management rebates.
MyMedicare is a free, voluntary Australian Government registration program that links you to your preferred GP and clinic. For chronic disease patients, MyMedicare unlocks longer Medicare-funded telehealth consultations, prioritised continuity of care, and additional Chronic Disease Management-related funding.
Learn more about MyMedicareYes if you have any chronic medical condition that has lasted (or is expected to last) at least 6 months. Common conditions: diabetes, hypertension, COPD, asthma, arthritis, heart disease, kidney disease, mental illness, dementia, stroke recovery and many others.
Yes. They run separately. Chronic Disease Management gives 5 Allied Health visits/year; MHTP gives 10 individual + 10 group psychology visits/year.
Standard GP Chronic Disease Management plans preparation and review consultations are bulk billed for eligible Medicare patients. Allied Health sessions attract a private fee with a Medicare rebate.
Reviews happen every 3–6 months — short appointments to refresh goals, adjust medications and renew Allied Health referrals as needed.
Yes. Your referrals can be used at our onsite Allied Health practitioners or external providers. Most providers accept Chronic Disease Management rebates; check before booking.
Bulk-billed consultations for eligible Medicare patients. Some procedures may attract a private fee — please contact reception to confirm costs at booking. Open 7 days, walk-ins accommodated where possible.
Important: The information on this page is general health information only. It is not a substitute for personalised medical advice from a qualified health practitioner. Outcomes vary between individuals — your GP will assess your specific situation and recommend the right approach for you. If you have urgent symptoms, please call 000 or attend your nearest emergency department.
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