Gap Fee & Mental Health Care Plan Explained
The above gap fee applies if you are eligible to receive a mental health care plan. This is a formal referral written by a GP, paediatrician or psychiatrist in either you or your child’s name. Your doctor will determine your eligibility for a mental health care plan based on your symptoms. Conditions which meet criteria for a mental health care plan include depression, anxiety and adjustment issues.
When making the appointment with your doctor, please mention that you would like to initiate a Mental Health Care Plan, and ask for a longer consultation. If the sessions with the psychologist are for your child, please make sure you bring your child to the appointment.
The Mental Health Care Plan must be brought with you to your first appointment. The Mental Health Care Plan will enable you to claim Medicare rebates for a maximum of 10 appointments per year.
After 6 sessions, the psychologist will send a brief letter to the referring medical professional to inform them about your progress. Your GP, paediatrician or psychiatrist may like to see you or your child (if applicable) before they will renew the Mental Health Care Plan for further sessions.
The mental health care plan is only valid for 12 months from the date of referral.
Alternatively, some private health care insurers provide rebates for psychological services.