Medicare Claims Guide

How to Claim Your Physio Invoice via Medicare

If you have an active Chronic Disease Management (CDM) plan from your GP, you may be eligible to claim a Medicare rebate on your physiotherapy sessions. Here's how to submit your claim online β€” step by step.

Quick Overview

A few key things to know before you start your claim.

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CDM Plan
You need an active Chronic Disease Management plan prepared by your GP, with Physio Now nominated as a provider
5️⃣
5 Sessions
Up to 5 Medicare-rebatable allied health sessions per calendar year β€” shared across all allied health services
⏱️
7 Days
Online claims are typically processed within 7 business days, with the rebate deposited directly to your bank account

What You'll Need

Make sure you have these ready before submitting your claim.

  • Your physiotherapy invoice from Physio Now (emailed to you after each session)
  • A myGov account with Medicare linked as a service
  • Your bank account details registered with Medicare for direct deposit
  • An active CDM plan (also known as a GP Management Plan or Team Care Arrangement) with Physio Now nominated

Step-by-Step Claim Process

Follow these steps to submit your physiotherapy invoice through the Medicare website.

1

Go to myGov

Visit my.gov.au in your web browser and log in with your myGov credentials.

2

Access Medicare

From your myGov dashboard, select Medicare from your linked services. If Medicare isn't linked yet, you'll need to link it first using your Medicare card details.

3

Select "Make a Claim"

Once inside the Medicare portal, find and click the "Make a Claim" or "Submit a Claim" button.

4

Enter Claim Details

Fill in the required fields using the information from your Physio Now invoice:

πŸ’‘ Provider number β€” listed on your invoice. Date of service β€” the date your session took place. Item number β€” use 10960. Charge amount β€” the total cost shown on your invoice.
5

Upload Your Invoice

You'll be prompted to upload a digital copy of your receipt or invoice. Use the PDF or image file emailed to you by Physio Now after your session.

6

Review & Submit

Double-check all the details you've entered β€” provider number, date, item number, and amount β€” then submit your claim.

7

Save Your Confirmation

After submitting, you'll receive a confirmation screen with a claim reference number. Save or screenshot this for your records.

πŸ“Ž Your rebate will be deposited directly into your nominated bank account, typically within 7 business days.

Other Ways to Claim

Prefer not to use the website? You can also submit your claim using these methods.

πŸ“±

Medicare Express Plus App

Download the Express Plus Medicare app from the App Store or Google Play. Log in and follow the same claim process directly from your phone.

🏒

In-Person at Medicare

Visit any Medicare Service Centre with your invoice and Medicare card. A staff member can help you submit the claim on the spot.

Important Things to Know

A few details that may help if you run into any issues.

⚠️
The 5-session cap is shared. Medicare allows up to 5 allied health sessions per calendar year under a CDM plan. This total is shared across all allied health services β€” physiotherapy, psychology, dietetics, podiatry, and more. If you've used sessions with another allied health provider this year, they count toward the same 5-session limit.
My bank details aren't registered with Medicare β€” what do I do?

You can update your bank account details through your myGov account. Log in, navigate to Medicare, and look for the banking or payment settings section. Once your account is registered, future rebates will be deposited automatically.

My claim was rejected β€” what should I check?

The most common reasons for a rejected claim are an incorrect item number, the provider not being listed on your CDM plan, or an expired referral. Double-check that the item number is 10960, that Physio Now is nominated in your plan, and that your CDM plan is still active for the current calendar year.

If you're still having trouble, give us a call on 08 8351 2270 and we'll help you sort it out.

Has my CDM referral expired?

CDM plans are typically reviewed annually by your GP. If your plan has lapsed or you've used all 5 sessions for the calendar year, you'll need to revisit your GP to have it renewed or updated for the new year. Your GP can re-nominate Physio Now as part of the updated plan.

What's the Medicare item number for physiotherapy?

The standard Medicare item number for physiotherapy services under a CDM plan is 10960. This is the number you'll enter when submitting your online claim. It's also printed on your Physio Now invoice for easy reference.

How much will I get back from Medicare?

The Medicare rebate amount is set by the government and may not cover the full cost of your session. The difference between our session fee and the Medicare rebate is an out-of-pocket cost. Medicare will refund the scheduled rebate amount directly to your bank account. For current session fees, visit our Fees & Funding page.

Need Help With Your Claim?

If you have any questions about your invoice, your CDM plan, or the claims process β€” we're happy to help.