Claims & Visits

Things you should know about your upcoming visit

  • Bring your referral if you have one. (You don’t need it to see us!)
  • If you have private health please bring your card as we have HICAPS and you only need to pay the gap.
  • Wheelchair ramp
  • Parking
  • Add details that used to get sent out with that text message.

Medicare EPC Program

As of 1st July 2004 patients with a chronic condition or complex care needs, under an Enhanced Primary Care (EPC) plan, can be referred to an allied health practitioner when you believe the patient could benefit from their care.

Podiatry services are included in the EPC scheme. Podiatrists diagnose and treat a range of disorders of the feet. Chronic conditions such as diabetes and arthritis often have associated foot problems which can affect a patients mobility, independence and quality of life. Therefore some of your patients may benefit from a referral to a podiatrist under this scheme.

Please note the following features of an EPC plan:

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Patients must be under an EPC plan prepared and lodged by you with the Health Insurance Commission.

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Patients are entitled to a total of 5 visits per year to allied health providers, not 5 visits per provider.

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Referrals must be on the correct EPC plan referral form.

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Send your patients to us with the original referral form only after you have lodged their care plan with the H.I.C.

We welcome EPC referrals and are happy to be part of your EPC plans and contributing to your patients care.  Referrals will be followed up with a report, and at the conclusion of the referral a report will follow, so you will be kept informed of all relevant assessments and treatment plans.

Veteran Affairs

All Gold Card holders are welcome and eligible for regular foot care and treatment.

All new Veterans’ Affairs patients currently need an initial D904 referral which needs to be renewed every 12 months for ongoing care.

Home visits are available for home bound Gold Card holders who are infirmed, sick or disabled.

Please contact us if you have any queries regarding EPC plan.

HICAPS

Toowoomba Podiatry Clinic has both HICAPS and EFTPOS facilities.

HICAPS is an electronic health claiming and payments system that lets you process your claims automatically after your treatment and before you leave the surgery.

With HICAPS you no longer have to make a separate trip to your private health fund to lodge your claim or send your claim via the post. The claim is finalised on the spot immediately after your consultation.

So there’s no need to pay the full consultation fee up-front then wait for the reimbursement of your benefit. It’s so convenient and easy! All you need is your health fund membership card.

After the consultation, your health fund card id simply swiped through the HICAPS terminal by our office staff. Your claim details are entered and in seconds the whole transaction is processed.

Once your claim is authorised by the health fund, you simply pay the balance amount – the difference between the full fee for the treatment and the amount claimed from your health fund.

For example:

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Your bill: $35.00

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Your claims benefit: $28.00

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You pay the balance of: $7.00

As we have also installed EFTPOS and HICAPS, then you pay the balance with your credit card or debit card. The whole process is quick and easy! No more queuing or claim forms to fill in.