Private Health Insurance:

Sensory SMART OT allows you to claim through your private health extras cover (where appropriate). Depending on your private health fund, you may be eligible for rebates from your OT sessions. You can claim the rebate at our clinic using our HICAPS machine or submit your receipt to your private health fund for reimbursement.

Coverage and rebates vary depending on your specific health insurance policy, including annual limits. Please check with your private health fund for details.

NDIS (National Disability Insurance Scheme)

NDIS Self-Managed:

Self-managing your NDIS funds allows you to have maximum choice and control over your care providers. You can choose almost any provider that meets your needs and preferences. You are required to keep records of all decisions made.

NDIS Plan-Managed:

With plan-managed NDIS funds, an NDIA-approved plan manager can manage part or all of your NDIS funds on your behalf. Plan managers ensure that the providers supporting you are suitable for your needs and deliver quality care.

SSOT does not offer the NDIS Agency Managed option.

For more information on managing your NDIS funds, visit the NDIS website HERE or call the NDIS Hotline on 1800 800 110.

Medicare Rebates:

Your child may be eligible for a Medicare rebate when accessing Occupational Therapy, Psychology, or Speech Pathology services. 

To claim the rebate, you need a Medicare Referral Plan from your GP or Paediatrician before your first appointment. Please note that there may be out-of-pocket GAP expenses (We regret we are NOT able to backdate appointments to fit in with your referral plan).

Occupational Therapy (Medicare):

• EPC/CDMP (Enhanced Primary Care/Chronic Disease Management Plan): 1-5 sessions per calendar year

• ASD (Autism Spectrum Disorder Plan): 20 sessions (one-time use)

• MHCP (Better Access to Mental Health Care Plan): 10 individual and 10 group sessions per year

For more information or to discuss your options, please don't hesitate to get in touch with us. 

We're here to help you navigate your funding and support needs.