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Is Chiropractic Covered by Medicare? What Kensington Locals Need to Know

What Is an EPC or CDM Plan?

The EPC (Enhanced Primary Care) plan, now referred to as the Chronic Disease Management Plan, is a Medicare initiative designed for people who have had a chronic condition for 6 months or longer.

If you’re dealing with ongoing low back painneck painjoint stiffnesssciatica, or postural dysfunction, you may qualify. Your GP can coordinate a Team Care Arrangement, allowing up to five subsidised visits per calendar year to allied health providers — including your local chiropractor in Kensington.


Is Chiropractic Covered?

Yes — chiropractic care is covered under the EPC/CDM plan.

We see patients every week using Medicare EPC referrals for conditions like:

  • Chronic spinal pain
  • Tension headaches
  • Long-term neck and shoulder tightness
  • Ongoing hip or knee dysfunction

Each visit attracts a Medicare rebate of about $60, which we can claim for you on the spot. Depending on the gap payment, this can significantly reduce your out-of-pocket costs.

Whether you’re searching for a chiropractor in Kensingtonnear Flemington, or North Melbourne, EPC gives you affordable access to evidence-based care.


Who Is Eligible?

Eligibility is based on whether your condition has lasted 6 months or more, and whether it requires input from multiple healthcare providers. Your GP needs to prepare the referral.

We regularly work with people dealing with:

  • Persistent sciatica
  • Recurrent headaches or migraines
  • Back or neck pain from long hours at a desk
  • Chronic tension and stiffness linked to poor posture or injury

Can I Use All 5 Visits for a Chiropractor?

Yes — if appropriate, your GP can allocate all five EPC sessions to your Kensington chiropractor. Or they may split them between different providers like a physiotherapist, dietitian, or myotherapist.

If you’re unsure how to get started, we can help guide you through the referral process and coordinate with your GP.


Why Use EPC for Chiropractic?

We often use EPC visits to:

  • Restore spinal mobility
  • Reduce muscular tension
  • Improve posture and body mechanics
  • Educate you on movement strategies that prevent flare-ups

Even five targeted sessions can make a noticeable difference — especially when combined with tailored rehab, hands-on treatment, and advice from an experienced chiropractor in Melbourne’s inner west.


Final Thoughts

If you’ve been putting up with long-term pain, you don’t have to wait for things to get worse. A chiropractor in Kensington can help guide your recovery — and Medicare might help foot the bill.

At Stride Health Co., we accept EPC referrals and provide personalised care for everything from sciatica to chronic lower back pain, all from our convenient Kensington clinic near Flemington and North Melbourne.


Have questions?
We’re here to help you get started — and happy to liaise with your GP to ensure your care is streamlined and effective.

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