Funding

South West Kids Clinic has a range of payment methods available depending on your circumstances and diagnosis.

Private Health Insurance

South West Kids Clinic is a registered provider with most private health insurance funds. If you are unsure, if you are covered please contact your insurance company for details. 

Medicare

Chronic Disease Management – Previously known as the Enhanced Primary Care Plan, this program people with a chronic medical condition may be able to get Medicare benefits to cover allied health services that help manage their condition. Your GP will be able to determine if your child is eligible to claim rebates under this program and will provide you with the relevant documentation to bring to your appointment with us. This program enables clients to receive a partial rebate for up to 5 sessions over a calendar year.

Better Access to Mental Health – Medicare rebates are available for up to ten individual and ten group allied mental health services per calendar year to patients with an assessed mental disorder who are referred by a GP managing the patient under a GP Mental Health Treatment Plan or a Paediatrician. Allied mental health services under this initiative include psychological assessment and therapy services provided by our Psychologists.

Better Start

The Better Start for Children with Disability (Better Start) initiative includes:

  • up to $12,000 in funding for early intervention services and treatments for eligible children
  • additional assistance for eligible children who live in outer-regional, rural or remote locations to help with the costs of accessing services
  • a Medicare rebate for the development of a treatment and management plan for eligible children up to the age of 13
  • Medicare rebates for up to four allied health diagnostic/assessment services for eligible children under the age of 13, the results of which contribute to the development of the treatment and management plan, and
  • Medicare rebates for up to 20 relevant allied health services in total for each eligible child under the age of 15 provided the treatment and management plan is in place before the age of 13.

Eligible children who are aged under six years and have been diagnosed with:

  • Down syndrome
  • cerebral palsy
  • Fragile X syndrome, or
  • a moderate or greater vision or hearing impairment, including deafblindness.

From 1 January 2013, Better Start has been expanded to include children  diagnosed with:

  • Prader Willi syndrome
  • Williams syndrome
  • Angelman syndrome
  • Kabuki syndrome
  • Smith-Magenis syndrome
  • CHARGE syndrome
  • Cornelia de Lange syndrome
  • ‘Cri du Chat syndrome or
  • microcephaly

Helping Children with Autism

Following diagnosis, families contact an Autism Advisor in their state or territory who will provide information regarding eligibility, available funding and Early Intervention and other support services. The Department of Health and Ageing (DoHA) made new Medicare items for children aged under 13 years (for diagnosis/assessment and treatment planning).

To be eligible for the Early Intervention Service children must satisfy each of the eligibility criteria including:

  • Age
  • Diagnosis and
  • Residential eligibility.

The eligibility criteria for children to access the Early Intervention funding is:

  • eligible children are those aged zero to six years who have been diagnosed in Australia with an ASD
  • a child must have been seen by an Autism Advisor and deemed eligible to access the service before their sixth birthday and
  • funding of up to $12,000 (maximum of $6,000 per financial year) can be accessed until the child’s seventh birthday.