Chronic Disease Management

A chronic condition is one that lasts for at least 6 months; e.g. asthma, heart disease, diabetes, arthritis, cancer or endometriosis. These conditions can be complex and need ongoing, special care and attention, and it’s important to get the help you need to treat and manage them.

A Chronic Disease Management (CDM) Plan (also known as a GP Management Plan) is suitable for patients who require a structured approach to their care, including those who would benefit from a multidisciplinary team.

A long appointment (30 minutes) is required to complete a CDM Plan. During this consultation your GP will get a detailed history of a your health condition and lifestyle and insight into what could potentially impact your quality of life.

Your GP will then set actions and targets, which will help you achieve your health goals. A CDM Plan will also include an agreed timeline of when will next see your GP to review and monitor your progress.

If your GP determines that you could benefit from being treated by a specialist or an allied health professional, they will complete what is known as a Team Care Arrangement (TCA).

If you have two or more health provides involved in your care (in addition to your GP) you are eligible for 5 visits to an allied health provider (e.g. physiotherapist), with a Medicare rebate per calendar year.

These providers will provide a report to your GP after the completion of the first, and last service detailing any investigations or tests they completed, treatments provided and any future management.

Fees for CDM Plans

Standard fees

Service DescriptionFeeMedicare RebateOut-of-pocket CostEMSN Out-of-pocket Cost
Chronic Disease Management Plan$195.00$158.80$36.20$7.24
Team Care Arrangement (TCA) $160.00$125.85$34.15$6.83
Review of a CDM Plan or Team Care Arrangement – 30 min.
Two may be required
$150.00$79.30$70.70$6.07
As of 1 July 2023

Concession Fees (for Health Care Card* and Pension Card holders)

*Please note, Standard Fees apply to Senior Health Care Card holders

Service DescriptionFeeMedicare RebateOut-of-pocket CostEMSN Out-of-pocket Cost
Chronic Disease Management Plan$175.00$158.80$16.20$3.24
Team Care Arrangement (TCA) $140.00$125.85$14.15$2.83
Review of a CDM Plan or Team Care Arrangement – 30 min.
Two may be required
$112.00$79.30$32.70$6.54
As of 1 July 2023

If you have extenuating circumstances and cannot afford these out-of-pocket costs at all, please discuss this with your doctor.  In some situations, your doctor may elect to directly bill Medicare for the consultation (“bulk bill”). This means your Medicare rebate is paid directly to your doctor who accepts this discounted fee as full payment for your consultation.