Above and Beyond Early Intervention NDIS Providers, Medicare, Private Health

NDIS funding

Above and Beyond Early Intervention Pty Ltd are registered NDIS Providers. You are able to use your NDIS plan with us to access speech pathology, occupational therapy, and/or psychology services.


The National Disability Insurance Agency began to roll out the government funded National Disability Insurance Scheme (NDIS) to support individuals with needs in the Hunter and Lake Macquarie regions in 2014-15. Individuals with needs that meet NDIS' criteria can apply for NDIS funding. Once approved for funded supports through NDIS, individuals can access therapeutic supports (such as speech pathology, occupational therapy, psychology, etc.) paid for in-full by NDIS (pending allocation of funds in plan and support needs deemed as necessary and appropriate to be funded under the scheme).


Eligibility to access the NDIS is separated into 2 age groups: Early Childhood Early Intervention (ECEI) (<7 year olds) and Disability (≥7 year olds). For more information on eligibility criteria and how to apply go to "accessing the NDIS" on NDIS website.


Apply:

If you would like to apply for your child to become a Participant of the NDIS, please:


Early Childhood Early Intervention (ECEI) (<7;0 year olds):

  1. Phone NDIS ( 📞1800 800 110) and ask for an Access Request Form;
  2. Phone the NDIS Early Childhood Partner - Northcott ( 📞1800 818 286).

Additional information regarding ECEI and the NDIS can be found on the NDIS website and Northcott website.


Disability (≥7;0 year olds):

  1. Phone NDIS ( 📞1800 800 110) and ask for an Access Request Form;
  2. Phone the NDIS Local Area Coordinator - St Vincent de Paul Society ( 📞1800 794 934).

Additional information regarding local area coordination can be found on the NDIS website.


If you have any questions or are interested in applying for NDIS funding for ongoing speech pathology, occupational therapy, and/or psychology needs, please contact us as we can assist you with your application. You will require evidence (reports) of your child's disability or developmental support needs in order to be eligible to access the scheme, which ABEI can assist you with. ABEI can also help fill out/complete and submit the NDIS Access Request Form as needed.


Medicare funding

Speech pathology and occupational therapy:

A Medicare rebate of $52.95 per session for 5-10 sessions per calendar year is possible for eligible individuals that meet Medicare's Chronic Disease Management (CDM) Plan requirements. To enquire as to whether your child is eligible for a Medicare plan, please make an appointment with your GP.


Above and Beyond Early Intervention's Medicare details: for speech pathology

Provider Number: 4717387H

Item codes: 10970 (Australian citizen) and 81360 (Aboriginal or Torres Strait Islander only)


Above and Beyond Early Intervention's Medicare details: for occupational therapy

Provider Number: 5224391X

Item codes: 10958 (Australian citizen) and 81330 (Aboriginal or Torres Strait Islander only)


Psychology:

A Medicare rebate of $84.40 per session for 10 sessions per calendar year is possible for eligible individuals that meet Medicare's Better Access to Mental Health Care (BAMHC) Plan requirements. To enquire as to whether your child is eligible for a Medicare plan, please make an appointment with your GP.


Above and Beyond Early Intervention's Medicare details: for psychology

Provider Number: 4982513L

Item codes: 80110 (Australian citizen)


If you have a Medicare plan and would like to access services through Above and Beyond Early Intervention, please send a copy of your Medicare plan to office@abei.net.au.


If you have a CDM Medicare Plan and a receipt from your appointment; you can process your rebate at a Medicare office or online - click here to find out how.


Information: please see our Medicare info.pdf document, which outlines what a Medicare plan is, eligibility, entitlements, rebates, how to apply, and more.


How to process a rebate/benefit:

  • Online: click here for info on how to submit a Medicare claim online. Note: must have a myGov account linked to Medicare, Medicare card, up-to-date bank details with Medicare, and paid receipt for your service with ABEI. You can claim your Medicare benefit using your Medicare online account through MyGov or using the Express Plus Medicare app.
  • Medicare branch: take a copy of your ABEI receipt to a Medicare branch and they will be able to process your rebate. A Medicare card and up-to-date bank account details with Medicare are required. Click here to find a Medicare office near you.


ABEI service receipt: to process your Medicare benefit(s), you'll need each ABEI receipt to include: GP provider number, item number, and referral date (all in "notes" section of receipt); Client's name and D.O.B (under "client" on receipt); and Practitioners name, profession, and Medicare provider number (all on top right corner of receipt).