How to Check Your Cover
Log into your health fund's member portal or call their member services line. Ask specifically about 'acupuncture' cover under your Extras (also called Ancillary) benefit. The key questions are: is acupuncture covered? what is the annual limit? what is the per-session rebate?
Ensure you are seeing an AHPRA-registered Chinese Medicine practitioner — this is required for health fund rebates in Australia.
Medicare and Acupuncture
Standard acupuncture is not covered by Medicare in Australia. However, acupuncture performed by a medical doctor (GP) who has additional acupuncture training may attract a Medicare item number — this is uncommon.
The Chronic Disease Management (CDM) plan allows GPs to refer patients to allied health practitioners, but acupuncture is not currently on the approved list for CDM rebates.
HICAPS On-the-Spot Claims
Lane Cove Acupuncture has HICAPS facilities, allowing instant health fund claiming at the time of your appointment. Simply bring your health fund card. Your out-of-pocket cost is the gap after the rebate is applied immediately.
Key Takeaways
- Many private health funds cover acupuncture under Extras — check your policy
- AHPRA registration is required for health fund rebates
- We have HICAPS for on-the-spot claiming
- Medicare does not cover standard acupuncture
- Annual limits and per-session rebates vary by fund and tier
Check Your Cover and Book
We accept all major health fund cards via HICAPS. Book your appointment online today.
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