Medibank Members' Choice Physiotherapy in Seaton

Medibank Members' Choice Advantage provider

A Members' Choice Advantage provider — Medibank members pay a known, capped gap.

UpPlus Physiotherapy is a Medibank Members' Choice Advantage provider. That agreement matters for one practical reason: Medibank sets a maximum gap for members treated at a Members' Choice practice, so you know what you will pay before you walk in rather than after the rebate lands.

Away from a Members' Choice provider, a Medibank member pays whatever the clinic charges and claims back whatever their extras allow — and the difference between those two numbers is entirely up to the clinic. Inside the network it is capped. Over a course of physiotherapy, which is rarely a single visit, that gap is the number that adds up.

We are five minutes from West Lakes on Trimmer Parade in Seaton, we claim at reception, and you do not need a referral to book.

Claiming your Medibank rebate at UpPlus

We claim at reception through HICAPS, so your Medibank rebate is deducted immediately and you pay only the difference by card. Nothing is posted, nothing is reimbursed weeks later, and you leave with the claim already settled.

• Bring your fund card — the physical card or the one in your fund's app.
• No referral required. Physiotherapy is a direct-access profession in Australia.
• Pay the gap only, by card, on the day.
• Tell us if you are near your annual limit so we can plan treatment around it.

Our fees and item numbers

Fees may change. Your rebate depends on your cover, so your fund is the one who can quote it.

Questions about referrals, annual limits and waiting periods are answered the same way whichever fund you hold — see the questions common to every fund.

New patients can also use our initial consultation offer — terms are on that page.

How Medibank extras handle physiotherapy

Physiotherapy sits in the extras half of a Medibank policy, never the hospital half — a hospital-only policy pays nothing towards a clinic visit, which catches people out every year. Within extras, Medibank's packages step up through tiers, and each tier sets both the benefit paid per consultation and the annual limit you can claim to.

Two details are worth knowing before a course of treatment. Medibank's annual limits run on the calendar year and reset on 1 January, so treatment started in November effectively draws on two years' limits if it continues into the new year. And many policies pay a higher benefit on your first consultation of the year than on subsequent ones. My Medibank, in the app or online, shows exactly what you have used and what remains.

Which Medibank policies this applies to

Members' Choice benefits apply to any extras policy that includes physiotherapy. The size of your rebate still follows the tier you hold, so two Medibank members can walk out of the same appointment having paid different amounts — the cap limits the gap, it does not flatten it. If you are choosing between Medibank tiers with physiotherapy in mind, the number to compare is the benefit per consultation, not just the annual limit.

ahm is part of the Medibank group but runs its own policies and extras structure — see our ahm page if that is the card you hold.

Checking your Medibank cover before you book

The number that decides your out-of-pocket is the benefit Medibank pays per physiotherapy consultation, not the annual limit. Two members on different tiers can sit in the same appointment and pay different gaps. My Medibank, in the app or online, shows both — the benefit for each service and how much of your annual physiotherapy limit is left for the calendar year.\n\nTwo things catch Medibank members out more than anything else. The first is hospital cover: it pays nothing towards a clinic visit, so a member on hospital-only cover has no physiotherapy benefit at all no matter how long they have been with the fund. The second is the calendar-year reset on 1 January — treatment that starts in November effectively draws on two years of limits if it carries into the new year, which is worth planning around rather than discovering.\n\nIf you want an exact figure before you attend, ring Medibank and ask what they pay on item 500 for an initial consultation and item 505 for a follow-up. Those are the codes we bill, and quoting them gets you a straight answer rather than a range.

Whatever your cover, we treat back and neck pain, shoulder and knee problems, sporting injuries and post-operative rehabilitation at our Seaton clinic — including dry needling, shockwave therapy and hydrotherapy.

Medibank physiotherapy questions

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