Patient Information: New GP Chronic Condition Management Plan (Starts 1 July 2025)

Who is eligible

      • You can get a care plan if you have a chronic or terminal condition expected to last six months or more

      • You must see your usual GP or the clinic where you are registered under MyMedicare

    • The plan is not available if you live in a residential aged care facility

What is included

      • A personalised plan that sets health goals and outlines what actions and treatments will help you

      • A review of your plan every three months to check your progress and update goals if needed

    • A new plan can be prepared every 12 months if necessary

Allied health services

      • You may be referred for up to 5 visits to allied health professionals per year (10 if you are Aboriginal or Torres Strait Islander)

      • Your GP will write a referral letter, not a form

      • You can choose which provider to see

      • The referral lasts for 18 months unless your GP says otherwise

    • Allied health providers must send a report to your GP after the first visit and the last

What has changed

      • Older GP care plans (GPMP and TCA) are being replaced by a single, simpler plan

      • There is no longer a requirement for your GP to involve two other providers in the plan

    • You will still receive coordinated care, but the process is simpler

Fees and Medicare

      • The Medicare rebate for creating or reviewing your care plan is 156.55 dollars

      • If your GP bulk bills, you will not need to pay

    • You cannot claim this plan on the same day as a regular GP visit

If you already have a plan

      • Your existing plan will remain valid until 30 June 2027

    • After that date, your GP will need to prepare a new plan under the new system

What you can do

      • Talk to your GP about setting up or updating your care plan

      • Keep a copy of your plan and follow up on recommended services

    • Attend your reviews to keep your plan active and useful

For more information, visit the Services Australia website and search for Chronic Condition Management Plan.