ENHANCED PRIMARY CARE (EPC) PLAN

The Enhanced Primary Care program is a government initiative to provide subsidised treatment for people of all ages that have a chronic health condition (present for over 6 months) where in which up to 5 Podiatry visits can be subsidised annually. This means if your GP considers you to be eligible, you could receive up to 5 free Foot HQ Podiatry general treatments. 

Chronic health conditions examples are: 

  • Cancer
  • Cardiovascular disease
  • Respiratory disease
  • Diabetes
  • Musculoskeletal conditions 
  • Stroke
  • Arthritis
  • Multiple Sclerosis

Chronic health conditions don’t have to be directly related to your foot disorder. For example, you have emphysema this will result in less oxygen getting to your feet and place you at increased risk of infection. If you have emphysema this will result in less oxygen getting to your feet and place you at increased risk of infection. If you have chronic arthritis this can change your nails as well as making simple care of your feet very difficult. Disabled children with walking difficulties and those who are wheel-chair bound would also be eligible for an EPC plan.

There is no list of eligible conditions; however, the EPC is designed for patients who require a structured approach, including those requiring ongoing care from a Podiatrist.

People of Aboriginal or Torres Strait Islander ethnicity are permitted to have up to 10-12 subsidised treatments a year. This is in part due to the 40% incidence of Diabetes in these groups.

If you come to Foot HQ Clinics you will need to have your GP referral on-hand, and your GP has to have contacted us prior to your first visit of the year. It is very important that the referral is prepared as an “EPC” plan to be undertaken by “Foot HQ”. Your EPC can also specify which Podiatrist you wish to see at our clinic if you like.

All our Enhanced Primary Care patients receive the same level of care as non-subsidised patients, and the same amount of time is allocated for your appointment.  In addition, if you require other services such as a Doppler assessment or other vascular assessment or neurological assessment, this is provided at no cost during your consultation even if it means extending your consultation time. However, we cannot provide other services like Orthotics subsidised in the EPC plan. 

You cannot use your private health insurance in conjunction with a Medicare rebate during the same consultation. If you have private healthcare, you may want to use your Medicare subsidised Podiatry visits first, then for all subsequent visits use your Private Health Fund for a partial rebate. 

Medicare subsidised Podiatry service are ineligible for those wishing to claim retrospectively. this means you cannot claim from a Podiatry appointment  dated before your GP referred you under the EPC plan. You can only claim a visit AFTER the referral date. If you are unsure of your referral date, check with your GP.

GP If you already have an EPC and have used up your 5 entitlements this year you are not eligible for any more until the following year. You are only entitled to 5 EPC plan podiatry treatments if your GP agrees to 5. Some GPs may only write 1-4 EPC Podiatry sessions. If you would like 5 Podiatry sessions at Foot HQ it is important you inform with your GP about this. 

If Medicare rebated Podiatry with NO GAP sounds good to you, ask your GP today about whether you are eligible for an EPC plan.