Eat Speak Learn is a private practice provider. We provide services to private paying clients and are also able to provide services with funding support through:
The National Disability Insurance Scheme (NDIS)
We will build a personalised treatment plan for your services and create a Service Agreement so that all parties are aware of what services have been agreed to and what any potential costs will be right at the start. We will not charge you for anything that has not been agreed in your Service Agreement.
We are a pay on the day service for those responsible for their own payments (i.e. private paying and NDIS Self-Managed clients). We accept all credit cards and can even provide you with a secure way to store your credit card details on file through Square so that you don’t have to wait around at the end of your appointment!
NDIS
Eat Speak Learn is an unregistered NDIS provider in the ACT. If allied health services are part of your NDIS plan, we can assist by providing a range of services to help you meet your goals and objectives.
There are two streams of NDIS funding we accept:
- Plan-Managed
- Self-Managed
We understand that the system can sometimes be complex, confusing and even frustrating. We are big believers in the NDIS and we will help you as best we can to understand and thrive with your plan.
Eat Speak Learn follows a best practice approach to the way we deliver therapy. As such, we will make a recommendation of the required assessments and then therapy before we discuss funding arrangements with you. We want to see your NDIS Plan Goals but we don’t need to see your funding allocation. In the instance that you do not have sufficient funding to cover our recommendation then we will work with you to develop a plan around how to best meet your goals and objectives within the limits of your plan.
Children must first be assessed in order to see if they are eligible for funding, but may be able to access NDIS support if they meet the following criteria:
- Have a permanent disability that significantly affects the ability to take part in everyday activities;
- Are aged less than 65 when they first enter the NDIS;
- Are an Australian citizen or hold a permanent visa or a Protected Special Category visa; and Live in Australia where the NDIS is available.
- They have an impairment or a condition that is likely to be permanent (ie: likely to be lifelong)
- The impairment substantially reduces their ability to participate effectively in activities or perform tasks or actions unless they have assistance from others, technology, assistive equipment etc.
- The impairment affects the child’s capacity for social and economic participation
A child is likely to require support under NDIS for the child’s lifetime. For more information on the NDIS, please visit the NDIS Website or contact them on 1800 800 110.
Medicare
Chronic Disease Management
Eat Speak Learn is registered with Medicare, which provides a partial rebate for up to 5 Allied Health sessions per calendar year for individuals with chronic conditions and complex needs that require a multi-disciplinary approach (treatment from several
health professionals).
Eligible conditions are those that are likely to be present for 6 months or longer such as Autism, Dyspraxia, Learning Disorders, Down Syndrome, ADHD, Cerebral Palsy, Cleft Lip and Palate, Chronic Middle Ear Infections, Intellectual Disability and severe speech or language impairments. For adults these may also include Stroke, Traumatic Brain Injury, Progressive Neurological Diseases (Motor Neurone Disease, Parkinson’s Disease), stuttering, vocal cord pathologies and Dementia.
Clients must obtain a Chronic Disease Management (CDM) referral from their GP who will lodge and complete a GP Management Plan and Team Care Arrangements Plan. Referrals are valid for 12 months and must be in place prior to the commencement of therapy in order to claim. Unused services from the same referral can be used in the following calendar year.
You will be asked to provide the CDM referral prior to your first appointment. A receipt will be issued following full payment of your session at point of service that can then be taken to a Medicare office, uploaded onto the Medicare app or processed in clinic on the spot. The rebate is limited and will not cover all costs, so out of pocket expenses are usually incurred. Please note, clients cannot claim a Medicare rebate and private health care rebate for the same service.
People of Aboriginal or Torres Strait Islander descent are eligible for another 5 sessions per calendar year in addition to the 5 annual CDM services. Eligibility criteria is identical to the 5 CDM sessions.
For more information on the Chronic Disease Management program: Department of Health | Chronic Disease Management Patient Information
Private Health Cover
Eat Speak Learn assessment and therapy sessions can be claimed through Private Health Insurance if you have appropriate extras cover. The rebate amount per session and the number of sessions covered is dependent on your provider and level of cover. The rebate for assessments is usually higher than that for therapy sessions. A typical rebate would be somewhere between $30-$80 per therapy session for 10-16 sessions per calendar year.
Before commencing therapy, please check with your health fund to ensure that the allied health service is included in your cover and the amount you are eligible to claim for each individual assessment and therapy session. A receipt will be issued following your appointment that can then be submitted to your health fund for a rebate or we can process directly through Medipass on the spot.
Insurance
Eat Speak Learn are proud to deliver services to a whole range of providers. We will work with clients that have third party funding arrangements. We understand that there is often added complexity to the administrative requirements but don’t panic, we’ll work with your case manager on those things so that you can focus on.
Additional Information
Therapy sessions can be conducted in our clinic, in a community setting, at home, via Telehealth or as part of a group. These sessions will include:
- Goal setting
- Intervention
- Reviews
Therapy sessions are generally 45 minutes face-to-face plus additional time accounted for to allow practitioners to prepare for the session, plan between sessions, pack down a session, conduct any follow up activities, update your child’s record of progress and any travel components.
A therapy session will be run by a qualified Practitioner or an Allied Health Assistant. If more than one Practitioner or a student is going to be joining the session we will discuss any pricing implications in advance.
Assessment sessions are generally conducted in clinic but we may need to do some of the activities in a community setting or at home. We have assessment packages that include:
- A comprehensive case history
- A formal or informal assessment
- A review session
Each assessment package has a standard rate that will be quoted in advance of any service. If we find at any point that the chosen assessment package is not appropriate we will discuss alternative options with you.
Our Practitioners may need to conduct a number of activities that sit outside of the time allocated for a standard therapy session. We will do our best to anticipate these activities and add these to quote for services. These activities may include:
- Preparation for therapy sessions (eg. personalised resource creation, room set-ups, food preparation etc)
- Sanitising and cleaning up rooms (i.e. washing the kitchen after a cooking session, cleaning toys)
- Record keeping requirements (eg. case notes, logging communications etc)
- Scoring and analysing assessment data
- Allied Health Assistant (AHA) support (i.e. resource creation, coordination of documents or additional assistance)
We promise to provide a coordinated, collaborative and holistic approach to therapy. This will often involve our team working behind the scenes to support your child. Some of the activities we may build into your therapy plan to ensure quality of care include:
- Creating resources for intervention outside of therapy sessions (eg. homework packs, videos, home programs)
- Communication and correspondence (eg. responding to emails or phonecalls outside of your child’s therapy sessions)
- Collaborating with support networks (eg. working with your child’s teacher or sports coach)
- Collaborating with other Allied Health Professionals that form part of your child’s care team (eg. a physiotherapist and exercise physiologist may conduct joint sessions or require regular case conferencing)
- Seeking expert advice from other Allied Health Professionals that are not part of your child’s care team (eg. a speech pathologist seeking expert advice from an occupational therapist)
- Coordination of care (e.g. working with your child’s wider support network)
- Drafting and writing reports (eg. NDIS review reports)
- Travel (eg. if service is conducted outside of the Eat Speak Learn clinic)
| Service | Hourly Rate |
|---|---|
| Speech Pathology | $193.98 |
| Occupational Therapy | $193.98 |
| Physiotherapy | $193.98 |
| Psychology | $214.38 |
| Exercise Physiology | $166.98 |
| Dietetics and Nutrition | $193.98 |
| Allied Health Assistant (Level 1) | $56.40 |
| Allied Health Assistant (Level 2) | $87.00 |
Group Therapies and Assessment Packages are quoted based on the rates listed in this table.
Our cancellation fee is 100% of the service plus any travel conducted. This is if a cancellation is made with less than one business day’s notice or if there is a failure to attend the scheduled appointment. If we can find a replacement appointment or follow up activity at short notice then you will not be charged. Cancellation terms for Group Sessions can be found in the relevant Service Agreement Terms and Conditions.
Refer to our Cancellation Policy for more information.
