GP Chronic Condition Management Plans
A GP Chronic Condition Management Plan is designed to support patients who have one or more chronic medical conditions and would benefit from a structured approach to their ongoing healthcare.
During the appointment, the General Practitioner will discuss your health conditions, current treatment and medications, healthcare needs and goals. Together, you and the doctor can identify priorities for managing your health and document an appropriate plan for your ongoing care.
Where clinically appropriate and Medicare eligibility requirements are met, the plan may also support referrals to eligible allied health professionals involved in managing your chronic condition.
What to expect during a Chronic Condition Management Appointment
During a GP Chronic Condition Management Plan appointment, the General Practitioner will assess your health needs and discuss how your chronic condition or conditions are currently being managed.
The appointment may include:
Your plan provides a structured record of your health conditions, treatment goals and ongoing care. The General Practitioner can also discuss when your plan should be reviewed and whether your healthcare needs have changed.
A GP Chronic Condition Management Plan may be appropriate for a patient who has one or more chronic medical conditions and would benefit from a structured approach to their ongoing healthcare.
A chronic condition is generally a condition that has been, or is likely to be, present for at least six months. Examples may include diabetes, asthma, cardiovascular disease, arthritis and other long-term health conditions.
The General Practitioner consulting from MyClinic will assess your individual circumstances and determine whether a GP Chronic Condition Management Plan is clinically appropriate and whether Medicare eligibility requirements are met.
Where clinically appropriate and Medicare eligibility requirements are met, a GP Chronic Condition Management Plan may allow a patient to access Medicare benefits for eligible allied health services.
Depending on your healthcare needs, the General Practitioner may discuss referral to an appropriate allied health professional, such as a physiotherapist, podiatrist, dietitian, exercise physiologist or other eligible provider.
Eligible patients may access Medicare benefits for up to five individual allied health services per calendar year. These services are shared across eligible allied health providers and are not five visits per profession.
The General Practitioner consulting from MyClinic can discuss whether allied health referrals are appropriate as part of your individual plan.
A GP Chronic Condition Management Plan can be reviewed over time to make sure it continues to reflect your current health conditions, treatment goals and healthcare needs.
During a review, the General Practitioner may discuss your progress, current treatments and medications, any allied health or specialist care you are receiving, and whether your healthcare needs have changed.
Where clinically appropriate, the consulting doctor may update your plan, treatment goals or referrals. Medicare eligibility requirements apply to GP Chronic Condition Management Plan reviews and related services.
If you have a chronic medical condition and would like to discuss whether a GP Chronic Condition Management Plan may be appropriate, you can book an appointment with a General Practitioner consulting from MyClinic.
When booking, let the clinic know that you would like to discuss a Chronic Condition Management Plan so an appropriate appointment can be arranged. The General Practitioner will assess your individual circumstances and determine whether a plan is clinically appropriate and whether relevant Medicare eligibility requirements are met.
A GP Chronic Condition Management Plan is a structured plan developed between a General Practitioner and a patient to help manage one or more chronic medical conditions. The plan may include treatment goals, current healthcare needs and, where appropriate, referrals to eligible allied health professionals.
A GP Chronic Condition Management Plan may be appropriate for a patient with one or more chronic medical conditions who would benefit from a structured approach to their ongoing healthcare. The General Practitioner will assess your individual circumstances and determine whether the plan is clinically appropriate and Medicare eligibility requirements are met.
Eligible patients with a GP Chronic Condition Management Plan can generally access Medicare benefits for up to five individual allied health services per calendar year. The five services are shared across eligible allied health providers and are not five visits for each type of allied health professional. Different arrangements apply for eligible Aboriginal and Torres Strait Islander patients.
Depending on your health condition and individual needs, eligible services may include physiotherapy, podiatry, dietetics, exercise physiology, diabetes education and other eligible allied health services. A referral is required for Medicare benefits to apply, and the service must be consistent with your plan.
A GP Chronic Condition Management Plan does not automatically expire. However, to continue accessing eligible Medicare-supported allied health and other services, the plan generally needs to have been prepared or reviewed within the previous 18 months.
You do not have to be registered with MyMedicare to access a GP Chronic Condition Management Plan. However, if you are registered with MyMedicare, the plan preparation and review services must generally be provided through the practice where you are registered. Patients who are not registered can access these services through their usual GP.
From 1 July 2025, new GP Chronic Condition Management Plans replaced the previous GP Management Plan and Team Care Arrangement framework. Patients with eligible plans established before 1 July 2025 can continue accessing relevant services under the transitional arrangements until 30 June 2027.