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Autism
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No‑Gap Initial Appointment

Get understanding, guidance and practical next steps at no out‑of‑pocket cost*

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If you’re worried about your child’s development, you’re not alone—and getting clarity and practical advice straight away can make a real difference. 

For a short time, Early Start Australia is making it easier for families to take that first step, with no out‑of‑pocket cost for an initial occupational therapy, speech pathology or physiotherapy appointment for patients eligible under Medicare. 

In many clinics there’s no wait time and if you select telehealth then you can access this offer immediately.

It’s a chance to get professional support, advice and clarity—so you can leave with practical strategies and take the next step with confidence. 

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How the no‑gap appointment can help 

You can access Medicare plans from your GP or paediatrician to get help for concerns such as: 

  • Difficulties being understood, including talking, listening, reading or writing. 
  • Coordination, balance or movement challenges. 
  • Difficulties with activities of daily living including dressing, sleeping, toileting or other routines. 
  • Struggling to fit in at school, including difficulties playing or interacting with others. 
  • Big emotions or frequent meltdowns. 

During the initial session, your therapist will understand your concerns, share practical strategies you can use straight away and discuss next steps depending on your type of referral.  

Many families tell us that even one appointment helps reduce day‑to‑day stress and gives them confidence that they’re on the right path. 

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This offer is available at all clinics, subject to availability. It can be accessed immediately via telehealth from any location, and is also available immediately at the selected clinics listed below.

New South Wales

Epping
Bondi

South Australia

Westbourne Park

Western Australia

Wembley

Victoria

Brighton
Hawthorn

Queensland

Sunshine Coast
Carindale
Toowong

Conditions

  • No-gap initial appointments are available for both new and returning clients with an eligible Medicare plan. 
  • A valid Medicare plan must be presented at the initial appointment. 
  • Payment is required at the time of the appointment, and same-day rebates will be processed. 
  • Rebates are also available for services delivered via telehealth. 
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Frequently asked questions

The initial appointment is available for children with an eligible Medicare plan with GP or paediatrician referral.

There are four Medicare plans available for obtaining the no-gap initial appointment at Early Start Australia. 

Your GP provides these: 

  1. GP Chronic Management Plan – covers occupational therapy, speech pathology and physiotherapy 
  2. Allied Health Services for Aboriginal and Torres Strait Islander people – occupational therapy, speech pathology and physiotherapy 

    A paediatrician can provide these: 
  3. Complex neurodevelopmental disorder and disability Assessment-  occupational therapy, speech pathology and physiotherapy 
    1. Complex neurodevelopmental disorder and disability treatment–  occupational therapy, speech pathology and physiotherapy

    You can use a Medicare plan and GP referral when your goal isn’t covered or funding is exhausted. NDIS plans can’t be used for gap fees on Medicare-funded services.   

    No, you cannot use both Medicare and Private Health Insurance for the same appointment.  

    No. Payment must be made at the time of your appointment. Following this, we will submit your rebate, which Medicare typically processes within 1-2 days.   

    Session length requirements vary depending on your referral. For longer sessions (50 minutes), the gap fee ranges from $105 to $132 per session. If a shorter session works for you, the gap fee may be as low as $35. 

    Remember, after you hit the Medicare safety net, your rebate goes up. For more information about the Medicare safety net, visit the website.  How Medicare Safety Nets and thresholds work – Medicare Safety Nets – Services Australia 

    No, it is only valid for Occupational Therapy, Speech Pathology and Physiotherapy services. We have limited Physiotherapy services across NT, WA and Vic. Psychology services and Diagnostic Assessments are excluded. 

    Medicare provides rebates for the “No Gap Initial Appointment”. The current rebate amounts are $61.80 and $87.25, depending on the plan.

    GP-Provided Plans

    • GP Chronic Management Plan (Rebate: $61.80) 

    Supports people with chronic or ongoing health conditions. Covers occupational therapy, speech pathology and physiotherapy.

    • Allied Health Services for Aboriginal and Torres Strait Islander People (Rebate: $61.80)

    Provides culturally appropriate access to occupational therapy, speech pathology and physiotherapy.

    Paediatrician‑Provided Plans

    • Complex Neurodevelopmental Disorder and Disability – Assessment  (Rebate: $87.25)  

    Supports assessment services in occupational therapy, speech pathology and physiotherapy.

    • Complex Neurodevelopmental Disorder and Disability – Treatment (Rebate: $87.25)

    Supports ongoing treatment in occupational therapy, speech pathology and physiotherapy.

    Find a clinic near you

    We have clinics in every state and territory providing assessments, early childhood intervention therapies, and support to help you thrive.

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    The Early Start Australia promise

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    Holistic care and treatment plans

    Our multi-disciplinary team works together with you to understand your child’s needs. From there, we’ll develop a plan with evidence-based strategies. Work with us to achieve your goals and enjoy a better quality of life.

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    Australia-wide reach

    With clinics in every state and territory, and an experienced team of therapists. Find help when you need it, where you need it.

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    Registered NDIS provider

    We are a registered NDIS provider and are here to help you on your NDIS journey. We provide quality and safe services, follow NDIS requirements, and support your needs and goals.

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    Early intervention at all stages

    Early intervention is not just for young children. We offer therapies that cater to all ages, needs and abilities, and we know the sooner you start your therapy journey, the better your outcomes. With us, you can learn new skills and enjoy more freedom and control in your life.