case examples to help you understand how we can help

Medicare

Jorge* has been experiencing some challenging emotional issues and is having difficulties in overcoming these. It’s not an emergency, so he makes an appointment with his GP. His GP conducts the following:

·      a mental health assessment

·      provides a prescription for medicines to treat depression or anxiety

·      creates a mental health care plan (MHCP)

·      refers Jorge to Cetas psychology for intervention.

Jorge contacts Cetas and sends through his MHCP provided by his GP. Jorge has six sessions with a clinical psychologist to address depression and anxiety symptoms. The psychologist sends an update report to the GP and requests four more sessions to complete the therapy work. Jorge has 10 sessions with a Medicare rebate for the 2023 calendar year.

WorkCover

Jaani* has ceased work and has an accepted mental injury claim with WorkCover. Her insurer case manager advised her that she can access psychology sessions with a WorkCover registered provider as part of her injury treatment.

Jaani forwarded the information from her insurer to Cetas and booked an appointment. A Cetus psychologist helps Jaani have weekly treatment sessions focusing on return to work barriers and general wellbeing. Cetas is knowledgeable in occupational rehabilitation, and Jaani can have a case conference with Cetas, the insurer and her employer to talk about supporting Jaani back into the workplace. Jaani returns to work on a graduated return to work plan whilst still having regular treatment.

Cetas continues to work with Jaani and her GP to empower Jaani to return to work in a preinjury capacity. Jaani continues to have psychology sessions with Cetus at a reduced cadence to ensure her return to work is sustainable. Jaani can return to work to preinjury hours and duties and now feels better supported by her employer against re-injury.

Medicare to Private and Self-funded

Jackie* has been experiencing emotional issues and is having difficulties in overcoming his anxiety. It’s not an emergency, so he makes an appointment with his GP. His GP conducts the following:

·      a mental health assessment

·      provides a prescription for medicines to treat anxiety and panic

·      creates a mental health care plan (MHCP)

·      refers Jackie to Cetas for intervention.

Jackie contacts Cetas and sends through his MHCP provided by his GP. Jackie has six sessions with a clinical psychologist to address depression and anxiety symptoms. The Cetas psychologist sends an update report to the GP and requests four more sessions to continue the therapy work. Jackie exhausted the medicare rebated 10 sessions the 2023 calendar year however wants to continue therapy sessions. Jackie self funds on going treatment and claims the fees with his health insurer. Access to medicare rebated sessions is renewed in 2024 so he sees his GP again to regain medicare rebated sessions.

Case Example Disclaimer

*names are pseudonyms and case examples are not factual clients. Cases have been designed for educational purposes only and are not engaged in rendering professional services. The information provided within case examples should not be used for diagnosing or treating a health problem or disease. It is not suitable for professional care. Please see the disclaimer at the bottom of this page.