Medicare and psychology

Seeing a psychologist with a Mental Health Treatment Plan

You don't need a GP referral to book with us. Without one, you pay privately. To get a Medicare rebate, you need a Mental Health Treatment Plan and referral from your usual GP or your MyMedicare practice.

With a plan, Medicare pays a rebate for up to 10 individual sessions a calendar year, and you pay the gap.

Call to ask about this week's appointments. See us at Kingswood (Nepean Health Hub, Level 3) or Gledswood Hills (Level 2), with parking at both, or online by video.

Monday to Friday, 9am to 4:30pm, or leave a message and we'll call you back.

We're away from the phones right now. Send an enquiry and we'll get back to you by the next business morning.

How the plan works now.

A Mental Health Treatment Plan is what lets you claim a Medicare rebate for sessions with a psychologist. Since 1 November 2025, the plan, its reviews and the referral come from your usual GP or your MyMedicare practice. Psychiatrists and paediatricians can still refer directly.

  1. 1

    Book a longer appointment with your usual GP, or your MyMedicare practice.

  2. 2

    Your GP prepares a Mental Health Treatment Plan and referral.

  3. 3

    Call us on 1300 151 110 to book your session.

How many sessions Medicare covers.

With a Mental Health Treatment Plan, Medicare pays a rebate for up to 10 individual and 10 group sessions a calendar year (1 January to 31 December).

The first referral covers up to 6 individual sessions. The referring doctor then reviews how you're going and can refer you again for the rest, up to 10 a year (so 4 more after the first 6).

The rebate and the gap.

Medicare pays a rebate for each session and you pay the gap, which is the part of the session fee that the rebate doesn't cover. The rebate depends on the length of the session and whether you see a psychologist or a clinical psychologist.

From 1 July 2026, these rebates apply to a session of 50 minutes or more.

  • With a psychologist (MBS item 80110)

    Medicare rebate $101.55.

  • With a clinical psychologist (MBS item 80010)

    Medicare rebate $149.05.

Video sessions of 50 minutes or more pay the same rebate as sessions in person (MBS items 91170 and 91167).

Your gap depends on the fee for your session. Call 1300 151 110 and we'll tell you the fee and the gap for your psychologist before you book.

Your gap fees also count towards the Medicare Safety Net, which can mean a bigger rebate later in the year. See how the Safety Net works.

Medicare figures checked on 7 October 2026 against the Department of Health and MBS Online.

When Medicare doesn't apply.

Couples sessions.

Medicare does not cover couples sessions, so there is no Medicare rebate for couples therapy. You can still book couples therapy without a referral.

A work injury.

Medicare cannot be billed for a compensable injury, which means an injury covered by a workers compensation claim. With a NSW workers compensation claim, your psychologist bills the insurer for approved treatment and you pay no gap.

Other ways to pay.

We also see NDIS participants, and people using private health insurance, an Employee Assistance Program or paying privately. See Referrals, rebates and funding for each option.

Where you can see us.

Kingswood, minutes from Penrith.

Nepean Health Hub, Level 3, 302/13 Barber Avenue, Kingswood NSW 2747. Parking in the car park under the Health Hub, free for up to 2 hours.

Kingswood clinic

Gledswood Hills, for Macarthur.

Gregory Hills Health and Business Centre, Level 2, 25/13 Digitaria Drive, Gledswood Hills NSW 2557. Visitor parking on site, free for up to 2 hours.

Gledswood Hills clinic

Online.

Sessions by secure video, with the same Medicare rebate as sessions in person.

Online sessions

Questions, answered.

Do I need a referral to see a psychologist?

No. You can book with us without a referral and pay privately. To get a Medicare rebate, you need a Mental Health Treatment Plan and referral from your usual GP or your MyMedicare practice, or a referral from a psychiatrist or paediatrician.

Who can give me a Mental Health Treatment Plan?

Since 1 November 2025, the Mental Health Treatment Plan, its reviews and the referral come from your usual GP or your MyMedicare practice. Psychiatrists and paediatricians can still refer directly.

How many sessions does Medicare cover?

With a Mental Health Treatment Plan, Medicare pays a rebate for up to 10 individual and 10 group sessions a calendar year (1 January to 31 December). The first referral covers up to 6 individual sessions. The referring doctor then reviews how you're going and can refer you again for the rest, up to 10 a year (so 4 more after the first 6).

How much is the Medicare rebate for a psychologist?

From 1 July 2026, the rebate for a psychologist session of 50 minutes or more is $101.55 (MBS item 80110). For a clinical psychologist session of 50 minutes or more, it is $149.05 (MBS item 80010). Video sessions pay the same. Medicare figures checked on 7 October 2026.

What is the gap?

The gap is the part of the session fee that the Medicare rebate doesn't cover. Medicare pays a rebate for each session and you pay the gap, so a plan lowers the cost of each session rather than covering it in full. Call 1300 151 110 and we'll tell you the fee and the gap for your psychologist before you book.

Can I use Medicare for online sessions?

Yes. Video sessions of 50 minutes or more get the same Medicare rebate as sessions in person, with the same Mental Health Treatment Plan and referral. We see people online by secure video, as well as at Kingswood and Gledswood Hills.

Does Medicare cover couples sessions?

No. Medicare does not cover couples sessions, so there is no Medicare rebate for couples therapy. You can still book couples therapy with us without a referral.

Can I use Medicare for a work injury?

No. Medicare cannot be billed for a compensable injury, which means an injury covered by a workers compensation claim. With a NSW workers compensation claim, your psychologist bills the insurer for approved treatment and you pay no gap.

We’re here to help

Take the first step.

Whether you’re reaching out for yourself, your child or someone you care about, call us on 1300 151 110, or send an enquiry and we’ll get back to you by the next business morning.

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No GP referral needed to book
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Medicare rebates with a GP Mental Health Treatment Plan
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NDIS and WorkCover clients welcome

Monday to Friday, 9am to 4:30pm, or leave a message and we’ll call you back.

We’re away from the phones right now. Send an enquiry and we’ll get back to you by the next business morning.