Psychology rebates under an MHTP
With a valid Mental Health Treatment Plan, Medicare provides a rebate per individual psychology session — up to 10 sessions per calendar year. The rebate covers a portion of the session fee; the psychologist charges the balance as a gap payment or bulk-bills. Some psychologists bulk-bill particular groups (concession-card holders, students). The rebate amount is set by the MBS and updates periodically.
Psychiatry rebates
Psychiatrist appointments are rebated under different MBS items depending on the appointment type (initial consultation versus follow-up, length, in-person versus telehealth). Rebates are meaningful but psychiatry fees are typically substantially higher than the rebate, so out-of-pocket costs are common in private psychiatry. Public psychiatry (through community mental health services) is free at point of care.
GP mental health appointments
Longer GP consultations for mental health assessment and MHTP preparation have specific MBS items with higher rebates than standard consultations. Follow-up mental health reviews with the GP are also rebated. Many GPs bulk-bill these appointments; some charge a gap payment. Ask when booking whether the appointment will be bulk-billed.
What to flag to your prescriber
- Being charged for services you believed would be bulk-billed.
- Any confusion about which MBS items apply.
- Situations where you have exhausted the 10 psychology sessions and still need care.
- Financial hardship affecting treatment access — some services have hardship provisions.
Related reading: What Is a Mental Health Treatment Plan in Australia? and Finding a Bulk-Billed Psychiatrist in Australia.
Frequently asked questions
How much is the Medicare psychology rebate?
The specific rebate amount is set by the MBS and updates periodically. Check mbsonline.gov.au or ask the psychologist for the current rebate.
Do I get a rebate for phone or video mental health appointments?
Yes, Medicare telehealth items cover most mental health services by video or phone.
What happens after I use my 10 psychology sessions?
You can wait until the next calendar year for a new round, request review for additional sessions in exceptional circumstances, or continue at full fee. Additional session eligibility varies.
Evidence and sources referenced
- NICE Guideline NG222 — Depression in adults: treatment and management (United Kingdom).
- Royal Australian and New Zealand College of Psychiatrists (RANZCP) — Clinical Practice Guidelines for Mood Disorders.
- NPS MedicineWise — patient and prescriber resources on antidepressants (Australia).
- Royal College of Psychiatrists — patient information on antidepressants.
- TGA and FDA — product information for SSRI and SNRI classes.
- Maudsley Prescribing Guidelines in Psychiatry.
Keep a calmer record of the first 90 days
If you want a calmer way to keep a short daily record across the first 90 days, Causiq is being built for exactly that. Join the waitlist at causiq.com.au.
Join the waitlist