Funding & Access FAQs
Learn how to access ClearSky services, including available funding options, payment processes, and what to expect when getting started.
ClearSky offers services through a range of funding pathways, including NDIS, Medicare, private health insurance, WorkCover, and aged care. Availability may vary depending on the service you need and your location.
To get started, complete our enquiry form and our team will contact you to guide you through your options and arrange your appointment.
Funding options
Medicare
Eligible clients may be able to claim Medicare rebates under specific programs, such as:
- Chronic Disease Management (CDM) plans
- Mental Health Care Plans (MHTP)
- Team Care Arrangements (TCA)
- Enhanced Primary Care referrals
- Other Medicare-funded programs where applicable
Eligibility requirements are determined by Medicare and your referring practitioner.
Where available, Medicare claims can be processed electronically through our Tyro payment gateway system. The rebate is deposited by Medicare, and any applicable gap fee remains your responsibility at the time-of-service delivery.
Telehealth eligibility depends on current Medicare rules, your referral, and the type of service being provided. Our team can advise whether a rebate may be available for your appointment.
You remain responsible for the consultation fee. If a claim is declined due to incorrect or missing referral information, we can assist you in contacting your referring practitioner to resolve the issue where possible.
National Disability Insurance Scheme (NDIS)
The National Disability Insurance Scheme (NDIS) is Australia’s first national scheme to support people living with a significant or permanent disability. The scheme allocates funding for individuals to receive access to reasonable and necessary support required to live a normal, fulfilling life and reach their goals. This support is determined on an individual basis and continues for the remainder of your life.
To be eligible for funding, you must meet the criteria set out by the NDIS such as your age, residency status and current support you receive. You can find out more here on the NDIS website.
You can visit the Am I eligible page to complete a NDIS checklist and see if you might be eligible.
If you think you might be eligible and want to apply:
make a verbal application by calling us on 1800 800 110.
complete an Access Request Form and return it to the NDIS.
If you need help to apply, please contact your local area coordinator, early childhood partner or NDIA office.
You can also apply to the NDIS by calling 1800 800 110 to make a verbal application or complete an Access Request Form found on the NDIS website.
If your child is younger than 9 years and has disability, developmental delay or developmental concerns, they might be able to get support through the NDIS early childhood approach. Within the NDIS early childhood approach, there are different criteria for getting support, depending on whether children are younger than 6 years or aged 6-8 years.
Your child must also be an Australian citizen, permanent resident or holder of a Protected Special Category Visa to get this support.
No. If you are over 65 when the NDIS is rolled out in your location, you will not be eligible for the NDIS.
If you are eligible for supports, the NDIA will assist you to get ready for your plan. You will be contacted by the NDIA or one of their Local Area Co-ordinators to start your transition and they will help you with information. Your next step will be to meet with a planner who will help you to develop a plan specifically to suit your needs. Being prepared and thinking about your needs means you will be able to get the most out of the support plan you design.
The NDIA has tools on their website to help you with this planning process. You can get ready by thinking about what your life and supports you may need before you meet with your NDIS Planner to discuss your goals and your plan. Talk with all the people, family, friends and carers, who support you about what supports you may need and want in your life and what your goals might be.
Your NDIS plan is a document created by the NDIS which contains information about you and your goals. The goals you set for your plan play an important role in identifying what supports you can receive as these should work towards achieving your goals. Your plan is created after your first planning meeting and outlines what support you require and how much funding you have available for those supports.
A service agreement is a legal agreement between you and your service provider/s which outlines the support that will be provided for you under the NDIS. It describes how and when the support will be provided, as well as the costs and the fees you need to pay.
NDIS Local Area Coordinators (LACs) are locally based representatives who can support you in implementing your NDIS plan. This might include assisting you in finding community activities and mainstream services in your local area to help you achieve your goals.
However, they can’t be as hands-on or involved as your support co-ordinator, which is why we highly recommend ClearSky support coordination services to make sure you’re getting the most out of your plan.
After your initial planning meeting where your plan and funds are established, you will have the opportunity to evaluate your plan and make changes at your plan review. Your first plan review will usually happen 12 months after your plan begins.
Your plan review is your opportunity to discuss the supports you have been receiving and make any changes required to reach your goals. Things change over time so it’s important that your plan changes with you too.
Your review can happen either over the phone or face-to-face, whichever is best for you. Appropriately preparing for your plan review will help to ensure you receive the best outcomes for your plan going forward. The team at ClearSky are highly experienced with plan reviews and are more than happy to help prepare you for success at your next review.
Department of Veterans' Affairs (DVA)
Yes. We welcome eligible Department of Veterans’ Affairs clients.
Please bring:
- Your DVA card
- Any referral from your GP or specialist
- Relevant medical information
This depends on your DVA entitlement, referral type, and the services provided. Some services may be fully covered, while others may attract out-of-pocket costs if they are not fully funded by DVA.
Where clinically appropriate and permitted under current DVA arrangements, telehealth appointments may be available.
Private Health Insurance
Many allied health services may be claimable through private health insurance extras cover, depending on your policy.
If your fund supports electronic claiming through Tyro HealthPoint, our claims payment system, we can process the claim at the time of your appointment. You simply pay any remaining balance.
Benefits vary significantly between funds and individual policies. We recommend contacting your health fund directly to confirm your level of cover before your appointment.
Any remaining balance becomes your out-of-pocket expense and is payable at the time of service.
WorkCover and Workers Compensation
Yes. We support clients recovering from work-related injuries and conditions.
Please provide:
- Claim number
- Case managers name and phone number
- Insurer details
- Employer details (if requested)
- Treating doctor information
- Any approved treatment plans
If your claim has been accepted and treatment has been approved, we may bill the insurer directly. If approval has not yet been obtained, payment may be required until funding is confirmed.
You remain responsible for any outstanding fees incurred for services provided.
My Aged Care
Yes. We support older Australians through various aged care funding arrangements and private services.
Depending on your package and approved services, you may be able to access allied health support through:
- Home Care Packages
- Commonwealth Home Support Programme (CHSP)
- Other approved aged care funding pathways
Where clinically suitable, telehealth may be available for eligible clients.
Yes. We regularly collaborate with care managers, support coordinators, family members, and aged care providers to support client goals.
Fees and Payments
Our fees vary depending on the service, appointment type, clinician, and funding arrangement. Current fees on our primary services are available here and will be explained before your appointment.
A gap fee (also called an out-of-pocket cost) is the difference between our consultation fee and the amount reimbursed by Medicare, DVA, your insurer, or another funding body.
For example:
- Consultation fee: $150
- Rebate received: $100
- Gap fee payable: $50
Not necessarily. Some funding programs may cover the full cost of your appointment, while others only contribute a portion of the fee. Our team will explain any expected out-of-pocket costs before treatment commences whenever possible.
Payment is generally required at the time of your appointment unless alternative arrangements have been approved by your insurer, funding body, or practice manager. For community-based appointments, payment is required at the time of booking to confirm clinician scheduling.
We accept:
- EFTPOS
- Debit cards
- Credit cards
- Tyro HealthPoint claims processing
- Electronic payments where available
Please note we do not accept cash payments for services a ClearSky clinics.
Booking and referrals
We provide a range of allied health services designed to support your health, wellbeing, independence, and recovery. Services may be delivered in-clinic or via telehealth, depending on your needs and eligibility.
Please check Our Service page for more information.
You do not need a referral to get started as a private client.
If you are accessing services under Medicare, you will need a referral and care plan from your GP to claim a rebate.
Some funding programs and insurance pathways may also require a referral or pre-approval. If you’re unsure, complete our enquiry form and our team can help confirm what’s required for your situation.
To get started, complete the enquiry form on our website. Once submitted, our team will contact you to discuss your needs, confirm any funding or referral requirements, and arrange a suitable appointment time with the right clinician.
Please bring:
- Any referral letters or care plans
- Your Medicare card or DVA card (if applicable)
- Insurance or claim details (if applicable)
- Any mobility aids, braces, or equipment you currently use
Telehealth
Telehealth allows you to receive healthcare services offsite in locations such as the comfort of your own home through secure video conferencing technology.
You will need:
- A smartphone, tablet, or computer
- Internet connection
- Camera and microphone
- Private space for your appointment
For many conditions, telehealth can be highly effective. However, some assessments and treatments may require an in-person appointment. Your clinician will advise the most appropriate option.
Yes. We use secure systems designed to protect your privacy and personal health information.
Our team will assist you where possible. If technical issues prevent the appointment from proceeding, alternative arrangements may be discussed.
Reports and communication
With your consent, we may provide reports and updates to your GP, specialist, insurer, case manager, or other relevant healthcare providers.
Reports may be provided where clinically appropriate or required by your referrer, insurer, funding body, or treatment plan.
Yes. Requests for access to clinical records are handled in accordance with applicable privacy legislation and professional standards.
Policies and privacy
We require advance notice if you need to cancel or reschedule your appointment. Late cancellations and non-attendance may incur a cancellation fee.
We will do our best to accommodate you; however, your appointment may need to be shortened to avoid impacting other clients.
Yes. Please contact us as soon as possible if you need to change your appointment time.
We are committed to protecting your privacy and handling your personal information in accordance with applicable Australian privacy legislation and healthcare standards.
Information is only shared:
- With your consent;
- When required for treatment coordination;
- When required by law; or
- Where necessary for approved funding, insurance, or claims processing.
Yes. We use secure technology and maintain strict confidentiality standards for all telehealth consultations.
What to expect
The number of appointments varies depending on your condition, goals, progress, and treatment requirements. Your clinician will discuss a recommended treatment plan with you.
Our team can help identify the most appropriate service and clinician based on your circumstances. Please contact our friendly team at (07) 3054 6125 or via email at enquiries@clearsky.au to arrange a consultation.
Yes, where appropriate and with your consent. Family members, carers, guardians, and support persons are welcome to participate when it supports your care.
Please let us know before your appointment. We will do our best to accommodate mobility, communication, language, sensory, and accessibility needs.
Important Funding Disclaimer
No. Funding eligibility, rebate amounts, and claim approvals are determined by Medicare, DVA, private health insurers, WorkCover authorities, aged care providers, and other funding bodies. Rebates and eligibility criteria may change without notice.
Clients remain responsible for all fees not paid by Medicare, DVA, insurers, funding bodies, or third-party payers, including any applicable gap fees or declined claims.