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Factsheet HSV13 - Chiropractic Services

Purpose

This Factsheet describes how you can access chiropractic services for the treatment of conditions caused by musculo-skeletal dysfunction.

What are chiropractic services?

Chiropractic services treat musculo-skeletal dysfunction involving a system of therapy based upon interactions of the spine and nervous system. Treatment can include spinal manipulation, also known as chiropractic adjustment, and corrective exercises. Manipulation, or adjustment, of affected joints and tissues restores mobility, alleviates pain and muscle tightness to allow tissues to heal. These services must be delivered by an accredited Chiropractor.

Who is eligible?

If you have a Gold Card, DVA will pay for chiropractic services to meet your clinical needs. For information about the Gold Card, please see Factsheets HSV59 Eligibility for the DVA Health Card — All Conditions (Gold) or Totally & Permanently Incapacitated (Gold) and HSV60 Using the DVA Health Card — All Conditions (Gold) or Totally & Permanently Incapacitated (Gold).

If you have a White Card, DVA will pay for chiropractic services if required for an accepted war or service caused injury or disease. For more information about the White Card, please see Factsheet HSV61- DVA Health Card — Specific Conditions (White).

If you are an allied veteran, you are eligible for treatment of war caused disabilities accepted by your home country. Please see Factsheet HSV62 Commonwealth and Other Allied Veterans for information about the services available.

How do I access this service?

You must be referred to a chiropractor who is able to provide services under the Medicare Benefits Scheme. A referral can be issued by a:

  • Local Medical Officer (LMO)
  • General Practitioner
  • medical specialist
  • treating doctor in hospital
  • hospital discharge planner; or
  • chiropractor with a current referral.

A referral is active for twelve months from the date of referral. Referral dates cannot overlap from one twelve month period to the next.

What happens when I visit the Chiropractor?

Please present your Gold or White DVA Health Card at the beginning of a consultation or before you receive treatment. The chiropractor will assess your clinical need for chiropractic services, after taking into consideration any other related treatments you are receiving. They will then prepare a written care plan for the period of care and discusses it with you. The chiropractor will provide you with a copy of the treatment record for your reference.

Do I need to sign a treatment record?

Service providers can submit treatment records electronically. If this is not the case, you may be required to sign a record of treatment at the completion of each visit to ensure your treatment is covered by DVA. Before you sign, please check that the treatment record shows:

  • your name
  • your DVA file number
  • the date of treatment
  • the item number for the service provided; and
  • your accepted disability or condition for which you required podiatry services and/or supplies (if you are a White Card holder).

If you are unable to sign, a member of your family, or someone else who attends the appointment with you, may sign on your behalf. Otherwise the chiropractor must note that you are unable to sign.

Are there limits to the number of services I can receive?

Yes, your chiropractor will determine the type, number and frequency of services you require according to your assessed clinical need.

Physiotherapy and chiropractic treatment cannot be provided for the same condition at the same time. You should advise your treating provider if you are receiving treatment for the same condition from a physiotherapist.

You should tell your treating chiropractor if another chiropractor or physiotherapist has provided you with treatment during the previous twelve months. This will prevent your current provider from experiencing difficulties in claiming payment for services provided to you.

Do I need to pay for treatment?

No, the chiropractor will bill DVA directly for any care provided to you. If you are billed by the chiropractor, do not pay the account and contact DVA immediately.

Can I be treated as a Medicare or private patient?

Yes, you can choose to be treated as a Medicare or private patient. However, if you take this option, DVA will not pay for any services that have been paid in part or full by Medicare, private health insurance or a third party compensation benefit.

More Information

DVA General Enquiries

Metro Phone: 133 254 *

Regional Phone: 1800 555 254 *

Email: GeneralEnquiries@dva.gov.au

DVA Website: www.dva.gov.au

Factsheet Website: www.dva.gov.au/factsheets

* Calls from mobile phones and pay phones may incur additional charges.

Related Factsheets

Disclaimer

The information contained in this Factsheet is general in nature and does not take into account individual circumstances. You should not make important decisions, such as those that affect your financial or lifestyle position, on the basis of information contained in this Factsheet. Where you are required to lodge a written claim for a benefit, you must take full responsibility for your decisions prior to the written claim being determined. You should seek confirmation in writing of any oral advice you receive from DVA.

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22 February 2017