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Factsheet HSV20 - Podiatry Services

Purpose

This Factsheet describes how you can access podiatry and who is eligible.

What are podiatry services?

Podiatry services include diagnosis, routine maintenance, selected soft tissue surgery, and physical therapy on your feet. Treatment may also include the prescription of medical grade footwear, footwear modifications and orthoses.

Am I eligible?

If you have a Department of Veterans' Affairs (DVA) Health Card - All Conditions (Gold) or Totally & Permanently Incapacitated (Gold), DVA will pay for clinically required podiatry services, available through DVA arrangements. 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 DVA Health Card - Specific Conditions (White), DVA will pay for clinically required podiatry services, available through DVA arrangements, if they are required because of 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 clinically required treatment of war caused disabilities accepted by your country of enlistment. Please see Factsheet HSV62 - Commonwealth and Other Allied Veterans living in Australia for more information on the services available.

How do I access this service?

You must be referred to a podiatrist who provides services under the Medicare Benefits Scheme. A referral can be issued by a:

  • Local Medical Officer (LMO) / General Practitioner (GP)
  • medical specialist
  • treating doctor in hospital
  • hospital discharge planner, or
  • podiatrist with a current referral.

Referrals remain active for 12 months, and cannot overlap from one 12 month period to the next.

What happens when I visit the podiatrist?

Please check with your podiatrist prior to your consultation or receiving treatment that the podiatrist accepts DVA Health Card arrangements, and present your Gold or White Health Card at the beginning of a consultation or before you receive treatment.

The podiatrist will assess your clinical needs for podiatry services, prepare a written care plan for the period of care required, and discuss it with you. They will provide you with a copy of the treatment record for your reference.

If you require medical grade footwear, this will be provided through DVA's Rehabilitation Appliances Program (RAP). Your podiatrist will make an application to RAP on your behalf if they prescribe medical grade footwear. For further information on medical grade footwear, please see Factsheet HSV139 - Information for Veterans on the Medical Grade Footwear Program.

Do I need to sign a treatment record?

Service providers can submit treatment records electronically. If this is not possible, 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. The podiatrist must note that you are unable to sign.

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

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

You should advise your treating podiatrist if another podiatrist has provided you with treatment during the previous 12 months. This will prevent your current podiatrist from experiencing difficulties in claiming payment for services provided to you.

Do I need to pay for treatment?

No, your podiatrist will bill DVA directly for any care provided to you if the service is provided under DVA arrangements. This represents the full fee for the service provided. If you are billed by your podiatrist, do not pay the account and advise DVA immediately.

Can I choose to be treated as a Medicare or private patient?

Yes, you can choose to be treated as a Medicare or private patient. However if you choose one of these options, 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

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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28 June 2018