ACC Claims and Payments
All our Osteopaths and Acupuncturists are Registered ACC Treatment Providers.
New ACC injury claims can be completed by your Osteopath at the time of your visit, and are submitted electronically to ACC. ACC will advise you of their decision by mail approximately 1-2 weeks later. Please note that claim acceptance by ACC is not guaranteed, and where the claim is declined, private treatment fees will apply.
Why do we charge surcharges for ACC visits?
ACC only pays Osteopaths and Acupuncturists a small portion of the full cost of treatment, therefore a surcharge is required to cover the shortfall paid from ACC. Surcharges may vary according to clinic location and the qualifications and expertise of the Osteopath or Acupuncturists.
ACC Claims and Osteopathy Treatment
There are some features of ACC regulations that are unique to Osteopaths that can make understanding ACC funding for Osteopathy treatment confusing. For all other medical professionals, there are no treatment limits, or expiry dates for ACC claims. However, ACC impose restrictions on Osteopaths treating ACC clients under Regulation Fees as follows:
- Only up to 16 treatments are allocated per claim in total (regardless of where or with whom these treatments are received)
- A 12-month expiry date on Osteopathy cover. This means that if your claim is more than 12 months old, the claim may no longer be valid for Osteopathy treatment (although it is still valid for other medical providers).
Applying to ACC for More Treatment (ACC32 Report)
In some cases it is possible to request additional treatments from ACC if the 16 treatments have been used, or if the 12 month period has expired. Submitting an ACC32 involves your Osteopath completing a lengthy report, including collating and attaching all your medical information (including clinical notes, radiology reports, specialist reports etc). Because of the work involved in completing these requests, a report fee applies for all ACC32 requests.
It currently takes ACC up to 4-6 weeks to make a decision on these requests and there is no guarantee they will accept the request. During this time you may continue treatment if you wish, however if ACC eventually declines the claim, the balance of payment for any treatments you have received while awaiting the decision will be charged at the private rate.
Frequently asked questions
I have had a few treatments elsewhere, how do I know if I have any treatments left?
We can get information from ACC about how many treatments you have left for your injury, however there may be delays on the ACC provider helpline to get this information, and we may not be able to tell you on your first visit whether you have ACC funded treatments left. If you pay the ACC surcharge on your first visit but find out the claim has expired or all treatments have been used, a balance of payment of the private fee will be required.
What if I Start Treatment then find out ACC has declined my Claim?
If ACC declines the claim, any treatments received after the date the claim was declined will require the balance of private fees to be paid (see below).
Where there is no current ACC claim, or cover has expired, the full cost of treatment is paid by the patient. If you have an ACC claim that has been declined, expired, and/or an ACC32 request has been declined, you can still continue treatment at the private rate.