Chronic Disease Management
Chronic disease management at Sippy Downs Family Clinic is bulk billed for eligible patients with a valid Medicare card. Living with a long-term health condition such as diabetes, heart disease, asthma or arthritis can be challenging, but you don’t have to manage it alone. Our Sippy Downs GPs and practice nurses work with you to create a personalised care plan that helps you stay well, prevent complications and get the most out of life.
What is chronic disease management?
A chronic condition is a health condition that has been, or is likely to be, present for six months or longer. Under Medicare, your GP can prepare a GP Chronic Condition Management Plan (GPCCMP), which replaced GP Management Plans (GPMPs) and Team Care Arrangements (TCAs) from 1 July 2025. Your plan sets out your health goals, the treatment and support you need, and the steps you and your care team will take together.
Conditions we help you manage
- Type 1 and type 2 diabetes
- Heart disease, high blood pressure and high cholesterol
- Asthma and chronic obstructive pulmonary disease (COPD)
- Arthritis, osteoporosis and chronic pain
- Chronic kidney disease
- Obesity and weight-related conditions
- Thyroid conditions
- Long-term mental health conditions
- Stroke recovery and other long-term conditions
What your care includes
- A thorough health assessment with one of our practice nurses and your GP
- A written care plan tailored to your goals and lifestyle
- Regular reviews to track your progress and adjust your treatment
- Medication reviews and advice on managing your condition day to day
- Referrals to allied health professionals and coordination with your specialists
- Preventive care, including vaccinations and recommended health screening
Medicare-subsidised allied health services
With a GP Chronic Condition Management Plan, you may be eligible for up to five Medicare-rebated allied health services each calendar year. These can include physiotherapy, podiatry, dietetics, diabetes education, exercise physiology and more. Your GP will discuss which services suit your needs and arrange your referrals.
Bulk billed chronic disease care in Sippy Downs
We believe ongoing care should be affordable. Chronic disease management appointments at Sippy Downs Family Clinic are bulk billed for eligible Medicare card holders, so there is no out-of-pocket cost for your care plan or plan reviews. We are open 7 days, 8am to 5pm, including public holidays, making it easier to fit your reviews around work and family.
How to get started
- Book a longer appointment and let our reception team know it is for chronic disease management
- Bring a list of your current medications and any recent test results or specialist letters
- Your practice nurse will start your assessment, and your GP will finalise your plan with you
If you are registered with MyMedicare, your plan needs to be prepared by your registered practice. Our team can help you register with MyMedicare at Sippy Downs Family Clinic. Care plans prepared before 1 July 2025 remain valid until 30 June 2027, and your GP can update you to the new plan at your next review.
Frequently asked questions
Is chronic disease management bulk billed?
Yes. Chronic disease management is bulk billed at Sippy Downs Family Clinic and all ZH Doctors Network clinics for eligible patients.
Which conditions can be managed?
Conditions include diabetes, heart disease, asthma, COPD, arthritis, kidney disease and other long-term health conditions.
How often will my care be reviewed?
Your GP will review your care plan regularly and adjust it as your health needs change.