NDIS funding
For self-managed and plan-managed participants using Capacity Building – Improved Daily Living funding.
Many extras policies include speech pathology and occupational therapy. How much you get back depends on your fund, your level of cover, and how much of your annual limit you’ve already used.
Speech pathology and occupational therapy usually sit under the extras (ancillary) part of a policy rather than hospital cover. Funds set their own benefit per session and their own annual limit, and both vary widely between policies.
Benefits are typically a fixed amount or a percentage of the fee, with the balance payable by you. Waiting periods often apply when you first take out extras cover or upgrade it.
A quick call to your fund with our fee and the service name will tell you exactly what you’ll get back.
Claiming an extras benefit is straightforward, and our client care team can help if anything is unclear.
You pay for the session at the time of the appointment.
We issue a receipt showing the provider details, the item and the date of service.
Claim through your fund’s app, website or a branch.
Your fund pays the benefit into your nominated account. Keep your receipts in case a claim is queried.
If you’d like to know whether on-the-spot claiming is available at the clinic, ask our client care team when you book.
Many families use more than one pathway across the year. Each appointment is funded one way only.
Answers to common questions about using extras cover for therapy. Can’t see yours? Call us on (02) 9037 1163.
On many extras policies, yes, but not all. Speech pathology and occupational therapy are usually separate categories on a policy, so if your child sees or may see both, check both.
Generally no. Extras claims don’t usually require a GP referral, unlike Medicare. Your fund will confirm what it needs.
It depends entirely on your policy. Funds set a benefit per session and an annual limit. Call your fund with the service name and our fee and they can quote you the exact benefit. Ask us for our current fees in writing if that helps.
Not for the same appointment. You can use one pathway for some sessions and the other for others across the year. See our Medicare page for how the Medicare pathways work.
You can keep attending as a private-fee client, or check whether a Medicare pathway or NDIS funding applies. Our client care team can talk through the options with you.
Many families use more than one pathway across the year, one funding source per session.
For self-managed and plan-managed participants using Capacity Building – Improved Daily Living funding.
GP Chronic Condition Management Plans, the Item 135 pathway, Better Access and the First Nations pathway.
Compare NDIS, Medicare and private health side by side, and find the pathway that fits your family.
Claiming for speech therapy or occupational therapy? Both services are under one roof at our Northmead clinic. See the areas we serve.
Last reviewed: 22 October 2026. Health fund benefits, annual limits and waiting periods are set by each fund and change from time to time. Always confirm your own cover directly with your fund.
Call your fund with our fee and the service name and they’ll tell you exactly what you’ll get back. If you’d like our fees in writing first, just ask.
Ask your fund whether speech pathology and OT are covered, and your annual limit.
We’ll send our current fees in writing so your fund can quote your benefit.
Book your first appointment and claim with the itemised receipt we give you.