MedibanMedibank’s Remedial Massage Definition and Requirements for Benefit Payment
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Remedial Massage Definition

Remedial massage is the systematic assessment and treatment of the muscles, tendons, ligaments

and connective tissues of the body to assist in rehabilitation, pain and injury management. It’s

performed to create favourable conditions for the body to return to normal health after injury and is

defined by the premise that the treatment can reasonably reverse certain physical effects a patient

may be presenting. If a patient has suffered a moderate injury resulting in structural pain and/or loss

of function, then remediation is required to reduce or eliminate pain and restore that function.

Remedial massage is designed to balance muscle/soft tissue length, tension, tone which will in turn

promote the return to normal joint/capsular/bone position; increase the flow of blood and lymph,

particularly in the injured areas, thus removing blockages, damaged cells, scar tissue and adhesions

resulting from injury.

A remedial therapist must have knowledge of anatomy, physiology and pathophysiology to determine

where to treat patients. Their services must be based on best practice principles and before any

remedial massage treatment begins, a thorough patient consultation and assessment is to be

performed to ascertain the patient’s current health status. If the patient is suitable for remedial

massage and relying on the patient’s feedback to identify the areas that require attention, the

therapist can then apply the relevant and appropriate treatment.

Note: The assessment must include the development of a specific treatment plan as to the

best course of treatment for the patient’s condition/injury. This treatment plan forms the

basis of the clinical notes. It’s a requirement of Medibank that for all services which

attract a benefit, comprehensive clinical notes are taken for each

consultation/treatment and that the patient’s records are duly maintained. These notes

must be consistent with accredited professional standards (and in their absence, The

National Health Act) and are to be maintained in English.

It’s important for the remedial therapist to understand that a patient’s needs are unique, and

therefore particular remedial massage techniques need to be selected with clinical expertise and

applied in a way that suits that patient.

Requirements for Benefit Payment

Remedial massage services will attract a Medibank benefit only if services are provided to patients

with an eligible Medibank cover and by a therapist that’s recognised by Medibank and has a current

Medibank provider number.

Services delivered to patients with an eligible Medibank cover but by therapists that aren’t recognised

by Medibank will not attract any benefit payment.

Should Medibank investigate a provider and discover benefits have been paid for services delivered to

a Medibank patient by a non-recognised provider, then recoveries of those monies will be sought as

well as exploring what course of action will be taken to prevent future occurrences.