Chronic Condition Management Plans at Googong Family Practice
Living with a long-term health condition can be overwhelming — but you don’t have to manage it alone. At Googong Family Practice, our Chronic Disease Management (CDM) Plans are designed to support patients with ongoing medical needs through structured, collaborative, and proactive care.
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If you’ve been living with a chronic condition for more than six months — such as diabetes, arthritis, heart disease, asthma, or chronic pain — you may be eligible for a personalised management plan under Medicare.
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Our GPs will work closely with you to develop a tailored health plan that puts your wellbeing first and gives you access to allied health support like physiotherapy, dietetics, podiatry, and more — often with Medicare-subsidised visits.
What Is a Chronic Disease Management Plan?
A CDM Plan is a GP-led strategy that outlines your condition, treatment goals, healthcare team, and ongoing care strategies. It helps ensure that you’re getting the right care at the right time — across multiple providers — while staying in control of your health.
There are two key types of plans:
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GP Management Plan (GPMP): A comprehensive plan for patients with one or more chronic medical conditions.
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Team Care Arrangements (TCA): Coordinated care between your GP and at least two other allied health professionals (e.g. a physio, dietitian, or psychologist).
Together, these plans may provide access to up to five Medicare-rebated allied health visits per calendar year.
Who Is Eligible?
You may be eligible for a CDM Plan if you’ve been diagnosed with a medical condition that has lasted or is expected to last at least six months. This may include (but is not limited to):
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Type 1 or Type 2 Diabetes
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Asthma or Chronic Obstructive Pulmonary Disease (COPD)
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Cardiovascular disease
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Arthritis or musculoskeletal conditions
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Mental health conditions
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Chronic pain
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Cancer
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Kidney disease
Your GP will assess your eligibility and help you determine whether a CDM Plan is appropriate for your situation.
What’s Included in the Plan?
Every plan is tailored, but typically includes:
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A full health assessment
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Review of your medical history and current treatments
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Clearly defined health goals and timelines
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Referrals to relevant allied health professionals
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A copy of your plan for your own records
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Ongoing monitoring and six-monthly rev
Why Choose Googong Family Practice?
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Our experienced and caring team at Googong Family Practice is here to make your journey as smooth as possible. We take the time to listen, educate, and guide you through every stage of your care.
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Located in the heart of Googong and serving surrounding suburbs such as Queanbeyan, Jerrabomberra, Crestwood, and Karabar, we provide accessible, compassionate care to our community.
How It Works
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Book an Appointment
Schedule a consultation with one of our friendly GPs.
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Health Assessment
We review your condition, symptoms, medications, and treatment history.
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Develop Your Plan
We work together to build a structured care plan tailored to your needs and goals.
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Coordinate Care
We liaise with your chosen allied health providers and specialists.
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Ongoing Support
We review your plan regularly to ensure it remains effective and relevant.
Benefits of a Chronic Condition Management Plan
Personalised Healthcare
Receive care that is aligned with your individual needs and long-term health goals.
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Better Health Outcomes
Stay on top of your condition with structured reviews and follow-ups.
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Medicare Rebates
Access up to five subsidised allied health visits per year.
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Team-Based Care
Your GP works with other professionals to ensure your treatment is cohesive and well-coordinated.
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Save Time and Reduce Stress
Take the guesswork out of managing your condition with a clear, proactive plan.
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Gallery: Take a Look Inside Our Clinic
Primary care is the cornerstone of healthcare, focusing on general medical services that cater to a wide range of health needs. As your local primary care medical clinic, Googong Medical Centre provides the first line of defence when it comes to your health. This can include everything from routine physical exams, health screenings, and immunisations to diagnosing and managing chronic conditions such as diabetes, hypertension, and asthma. Primary care doctors also provide referrals to specialists when more advanced care is needed. Essentially, primary care serves as the foundation for maintaining long-term health and well-being.
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From our welcoming reception to our modern consult rooms, Googong Family Practice is designed with your comfort and care in mind.
Frequently Asked Questions
What conditions are covered by a Chronic Disease Management Plan
A wide range of conditions including diabetes, asthma, heart disease, arthritis, chronic pain, and more. Your GP will confirm your eligibility.
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Do I need a referral to get a CDM Plan?
No, you can book directly with one of our GPs for an assessment.
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How many allied health visits are included?
Up to five Medicare-subsidised allied health appointments are available per calendar year.
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Is there any cost involved?
Medicare covers most of the plan, but some allied health services may involve a gap fee..
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How often is the plan reviewed?
Your plan is reviewed every six months or as required, to make sure it stays relevant to your needs.
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