Chronic Disease Management Plans in Surfers Paradise
A GP-Led Plan For Your Long-Term Health
Living with a long-term health condition is easier when you have a plan and a team behind you. At My Doctors Clinic Surfers Paradise, our Gold Coast GPs prepare chronic disease management plans that bring your care together in one place, from regular check-ups and blood tests to diet, exercise and the allied health support you need to stay well.
Since 1 July 2025, Medicare calls this a GP Chronic Condition Management Plan, or GPCCMP. It replaces the older GP Management Plan and Team Care Arrangement, and it gives eligible patients Medicare rebates for up to five allied health visits each calendar year.
Because our dietitian, physiotherapist and podiatrist work on site, many patients can use those visits in the same building as their GP. As a predominantly bulk billing medical centre, most eligible patients pay nothing for the GP appointments to prepare and review their plan. When you book your appointment, let reception know it is for a care plan so enough time is set aside.
Could A Plan Help You?
You may be eligible for a GP Chronic Condition Management Plan if you tick these boxes:
- A health condition that has lasted, or is likely to last, six months or more
- You would benefit from a dietitian, physio, podiatrist or other allied health care
- You want regular reviews rather than one-off visits
- You hold a valid Medicare card
Your GP will confirm your eligibility at your appointment.
Conditions A Chronic Disease Management Plan Can Help With
If your condition is expected to last six months or longer, a plan can usually help. These are some of the conditions our GPs manage most often for patients across Surfers Paradise and the Gold Coast.
Diabetes
Type 1 and type 2 diabetes, including blood sugar, foot and eye checks.
Heart Disease
Coronary heart disease, heart failure and recovery after a heart event.
High Blood Pressure
Regular monitoring and medicine reviews to protect your heart and kidneys.
Asthma
Action plans, inhaler technique and fewer flare-ups through the year.
COPD And Lung Conditions
Breathing support, vaccinations and pulmonary rehab referrals.
Arthritis
Osteoarthritis and inflammatory arthritis, with physio for pain and mobility.
Chronic Kidney Disease
Blood and urine monitoring to slow progression and protect your health.
Thyroid Conditions
Hypothyroidism and hyperthyroidism, with regular blood tests and dose checks.
Osteoporosis
Bone density, falls prevention and strength training advice.
Chronic Pain
Long-term back, joint or nerve pain managed with a practical, whole-person plan.
Autoimmune Conditions
Conditions such as lupus and coeliac disease, coordinated with your specialists.
Weight-Related Conditions
Support to reduce health risks linked to weight, alongside your GP.
How Your Chronic Condition Management Plan Works
Getting a plan in place usually takes one longer appointment, followed by regular reviews with the same GP where possible.
1. Book A Longer Appointment
Tell reception your appointment is for a chronic condition management plan so your GP has time to go through everything properly.
2. Health Check And Goals
Your GP reviews your history, medicines and recent results, orders any tests you need, and talks with you about what matters most.
3. Your Written Plan
Together you agree on goals, treatments and the care each provider will give. You receive a copy to keep and share with your carers.
4. Referrals And Reviews
Your GP refers you to allied health and reviews the plan regularly, updating it as your health and goals change.
GP Management Plan To GPCCMP: What Changed In July 2025
If you had a care plan before mid 2025, you may have heard it called a GP Management Plan. Medicare has simplified the system, and the new plan works a little differently.
Before 1 July 2025
- GP Management Plan (GPMP)
- A separate Team Care Arrangement (TCA) needed before most allied health referrals
- Two Medicare items and two documents to keep track of
From 1 July 2025
- One GP Chronic Condition Management Plan (GPCCMP)
- Your GP refers you straight to allied health providers
- Medicare rebates for up to five allied health visits each calendar year
- If you are registered with a practice through MyMedicare, that practice prepares your plan
Plans made under the old system can still be used during a transition period, so ask your GP at your next visit whether yours needs updating.
Use Your Allied Health Visits Right Here
Your plan can include up to five Medicare-rebated allied health visits a year. At our Surfers Paradise clinic, three of the most commonly used providers work in the same building as your GP. Medicare pays a rebate for each eligible visit, and some providers charge a gap, so ask about fees when you book.
Your GP can also refer you to other providers such as diabetes educators, exercise physiologists or psychologists. See the whole team on our team page.
Living Well With A Chronic Condition
A plan works best alongside good information. These guides from our clinic cover the questions patients ask most. You can also read our overview of chronic disease management.
Chronic Disease Management Tips
How Your GP Can Help With Chronic Conditions
Emergency Care For Chronic Patients
Chronic Disease Management FAQs
Clear answers about care plans, Medicare and allied health at our Surfers Paradise clinic.
What is a chronic disease management plan?
It is a written plan your GP prepares with you for a long-term health condition. It sets out your goals, the treatment and checks you need, and which health professionals will help. Since July 2025, Medicare calls it a GP Chronic Condition Management Plan, or GPCCMP.
Who is eligible for a GP Chronic Condition Management Plan?
Generally, anyone with a valid Medicare card who has a chronic or terminal medical condition that has lasted, or is likely to last, at least six months. Common examples include diabetes, heart disease, asthma, arthritis and chronic kidney disease. Your GP decides whether a plan is suitable for you.
How many allied health visits does Medicare cover?
Up to five individual allied health visits each calendar year, shared across the providers your GP refers you to. Medicare pays a rebate for each visit. Some providers bulk bill while others charge a gap, so check fees with the provider when you book.
I had a GP Management Plan before July 2025. Do I need a new one?
Not straight away. Plans and referrals made under the old system can still be used during a transition period. Your GP will move you onto the new plan at your next review, so mention it at your next appointment.
How often is my plan reviewed?
Your GP will set a review schedule that suits your condition, often every few months. Regular reviews keep your plan and your allied health referrals up to date and give you a chance to adjust your goals.
Do I need to be registered with MyMedicare?
If you are registered with a practice through MyMedicare, your plan needs to be prepared and reviewed by that practice. If you are not registered, your usual GP can still prepare it. Ask our reception team if you would like to register with us.
Can a plan help with type 2 diabetes?
Yes. Diabetes is one of the most common reasons for a plan. It usually includes regular blood tests, blood pressure and foot checks, and referrals to our dietitian and podiatrist. Read our guide to the early warning signs of type 2 diabetes.
Are chronic disease management appointments bulk billed?
We are a predominantly bulk billing medical centre, so most eligible patients have no out-of-pocket cost for the GP appointments to prepare and review their plan. Allied health providers set their own fees. Our FAQ page has more on billing and Medicare.
Take Control Of Your Long-Term Health
Book a longer appointment with one of our GPs and start your chronic disease management plan. Open 7 days in the Piazza on the Boulevard building, Surfers Paradise. Directions are on our contact page.
