We are conscious of the increasing costs associated with health care, and we aim to provide Melbourne's premier Bracing and Orthotic service at a reasonable cost. Our staff will assist you with funding applications and getting the best rebate from your health insurer.
To be eligible for SWEP funding towards your Orthosis / Brace you must:
- have a diagnosis of a permanent/long term disability
- be a Victorian Resident
- live in the community
Some of the conditions eligible for funding:
- Scoliosis
- Clubfoot
- Cerebral Palsy
- Autism Spectrum Disorder
- Global Developmental Delay
- many more conditions are eligible, please contact us for more information
What is SWEP funding?
The State-wide Equipment Program (SWEP) is a State Government funded organisation which oversees a number of different ‘assistive technology’ programs.
Orthokids services and equipment fall under the Aids & Equipment Program (A&EP) division of SWEP’s services.
SWEP (A&EP) provides subsidised aids, equipment and home modifications to enhance independence in the home, facilitate community participation and support families and carers in their role.
How do I apply for SWEP funding?
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Yes
Make an appointment for assessment with one of our Orthotists.
We will complete all of the paperwork required and submit it to SWEP.
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No
You will need to:
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complete the 4 page Aids and Equipment Eligibility Form
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Pages 1 to 3 must be completed by you
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Page 4 will need to be completed by your doctor (GP, Paediatrician, Surgeon).
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It is important to confirm your child's disability, and certify that it is permanent, or long term.
When this form is completed, return it to our Surrey Hills office ASAP.
Your child will need a full assessment with one of our Orthotists prior to application processing.
Make an appointment for assessment with one of our Orthotists.
We will submit the necessary paperwork to SWEP.
My SWEP paperwork is submitted.What happens now?
Once SWEP has processed your application, they will send you a letter advising you of the outcome.
This can include any of the following:
1. Your application has been approved and a purchase order has been issued.
In this situation, please contact us for an appointment.
2. Your application has been approved and you are on the waitlist.
In this case, you will need to wait for a purchase order. It is very difficult to put a timeframe on this process.
Please contact us if your child urgently requires new orthoses and he/she is on the waitlist.
Orthokids may be able to ‘escalate’ your application if clinically appropriate. SWEP will make a decision based on available information.
3. Your application has been assessed as requiring gap funding.
In this case please complete the Confirmation of Gap Form and send it back to SWEP as soon as possible. Your application will not proceed until this has been returned.
Once SWEP has received this they will advise you on the status of your application (see above).
4. Your application has been declined.
In this situation please contact either Orthokids or SWEP for further details.
Important Points to Remember:
- Your application must be approved before your brace/orthosis is fitted.
- SWEP Funding is not retrospective. ie SWEP will not reimburse patients for any orthoses already fitted and paid for.
- Any gap payment must be paid to Orthokids at time of fitting. Do not send payments to SWEP.
- A new application (prescription form completed by Orthokids) must be submitted every time new orthoses are required.
- SWEP has annual and individual item limits for funding of orthoses.
- Please ensure SWEP are advised of any changes to your contact details.
Reimbursement rates vary greatly between health insurance companies and we recommend you check with your insurer directly.
We will endeavour to provide you with adequate documentation to ensure you can claim the maximum amount.
Medibank and BUPA provider numbers are listed below.
For other health fund provider numbers, please contact our office.
BUPA P045174
Medibank Private
David Phillips 1001281T
Ken Shaw 1489151L
Brianna King 1529401J
We always prefer if you have a referral from your doctor or therapist.
This allows us treat you effectively and efficiently.
It may also help with your private health insurance claim.