Chronic Disease Management

Chronic disease management at ZH Doctors Carseldine is bulk billed for eligible patients with a valid Medicare card. Living with a long-term health condition such as diabetes, heart disease, asthma or arthritis can be challenging, but you don’t have to manage it alone. Our Carseldine GPs and practice nurses work with you to create a personalised care plan that helps you stay well, prevent complications and get the most out of life.

What is chronic disease management?

A chronic condition is a health condition that has been, or is likely to be, present for six months or longer. Under Medicare, your GP can prepare a GP Chronic Condition Management Plan (GPCCMP), which replaced GP Management Plans (GPMPs) and Team Care Arrangements (TCAs) from 1 July 2025. Your plan sets out your health goals, the treatment and support you need, and the steps you and your care team will take together.

Conditions we help you manage

• Type 1 and type 2 diabetes
• Heart disease, high blood pressure and high cholesterol
• Asthma and chronic obstructive pulmonary disease (COPD)
• Arthritis, osteoporosis and chronic pain
• Chronic kidney disease
• Obesity and weight-related conditions
• Thyroid conditions
• Long-term mental health conditions
• Stroke recovery and other long-term conditions

What your care includes

• A thorough health assessment with one of our practice nurses and your GP
• A written care plan tailored to your goals and lifestyle
• Regular reviews to track your progress and adjust your treatment
• Medication reviews and advice on managing your condition day to day
• Referrals to allied health professionals and coordination with your specialists
• Preventive care, including vaccinations and recommended health screening

Medicare-subsidised allied health services

With a GP Chronic Condition Management Plan, you may be eligible for up to five Medicare-rebated allied health services each calendar year. These can include physiotherapy, podiatry, dietetics, diabetes education, exercise physiology and more. Your GP will discuss which services suit your needs and arrange your referrals.

Bulk billed chronic disease care in Carseldine

We believe ongoing care should be affordable. Chronic disease management appointments at ZH Doctors Carseldine are bulk billed for eligible Medicare card holders, so there is no out-of-pocket cost for your care plan or plan reviews. We welcome patients from Carseldine, Aspley, Bridgeman Downs, Bald Hills and surrounding Brisbane northside suburbs.

How to get started

• Book a longer appointment and let our reception team know it is for chronic disease management
• Bring a list of your current medications and any recent test results or specialist letters
• Your practice nurse will start your assessment, and your GP will finalise your plan with you

If you are registered with MyMedicare, your plan needs to be prepared by your registered practice. Our team can help you register with MyMedicare at ZH Doctors Carseldine. Care plans prepared before 1 July 2025 remain valid until 30 June 2027, and your GP can update you to the new plan at your next review.