A future where every journey is a safe one

Orthotic and prosthetic

We can pay for this treatment immediately after your transport accident. You don't need to contact us for initial approval.

We may contact you or your provider to check your progress and see if you are getting the support you need. This will help us make sure your treatment is helping your recovery. It will allow us to make decisions about what treatment we can pay for and how long we can pay for it.

How to get orthotic or prosthetic treatment

  1. If it’s been more than 6 months since you had any treatment paid for by the TAC, call us to find out if we can pay for more treatment
  2. Choose a provider. Your doctor can recommend one in your local area or you can search for an orthotist or prosthetist online.
  3. Call and make an appointment. Tell them you are a TAC client. Ask if they charge at TAC rates. If the provider charges more, they may ask you for a 'gap payment' to make up the difference
  4. Go to your appointment and give the provider your TAC claim number.

How to pay for treatment

In most cases, we will pay your provider . If you have to pay, scan or take a photo of your receipt. Send it to us with the ‘Upload documents’ button on myTAC, or by email to info@tac.vic.gov.au and we will repay you.

We will pay for your treatment at the TAC rate. If your provider charges more than the TAC rate, you may need to pay the difference. This is known as a 'gap payment'. If you need to pay a gap, you may be able to recover some of the cost through Medicare or private health insurance.

What does an orthotist and prosthetist do?

An orthotist and prosthetist helps those who need artificial limbs or other supports like braces and callipers.

They look at the needs of people with physical or mobility issues caused by amputation or problems with their muscles, bones or nervous system.

Prosthetic and orthotic fees

Effective 1 July 2019

For Prosthetic and orthotic services provided on or after 1 July 2019
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation PR600 $60.64
Standard Consultation  PR602 $48.52
Long Consultation  PR604 $72.51
Prolonged Consultation  PR606 $96.90
Manufacture
Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) PR608 $105.25
Purchase of Standard Products / Equipment
Standard products require the prior approval of the TAC and are payable at cost.
Details of the products must be included on the invoice for payment. PR 610 As approved
Major Repair (Prosthesis) PR 614 As approved
Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers. (Major repairs are any repairs above $250 inclusive of consumables)
New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) PR 612 As approved
Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) PR 618* $53.50
Orthosis (purchase)- Providers to use when submitting invoice for payment for orthotic equipment, aids & appliances - not to be used for clinical or manufacturing services - use of PR codes to be used for these service types EQ 0035 As approved
Standard Consultation      - up to 30 minutes
Long Consultation             - >30 minutes < 45 minutes
Prolonged Consultation    - >45 minutes <60 minutes
For Prosthetic and orthotic services provided between 1 July 2018 and 30 June 2019
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation PR600 $59.42
Standard Consultation  PR602 $47.54
Long Consultation  PR604 $71.06
Prolonged Consultation  PR606 $94.96
Manufacture
Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) PR608 $103.14
Purchase of Standard Products / Equipment
Standard products require the prior approval of the TAC and are payable at cost.
Details of the products must be included on the invoice for payment. PR 610 As approved
Major Repair (Prosthesis) PR 614 As approved
Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers. (Major repairs are any repairs above $250 inclusive of consumables)
New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) PR 612 As approved
Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) PR 618* $52.43
Orthosis (purchase)- Providers to use when submitting invoice for payment for orthotic equipment, aids & appliances - not to be used for clinical or manufacturing services - use of PR codes to be used for these service types EQ 0035 As approved
Standard Consultation      - up to 30 minutes
Long Consultation             - >30 minutes < 45 minutes
Prolonged Consultation    - >45 minutes <60 minutes

General reimbursement form

Summary:

This form can be used to claim general expenses. Itemised, original receipts must accompany the completed form.  Please note there are separate forms for claiming costs related to travel, accommodation, pharmacy, home services and medical excess.

There are two ways to get reimbursed:

  • Online
    The quickest and easiest way to get reimbursed is online. Simply log in to myTAC and send us a copy of your receipts. We will then transfer your reimbursement to your bank account.
    If you haven’t already, register for myTAC here or download the app to your mobile device
  • Post
    Please fill in the form below, attach your original receipts and post to Transport Accident Commission, Reply Paid 2751, Melbourne, Vic 3001

Are your bank details up to date?
The easiest way to keep your bank account details up to date is online. Simply log in to myTAC to update your details.

If you haven’t already, register for myTAC here or download the app to your mobile device to use myTAC.

If you prefer, you can also update your details by completing the Electronic Funds Transfer (EFT) Authority form for TAC clients or by calling us on 1300 654 329.


Travel expense declaration form

Summary:

This form is to be used when claiming reimbursement for travel (i.e. private vehicle, public transport and/or taxi) expenses to attend: medical treatment for accident injuries; medical examinations arranged by the TAC; approved rehabilitation or disability services; or work, if you are participating in a formal Return to Work program.

There are two ways to get reimbursed:

  • Online
    The quickest and easiest way to get reimbursed is online. Simply log in to myTAC and send us a copy of your receipt. We will then transfer your reimbursement to your bank account.
    If you haven’t already, register for myTAC here or download the app to your mobile device
  • Post
    Please fill in the form below, attach your original receipts and post to Transport Accident Commission, Reply Paid 2751, Melbourne, Vic 3001

Are your bank details up to date?
The easiest way to keep your bank account details up to date is online. Simply log in to myTAC to update your details.

If you haven’t already, register for myTAC here or download the app to your mobile device to use myTAC.

If you prefer, you can also update your details by completing the Electronic Funds Transfer (EFT) Authority form for TAC clients or by calling us on 1300 654 329.


Orthotic and prosthetic services

We’re here to help you get your life back on track after your transport accident. To help you with your injuries we will pay for any orthosis/prosthesis services provided in Australia.

You can get this treatment immediately after your transport accident without initial approval from the TAC.

If it’s been more than 6 months since you had any treatment or service paid for by the TAC, you need to call us to find out if we can pay for this treatment.

When we can pay for orthotic and prosthetic services

This is a TAC approved service. This means if your doctor recommends that you see an orthotist and prosthetist after your transport accident there’s no need to contact us for approval first.

Your orthotist and prosthetist may recommend prescription, manufacture, supply and fitting of an orthosis or prosthesis to help you. We can also help with the repair of orthosis or prosthesis when your orthotist and prosthetist asks us.

When needed, we will work with your treating team to help them organise the orthotic and prosthetic treatment and support you need.

If you require surgically implanted prosthesis as a result of your injuries, we will pay for the cost of the surgery, in line with our policy Surgery and medical specialists.

We may contact your orthotist and prosthetist to discuss your progress or request an assessment, to make sure that:

  • You have access to appropriate treatment and support.
  • You are getting proven, evidence-based treatment and not receiving treatment that isn't helping you recover.
  • You are moving towards getting your life back on track or being able to live independently.

Treatments and services we can’t pay for

We cannot pay for any prosthetic:

Where a prosthetic or orthotic item is under warranty, any repair, modification or replacement will be replaced under that warranty.

We can’t pay for services that:

  • Do not treat your transport accident injuries.
  • Are not reasonable, necessary or appropriate.
  • Are not clinically justified, safe and effective.

What does an orthotist and prosthetist do?

An orthotist and prosthetist helps people who need artificial limbs or other supportive devices such as back or ankle braces and callipers. They look at the physical needs of people with mobility issues caused by amputation or problems with their muscles, bones or nervous system.

An orthotist and prosthetist can make and fit devices such as:

  • external prostheses
  • osseo-integration for prostheses
  • orthoses

An orthotist and prosthetist can also work with medical specialists and surgeons to help with the prescription and modification for surgically implanted prostheses.

For more information, see:

How treatments and services are paid for

We pay for your treatments:

  • Directly to your orthotist and prosthetist, when you have provided them with your TAC claim number, or
  • If you have to pay, use myTAC to send a copy of your receipt to us and we will repay you.

We pay for your services in line with our responsibilities under the Transport Accident Act 1986.

How much we will pay

We will pay for your treatment and services according to our fee schedule. If your provider charges more than the TAC rate, you may need to pay the difference.

For a list of TAC payment rates, see:

For accidents that happened before 14 February 2018, we can only pay for prosthetic services and items once any required medical excess has been reached. Find out if the medical excess applies to you.

For providers

If you are a prosthetist or orthotist, see our TAC provider guidelines.