Monday - Friday
8:00am - 6:00pm
(02) 4421 4655
Fax: (02) 4423 5814
1 Meroo St,
Bomaderry NSW 2541

Chronic Condition Management

Long-Term Support for Lifelong Health

When you are living with ongoing health challenges, trying to manage them day to day can feel overwhelming. But at Meroo Street Family Practice, we’re here to help you navigate these challenges with confidence and support. As your local clinic for chronic condition management in Bomaderry and Nowra, we work with individuals and families to provide practical, ongoing care tailored to each patient’s unique health journey.

Our approach is fully based on partnership, where we take the time to listen, understand your goals, and create structured chronic condition management programs that support your health now and into the future.

Conditions We Commonly Help Manage

As part of our commitment to the management of chronic conditions, we support a broad range of long-term health concerns, including:

  • Arthritis – Joint health and pain relief strategies
  • Asthma – Treatment plans and symptom control
  • Diabetes – Blood sugar monitoring and lifestyle advice
  • Emphysema – Breathing support and care planning
  • Heart Disease – Risk factor management and cardiac care
  • High Blood Pressure – Blood pressure monitoring and education
  • Kidney Disease – Renal health oversight and dietary guidance
  • Osteoporosis – Bone density monitoring and prevention
  • Sleep Apnoea – Diagnosis support and treatment pathways
  • Cancer – Coordination of care, recovery support
  • Depression & Anxiety – Integrated mental health support

Our Chronic Disease Management Services

Our chronic conditions management services are designed to be flexible, comprehensive, and responsive to ensure you receive the specialised care that is designed to your situation.

Personalised Care Planning

Meroo St Family Practice takes a well-rounded and personalised approach to your health. Whether you’re newly diagnosed or managing multiple chronic conditions, we will build you a program that suits your lifestyle and health goals.

Ongoing Medical Support

Our team monitors your condition over time, adjusting your care as needed and coordinating with specialists, allied health providers, or community services when required.

Emotional and Lifestyle Support

Living with a chronic condition can impact more than just your physical health. We also focus on emotional well-being and offer practical lifestyle guidance to help you feel more in control of your day-to-day health.

Why Choose Meroo Street Family Practice?

As a trusted provider of chronic condition management, we aim to be more than just a clinic. We are here to be your long-term healthcare partner. Our experienced GPs and support team focus on practical strategies and lasting outcomes to make managing multiple chronic conditions more manageable and less stressful.

We bring together clinical expertise, compassionate care, and clear communication to make sure you always feel supported and informed throughout your care journey.

Step Toward Better Health

If you’re looking for help with the management of chronic conditions, Meroo Street Family Practice is here to support your journey with clear guidance, personalised care, and a genuine commitment to your wellbeing.

Contact us today to book an appointment and learn how our chronic disease management program can help you stay in control of your health.

Frequently Asked Quesitons

What is “Chronic Condition Management Plan”?

It’s coordinated, long-term GP care to help you live well with conditions that last 6 months or more (e.g., diabetes, heart or lung disease, arthritis). It can include a personalised plan, reviews, and referrals to allied health.

What is a GP Chronic Condition Management Plan (GPCCMP)? Is it the same as a care plan?

Yes—this is the current Medicare term (replacing the old GPMP/TCA language). Your GP documents your health goals, medicines, and team (e.g., dietitian, physio) and coordinates your care.

Am I eligible for a plan?

Generally, yes if you have a chronic or terminal condition present (or likely) for ≥ 6 months. To access allied health under Medicare, you also need complex care needs (your GP plus at least two other health providers involved).

How many Medicare-rebated allied health visits can I get each year?

Most eligible patients can access up to 5 individual allied health services per calendar year (any mix—e.g., 3 physio + 2 dietetics) when recommended in your plan and referred by your GP. Mental health sessions sit under a separate program.

How often are plans reviewed—and do they expire?

Reviews are typically every 3 months if clinically needed. Plans don’t “expire”, but to keep accessing allied health through Medicare your plan should be prepared or reviewed within the last 18 months.

Are care plans and reviews bulk billed at your clinic?

Yes. At Meroo Street Family Practice, Care Plans (once a year) and Care Plan Reviews (up to 3 times a year) are bulk billed for all patients. (Other consult fees may apply separately.)

How do I book a care plan appointment?

Book online or call reception. We’re open Monday–Friday, 8:00 am–6:00 pm.

What should I bring to my care plan appointment?

Bring your Medicare card, current medication list, recent test results, and any letters from specialists or allied health—this helps your GP coordinate your plan and referrals efficiently.

Does this include mental health support?

Mental health care is available via a Mental Health Treatment Plan with Medicare rebates for up to 10 individual sessions per calendar year with eligible providers—separate from the 5 allied-health CDM visits.

Are there extra supports for Aboriginal and Torres Strait Islander patients?

Yes. After a health assessment, additional allied health services may be available under specific Medicare items—your GP will explain what you’re eligible for and arrange referrals.