What’s the Deal with Private Health & Pilates… Can I Claim or Not?

If you have Private Health Insurance you may have heard or even received notice that from the 1st of April 2019, Pilates (and other Natural Therapies) will no longer be rebatable on your Private Health.

Maybe this made you freak out a little bit! Well, before you have any further freak outs, let us explain what classes at Pilates HQ you can and cannot claim on Your Private Health.

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Can I Claim My Group Rehab Physio Classes?

Yes!
The Australian Physio Association has lobbied on your behalf and the Australian Government and Private Health Funds agree “that physiotherapy is physiotherapy” and therefore fundable through Private Health Insurance.

Our Group Rehab Classes, once known as “clinical Pilates”, will still be claimable on your Private Health; but there are a few things you need to know and conditions we need to comply with.

These include;

  1. Group Rehab Classes are Physio Exercise Classes (Not Pilates Classes), they consist of rehab exercises, some derived from Pilates and some performed on Pilates Equipment and all are evidence-based and tailored to the individual.

  2. To participate in these sessions you are required to have a 1 on 1 Assessment with a Physiotherapist as well as regular reassessments (at least once a year).

  3. We need to be able to show & document that you have clear goals and that you are working towards in each session.

  4. You can only claim these sessions on Private Health if you are attending them for a current health issue, not as a preventative measure or for fitness.

Can I Claim My Group Rehab (EP) Classes?

Yes!

If you have Exercise Physiology cover under your private Health Insurance, then all of the same conditions apply as our Physio led classes.

Can I Claim my Reformer Pilates Classes?

No, unfortunately, you are no longer able to claim your Reformer Pilates Classes on your Private Health (we implemented this new change from 1st of January 2019)

Why Not?

Under the new changes made by the Government, any classes that consist solely of Pilates Exercises are no longer claimable, no matter what your instructor’s qualification is.

So What Classes Should I Do?

We believe that when choosing the type of class that is right for you, the choice should be based on your reason for wanting to come to Pilates HQ.

Are you wanting to Rehab an injury or recover from a health condition under the guidance of a Physiotherapist or Exercise Physiologist?
YES! Then you are suited to our Group Rehab Classes. (which unfortunately have a very long wait list at the moment)

Are you wanting to experience the Pilates Method in all of its greatness?

Do you want to use Pilates as a tool to work on your fitness, strength, mobility and confidence and control over your health and body?
Yes!
If you are injury free then you are best suited to our Reformer Pilates Classes.

If you have some niggles, or would like more individualised attention then our Studio Pilates Classes are the way to go.

The key here is to look at the reasons why you want to attend or continue to attend classes at Pilates HQ, and use this as a way to help you decide what class you should take. Once you’ve decided, then see if you fit the criteria to claim on Private Health Insurance.

We wholeheartedly believe in the Pilates Method, and week after week we continue to see people improving their practice and their overall health as a result of this. And it is for this reason that we continue to spread the Pilates love.

After all, not everything that is good for you is covered by your Private Health Insurance.

And if you are reading this and thinking oh my gosh I just can’t afford to be doing Pilates Each week.. then you should definitely read our blog to find out why you can’t afford not to be doing Pilates.

We hope this helps clear up some of the questions that may have been lingering in your head, if you still feel like you are unsure and would like to ask us anything else then feel free to send us an email here

Steph & The Pilates HQ Team

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