Private Health Insurance Rebates and Clinical Pilates: Update

Important Information Regarding Clinical Pilates Sessions- Private Health Rebates at North Balwyn Physiotherapy Clinic will not be affected


From 1st April 2019 the Private Health Insurance (PHI) rules are changing and Health Insurers will no longer be permitted to provide a rebate for generic 'Pilates' classes. These changes have been brought in as part of the Government’s review into Natural Therapies and their subsequent removal from claimable items through Health insurance. The reform of Natural Therapies was designed to eliminate rebates for non-evidence-based therapies, and not intended to impact Physiotherapy.


The Australian Physiotherapy Association (APA) has recently confirmed that "Pilates-informed exercises prescribed by a Physiotherapist as part of an individualised program will continue to receive rebates in one-on-one, group and class settings".

Rest assured the service we offer at North Balwyn Physiotherapy Clinic is compliant with the new legislation. We currently provide individualised exercise programs to clients based on an assessment with a Physiotherapist. Our programs utilise Pilates based equipment in addition to strength training, balance activities and functional conditioning.


You will still be able to claim a rebate from the service we offer. You can expect the same great service with sessions run by Physiotherapists with additional training in Clinical Pilates and adjusted to suit your individual needs considering the following: current and past injuries, muscle imbalances, dynamic motor control and individual goals.

Our sessions will continue to be claimable through Private Health Insurers (PHI) Extras cover as " Standard Consultation Item 505 ". If you have not participated in Physio exercise sessions at North Balwyn Physiotherapy Clinic before, an Initial Assessment prior to commencing is necessary in order to claim PHI rebates, and to develop an appropriate program.


If you are in doubt, or have concerns about these planned reforms to Private Health Insurance Rebates, please contact your nominated Health Fund.


The Private Health Insurance Ombudsman has taken on 6 extra staff members to deal with complaints -http://www.ombudsman.gov.au/How-we-can-help/private-health-insurance

Please speak to your Physiotherapist if you have any further questions.




The Team at North Balwyn Physiotherapy Clinic.

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