From 1st April 2019 the Department of Heath has made changes to Private Health Insurance rebates for Pilates.

Department of Health – Eligibility of services for private health insurance general treatment benefits where they include elements of excluded natural therapies.

“From 1 April 2019 the Private Health Insurance (Health Insurance Business) Rules (the Rules) will provide that general treatment does not include a range of natural therapies (“the excluded natural therapies”). This means that insurers cannot pay benefits for these therapies under a complying health insurance policy.

A number of insurers and other groups have asked how the Rules apply to professionals providing natural therapies as an element of other treatment. The most often identified scenario is a physiotherapist providing Pilates services.

The Department considers that an insurer may lawfully pay benefits if a physiotherapist, providing services to a patient within the accepted scope of clinical practice, uses exercises or techniques drawn from Pilates as part of that patient’s treatment as long as the exercises or techniques are within the accepted scope of clinical practice.”

Private Health Insurance benefits are still available if a physiotherapist, providing services to a patient within the accepted scope of clinical practice including exercises or techniques drawn from Pilates as part of that patient’s treatment. This has always been Seasons Of Life’s approach and will continue to be.

For the full statement from the Department of Health please click here

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