Pilates changes 1 April 2019

Why are health funds no longer covering Pilates from 1 April 2019?

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Under new government legislation Health Funds can no longer pay benefits for stand-alone Pilates classes.  However, we are allowed to pay for group physio classes with a qualified Physiotherapist or Exercise Physiologist that includes, but is not made up exclusively of, exercises or techniques drawn from Pilates.  The group classes must be targeted to manage or prevent a specific disease, injury or condition.  For health funds to pay you must have an active treatment plan with your Physiotherapist or Exercise Physiologist.

What is a Treatment Plan?

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A detailed plan with information about a patient’s condition, the goal of treatment, the treatment options for the condition, and the expected length of treatment.

Is the Group Physiotherapy class the same as Pilates?

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Our Group Physiotherapy classes, previously known as Pilates, are tailored to each patient. Your Physiotherapist will assess you and based on your condition they will design a treatment plan for your class. This will include regular review appointments. Our classes have always utilised some Pilates techniques however they are used in conjunction with other exercises under the guidance of a Physiotherapist which differs from a traditional Pilates class.

Will there be any changes to the cost of these classes?

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The cost of these classes will remain the same for now. Each class is $33. Your out of pocket expenses will be determined by the level of your private health insurance cover. If you reach the benefit limit allowed for these services you will be charged $18 per class with no further private health insurance benefit available.

Why do I need a regular review appointment?

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Reviewing your progress is an essential part of your treatment plan. This involves 30-minute appointments every 3-6 months so your Physiotherapist can assess progress and make any necessary changes to your treatment plan.

I currently do Pilates at The Health Hub. How will I know if I can use my PHI benefits for Group Physiotherapy classes?

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If you attend a current class, please speak with your physiotherapist regarding your treatment plan.

What conditions are eligible for a Treatment Plan?

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Any musculoskeletal condition where evidence shows that exercise-based treatment with a Physiotherapist is recommended.

Can I still participate in a group class for general fitness?

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Yes! You are still able to attend a group class if you don’t have a condition requiring a treatment plan. There will be a charge of $18 per class with no private health insurance benefit available.

I am new to Group Physiotherapy. How to get a treatment plan?

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You will need to have an initial appointment with one of our Physiotherapists. In this 30-minute appointment you will be assessed and, if appropriate, a treatment plan will be designed for you.