Claiming sessions on Private Health Insurance

This is a general guide based on current information regarding health fund claims. Each health fund has different levels of cover and different fund rules that govern privately delivered services. If you have any doubts about claiming on your private health insurance please contact your fund. Ask them about claiming “Group Physiotherapy Consultations” not Pilates classes. We are unable to provide details of the rebate amount you receive under your cover.

JRP provides Physiotherapy and rehabilitation services under the guidance of the APA (Australian Physiotherapy Association) Physiotherapy service descriptors. These service descriptors are agreed to and used by most health funds to differentiate between services and rebate amounts.

Our Pilates sessions can be classified as Group Physiotherapy consultations (code 560) if the following criteria apply:

  • A pre-intervention assessment is conducted with a Physiotherapist (you initial assessment)
  • The class program is tailored to individual needs
  • Clinical record keeping is maintained (our staff record notes at each session)
  • The session is supervised by a Physiotherapist

These guidelines mean that some of our Pilates sessions (early morning supervised sessions) are not able to be classified as Group Physiotherapy sessions and cannot be claimed under Physiotherapy cover.

If you purchase a multi-visit pass you have to wait until you have used the sessions before claiming- you cannot claim the rebate before you receive the service.

Our administration team will produce a receipt to your health fund which you use to claim (or enter the details online). You will need the date of service, the cost and the provider number of the supervising clinician.

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