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Pilates & Physiotherapy Private Health Reforms

Pilates & Physiotherapy Private Health Reforms

As of April 1, 2019, Inspire patients will be able to claim for exercise physiologist and physiotherapist – led Pilates exercise under the new names “Group Exercise” and “Physiotherapy Group Exercise”.

This change is part of Australian government and private health industry (PHI) reforms which state, “natural therapies” are excluded from coverage (this includes “Pilates”).

WHAT DOES THIS MEAN?

While such reforms indicate that Pilates-only sessions are no longer eligible for funding by private health insurers, The Australian Physiotherapy Association has been able to negotiate that Pilates does in fact fall within physiotherapists’ “scope of practice”.

This means that evidence based, physiotherapist and exercise physiologist prescribed sessions, with an individualised focus are still eligible for rebates. Therefore, if a physiotherapist “uses techniques or exercises drawn from Pilates,” [and] “these exercises are within the accepted scope of clinical practice”, an insurer may pay benefits.

WHAT WILL CHANGE?

At Inspire, not much will change, as our physiotherapist and exercise physiologist – led sessions have always been run in accordance with the PHI requirements.

We have always ensured that our “Physiotherapy and Exercise Physiology Pilates Classes” represent a blend of traditional Pilates techniques and exercises, along with evidence-based physiotherapy and exercise physiology practice within the injury rehabilitation and health management space.

Nothing about our service delivery or receipting will change. However, as of April 1, 2019, we will be changing the name of our “Physiotherapy Pilates Classes” to “Physiotherapy Group Exercise Classes” and our “Exercise Physiology Pilates Classes” to “Group Exercise Classes”.

HOW WILL THIS AFFECT ME?

Those currently claiming for ‘General Pilates Classes’, not operating under the code of “Group Consultation”, will no longer be able to do so.

Since our physiotherapist and exercise physiologist – led classes have always operated under the code of “Group Consultation”, anyone continuing to attend these classes will be able to continue claiming rebates.

To quote another Pilates physiotherapist, “When a physio is delivering a rehab session to a patient – it’s physio. Not personal training. When a physio shows a patient a stretch – it’s physio. Not Yoga. When a physio uses Pilates exercises as part of their overall treatment – it’s physio”.

For further questions or concerns, please don’t hesitate to contact Inspire or refer to the following Department of Health Resource: http://www.health.gov.au/internet/main/publishing.nsf/Content/health-phicircular2018-69