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Private Health Fund Rebates

Private Health Fund Rebates

As the peak body – and the largest member organisation – in Australia’s exercise and active health sector, AUSactive has been able to negotiate agreements with key health funds to streamline access to private health fund rebates with major health funds, and is continuing to develop these agreements with additional funds. Our Registered Professional and Business Members can take advantage of streamlined administration of private health rebates for your members and clients through these initiatives.

What you need to know

All health funds are different. Each fund will have different requirements for you as the service provider. AUSactive has negotiated agreements with some health funds enabling you to quote your AUSactive Registered Member number, however other funds may require you to register directly with them. Please refer to the guidelines below for more information.

What your members or clients need to know

As with other health services for which rebates are available through private health funds, the value of rebates for fitness services is dependent on both the level of cover your member or client has, and their eligibility for refund for a fitness service. A referral from a doctor or allied health professional may be required by the fund before rebates apply. Holding private health insurance does not automatically ensure eligibility for a refund for a fitness service.

 

Latest news on AUSactive’s health fund advocacy programs

AUSactive is also advocating for the Government to reinstate discretion to Private Health Funds so they may allow their clients to access rebates for physical activities such as gym, yoga and Pilates memberships, that prevent chronic disease and improve mental health. Health funds should also have discretion to allow their clients to access rebates for natural therapies. Watch the video below to find out what’s changed, and what’s changing next, about private health fund rebates for fitness services.

Participating Health Funds

Medibank Logo

Face to Face personal training sessions.

AUSactive personal trainers and businesses are recognised by Medibank. Face-to-face Personal Training Sessions provided by approved AUSactive personal trainers who have a Certificate IV (or above) qualification, or equivalent, in Fitness are claimable by eligible Medibank My Choice Extras Support or Medibank My Choice Extras customers who are managing a health condition identified by a health practitioner.

Read FAQ's Approval Form
Bupa Logo

Bupa Health Management benefits include gym memberships and personal training.

To help manage your client’s health, Bupa provide a benefit towards some of the costs of gym memberships and personal training delivered by AUSactive recognised providers. These benefits are available to Bupa members on the following health insurance products:

  • Corporate Everyday Extras
  • Corporate Mid Extras
  • Corporate Advanced Extras
  • Corporate Total Extras

Eligibility criteria, yearly limits, waiting periods, fund and policy rules apply.

Gym fees and personal training fees are only claimable when the exercise program is designed to address or improve a specific diagnosed health or medical condition – for example, arthritis. To claim, a health professional such as a GP, medical specialist or exercise physiologist must complete the Health Management Gym and PT Medical Form on your client’s behalf. Bupa will only pay benefits for AUSactive recognised Gyms and Personal Training providers.

Read FAQ's Approval Form
nib logo

nib Healthier Lifestyle Benefits Program.

AUSactive personal trainers and businesses are recognised by nib to provide personal training sessions and gym memberships to nib members on selected extras covers to manage existing health conditions identified by health practitioner.

All trainers must have: Certificate lV in Fitness or above, current CPR, First Aid and current AUSactive registration.

Read FAQ's Approval Form
RT Health Logo

RT Health Top and Smart Extras

A benefit for gym membership is payable where the gym is registered with AUSactive and a letter of recommendation from a Medical Practitioner, Medical Specialist, Podiatrist, Dietitian, Exercise Physiologist, Physiotherapist, Osteopath, Chiropractor, Occupational Therapist or Psychologist stating the medical reason the member needs to attend the gym and supplied together with a gym membership receipt. The letter will be valid for 12 months, after which a new letter will be requested before further claims can be paid.

All AUSactive Personal training invoices must display:

  • Client name
  • ABN & Australian business address of Personal Trainer.
  • RT Health provider number is your AUSactive Personal Trainer membership number.
  • Details of service provided (e.g 30 minute personal training session).

All  AUSactive business membership or class invoices, must display:

  • Client name
  • Business name
  • ABN and Australian address of the exercise facility
  • Your RT Health provider number is your AUSactive business membership number and must be displayed
  • Details of service used (e.g. 45min weight training, cardio equipment, classes).
Read FAQ's Approval Form

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