Private Health Fund Rebates for Fitness Services
Staying informed about private health fund rebates for fitness services will allow you to provide accurate information to your existing and prospective members about opportunities to claim private health fund rebates for fitness services.
What do I need to do to help my clients/members claim?
Be guided by your clients. Enquire as to whether they have Private Health Insurance and if so, which fund? The following information about specific funds should be taken as a guide only and is not an exhaustive list of funds recognising fitness services.
If your client holds private health insurance, suggest they contact their fund to determine what is required to enable them to gain a rebate and what level of rebate they are eligible to receive.
It’s important to remember that all funds are different! Some funds require you to be registered with Fitness Australia, while others also require you to register with them directly.
An allied health professional referral may be required to indicate that the fitness program is necessary due to an existing health or medical condition.
Finally it’s also important to remember that the amount of a potential refund is heavily dependent on the level of cover held by the member and that holding private health insurance does not automatically ensure eligibility for a refund for fitness service.
Fitness Australia is working hard towards aligning the national Business and Professional Registration schemes with all Private Health Funds. Fitness Australia has produced a position statement for Private Health Insurers. These recommendations seek to inform Private Health Insurers about current fitness industry standards and provide an insight into fitness industry operations that will assist in the development or recognition of existing policies.
Health Funds offering rebates exclusively to Fitness Australia Registered Businesses and Registered Exercise Professionals
Bupa - Gym memberships & personal training
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, diabetes.
To claim, a health professional such as your GP, medical specialist or exercise physiologist must complete the Health Management Gym and PT Medical Form on behalf of your client/member.
Bupa will only pay benefits for Bupa recognised Gyms and Personal Training providers.
Personal Trainers registered with Fitness Australia will automatically become a Bupa Recognised Provider, provided that they meet Bupa’s recognition criteria, available online at https://www.bupa.com.au/for-providers/ancillary/personal-trainers
More infomation from Bupa on Gymnasium Memberships can be found here.
More information from Bupa on Personal Training can be found here
Westfund - Fitness Centre/Gym
To claim on Fitness Centre/Gym your client/member will require a Medicare Registered Practitioner to complete a Health Management Declaration Claim Form to confirm the program is medically necessary.
Westfund will only pay benefits toward Fitness Centre/gym at Fitness Ausralia registered businesses.
RT Health - Gym membership
A letter from a medical practitioner is required.
RT Health will only pay benefits toward Gym Memberships at Fitness Ausralia registered businesses.
Other Funds offering rebates on Health and Fitness Services include:
- Teachers Health
- Health Partners