Your health professional can complete the form supporting your application to claim for a gym or health program to improve or manage your health conditions.

Health professionals can include your doctor or specialist, physio, exercise physiologist, chiropractor or osteopath.

Eligible conditions include diabetes, weight management, osteoporosis, arthritis, back pain, musculoskeletal conditions and rehabilitation, as well as cardiac-related risk factors like high blood pressure and cholesterol.

If your condition isn’t included in this list, you may still be eligible to claim for your gym or fitness program, as long as your health professional signs the claim form.

You may need to supply supporting documentation from your health professional – this can be a letter outlining your health condition and why they have referred you to a gym or fitness program. We’ll let you know if you need to do so.

Medically necessary programs include gym membership, personal training, aqua-based programs and community health programs.

Under government legislation, health funds cannot pay toward Pilates, Yoga or Tai Chi.

Contact us if you aren’t sure whether your program is covered.

All providers must have an ABN & be approved by Health Partners. This includes the following:

• Gyms
• Fitness Centres
• Fitness Instructors
• Personal Training Studios
• Personal Trainers, and 
• Swimming/Aquatic providers. 

Contact us if you are unsure whether your gym or health program provider is eligible.

If you have pre-paid for a gym or fitness program, your claim will be paid after you have attended the program. You can choose to claim for individual sessions, or at the end of the program.

For example, you have pre-paid for a block of ten personal training sessions you can submit your claim after each session, or for the entire block when you’ve completed all ten.

You will need to include a completed Gym and Fitness Therapy Approval Form and an itemised receipt or account statement from your gym or health program provider, which includes:

• Your provider's name
  
• Their provider number, if applicable
• The full name of the person who received the service
• Dates of services (eg, dates you attended a fitness class or PT session)
• Item codes/details for all the items being claimed, if they apply
• Address of practice/provider
• Australian Business Number (ABN)

Once your claim is approved, we’ll pay the funds to your nominated bank account (or post a cheque if you prefer).

We don’t pay claims to the provider.