Health Fund Rebates for Pilates

Following the re-inclusion in April 2025 of Pilates as a rebateable exercise, Private health funds in Australia may offer rebates for Pilates under certain extras cover.
How a claim is made — and what is covered — depends on the type of benefit available through the health fund.

Health Management Programs

Many health funds offer rebates for Pilates as part of Health Management or Healthy Lifestyle programs.

These programs support individuals with a specific health need or condition identified by a GP or allied health provider.

Requirements vary between health funds, but typically include:

• A Health Management form or referral completed by a GP or allied health provider
• Eligibility under the client’s extras cover

Some health funds may also require the provider to be a member of a recognised professional association.

Not All Pilates Is the Same

Pilates can be delivered in different ways depending on individual needs.

Some programs focus on general fitness and wellbeing, while others are more tailored to support people with injuries or health conditions.

Choosing a qualified Pilates professional helps support:

• Safe and appropriate exercise
• Programs suited to individual needs
• Alignment with health fund requirements

Coming Soon: Expanded Health Fund Coverage

From mid-2026, some health funds are expected to introduce rebates for Pilates under General Treatment (ancillary) benefits, where services are delivered to support the management of a health condition.

This pathway is expected to include:

• Services delivered with the intent to support the management of injury or health conditions
• A more individualised and structured approach, including assessment, tailored program design, and ongoing monitoring and review
• Delivery by providers who are recognised by the health fund
• The use of item codes and provider numbers for claiming

The Pilates Association Australia is working with health funds to support the introduction of these benefits.

Further information will be provided as health funds release official details, including eligibility, claiming requirements and rebate structures.

Members of the Pilates Association Australia meet recognised standards for:

• Training and qualifications
• Professional conduct
• Ongoing education

👉 Find a practitioner near you

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Check With the Health Fund

Health fund policies and eligibility criteria vary.
Clients should confirm their level of cover and claiming requirements directly with their health fund.