Private health fund rebate reforms 2019

Private Health reforms as of April 1 2019

What are the changes to private health insurance? Do they affect me?

As of 1stApril 2019 the federal government has legislated changes to private health fund rebates for Complimentary therapies. Some of these therapies will no longer attract a rebate from private health insurance. Chinese medicine and acupuncture however will still continue to have private health fund status.

Can I still claim acupuncture and Chinese medicine on my private health insurance?

Yes. Chinese medicine and acupuncture still maintain provider status with the private health funds. It is important to note that you still have to have the appropriate level of extras cover to claim these therapies. In essence your private health policy needs to cover you for Chinese medicine and acupuncture. This is part of specific extras cover options. At Evolve Natural Medicine we have provider status with the health funds and relevant provider numbers.

What therapies are affected by the changes to private health insurance?

A list of therapies are now no longer able to have private health fund rebate access.
They include:

  • Alexander technique
  • Aromatherapy
  • Bowen therapy
  • Buteyko
  • Feldenkrais
  • Western herbalism
  • Homeopathy
  • Iridology
  • Kinesiology
  • Naturopathy
  • Pilates
  • Reflexology
  • Rolfing
  • Shiatsu
  • Tai chi
  • Yoga

It’s important to note that these changes have been legislated and it is not the private health insurers who are making the decision. It is the current federal government.

Can I make electronic claims with my private health insurance Evolve Natural Medicine?

Yes. At Evolve Natural Medicine we have eftpos and hicaps facilities available meaning in the majority of cases your private health fund claim can be processed on the spot. Meaning no need to chase up your rebate from your fund and you pay less on the day.

How much is the private health fund rebate for Chinese medicine and acupuncture?

Each level of cover and specific health fund will define how much you get back from a consultation. For clarity the best option is to contact your health fund to find out what you are entitled to for initial consultations and follow up consultations. The health fund will also be able to provide you with the bulk amount you are entitled to for the year. Some health funds run their membership from calendar year and others by financial year.

What do we think about the private health rebate reforms?

At Evolve Natural Medicine we strongly disagree with this policy. We believe the Australian public should have the right to choose their form of health care without discrimination or being penalised for not seeking therapies on the approved list. We also note that recently the federal health minister has agreed to a review on the evidence used to restrict some therapies from private health rebates due to a government funded report finding evidence of benefit.