WorkCover funding may support access to Exercise Physiology services when an injury or condition is work-related and approved under a workers’ compensation claim.
Healthsmart Exercise Physiology provides services in accordance with WorkCover requirements across the Gold Coast and Northern NSW, following approved referrals and insurer authorisation.
How Workcover Exercise Physiology Funding Works
WorkCover funding is administered by state-based authorities. In Queensland, workplace injury claims are managed through WorkCover Queensland, while in New South Wales claims are administered under icare Workers Insurance. Eligibility, approvals, and service authorisation are determined by the relevant insurer or case manager in accordance with state-based workers’ compensation legislation.
Exercise Physiology may be included as part of an approved rehabilitation or return-to-work plan, following referral from a treating medical practitioner or allied health provider, and subject to insurer approval.
Eligibility Criteria
- An accepted WorkCover or workers’ compensation claim
- Injury or condition must be work-related
- Referral from an approved treating doctor or authorised referrer
- Services approved by the relevant insurer or case manager
- Sessions delivered within the scope of the approved treatment plan
What Exercise Physiology Can Address Under This Funding
- Chronic Disease Management
- Neurological & Complex Conditions
- Balance & Falls Prevention
- Musculoskeletal Injury Management
- Home & Clinic-Based Exercise Physiology
What’s Included in Your Sessions
- Initial functional and clinical assessment
- Individualised exercise program aligned with work capacity goals
- Supervised exercise sessions
- Ongoing progress reviews and reporting
- Communication with treating doctors, insurers, and case managers
Session Limits, Gap Fees & Billing
The number of sessions and duration of care are determined by insurer approval and the accepted treatment plan. Session limits may vary depending on injury type, recovery stage, and WorkCover guidelines.
Gap fees may apply if services fall outside approved funding or insurer schedules. All billing is managed in line with WorkCover requirements and insurer agreements.
Referral & Booking Process
-
Work-related injury occurs and WorkCover claim is lodged
-
Claim is accepted by the insurer
-
Treating doctor or authorised referrer provides an Exercise Physiology referral
-
Insurer or case manager approves sessions
-
Appointments are scheduled at clinic or home, as approved
-
Progress updates are provided to relevant parties as required