Health Funds – Healthy Weight For Life

Health Fund Eligibility

Program Overview

Individual Eligibility Criteria (BMI ≥28 + knee or hip OA)

The general eligibility criteria for a fully funded program are:

knee or hip osteoarthritis and a body mass index (BMI) ≥28

AND clinical need for either:

conservative treatment - knee or hip symptoms that have (or are likely to in the foreseeable future) necessitated referral to an orthopaedic surgeon for evaluation, OR

preparing for surgery - a knee or hip joint replacement procedure is planned and weight loss, improved ﬁtness and muscle strength prior to surgery is desirable OR

post surgery - an existing symptomatic knee or hip joint replacement that could beneﬁt from weight loss, improved ﬁtness and muscle strength.

Have a hospital policy with a participating health fund that has been held for at least 12 months;

Approval from your medical practitioner to participate and willingness to maintain medical supervision for existing medical conditions.

Not previously participated in a Healthy Weight for Life program funded by your health fund and agree to provide your progress data to the HWFL team (including weight, waist circumference, joint symptom scores).

(Health fund specific clinical, hospital policy, waiting periods and minimum age criteria may apply. Please contact the Healthy Weight for Life Team for further details.)

Participating Private Health Funds ( A - G )

Participating Private Health Funds ( H - O )

Participating Private Health Funds ( P - Z )

Program Overview

Individual Eligibility Criteria (BMI ≥ 28 + type 2 diabetes)

Type 2 diabetes and a body mass index (BMI) ≥ 28

Have a hospital policy with a participating health fund that has been held for at least 12 months;

Not previously participated in a Healthy Weight for Life program funded by your health fund.

Agree to provide your progress data to the HWFL team (including weight, waist circumference).

Approval from your medical practitioner to participate and willingness to maintain medical supervision for existing medical conditions.

(Health fund specific criteria may apply. Please contact the Healthy Weight for Life Team for further details.)

Participating Private Health Funds ( A - G )

Participating Private Health Funds ( H - O )

Participating Private Health Funds ( P - Z )

Program Overview

Individual Eligibility Criteria (BMI ≥ 28 + risk factor)

Body mass index (BMI) ≥ 28

AND being treated for or have a history of at least one of the following

Have a hospital policy with a participating health fund that has been held for at least 12 months;

Not previously participated in a Healthy Weight for Life program funded by your health fund.

Agree to provide your progress data to the HWFL team (including weight, waist circumference).

Approval from your medical practitioner to participate and willingness to maintain medical supervision for existing medical conditions.

NEW - HCF Members only

HCF Members with a Body mass index (BMI) 30+ (without an existing health conditions) are now eligible for a fully funded Heart Health HWFL program.

Criteria include:

held a hospital policy for 12 months or more
not previously participated in a Healthy Weight for Life program funded by HCF

Participating Private Health Funds ( A - G )

Participating Private Health Funds ( H - O )

Participating Private Health Funds ( P - Z )

Program Overview

HCF Member Eligibility Criteria (BMI range of 26-29, without an existing health condition)

BMI range of 26-29 (without an existing health condition).

Aged 18+.

Approval from your medical practitioner to participate.

A hospital policy that has been held for 12 months or more (excludes Ancillary only, Accident only, Ambulance only and Life product only).

Willing to provide your progress data throughout the program (including weight, waist circumference).

Not participated in any HCF funded Healthy Weight for Life program previously.

Program Overview

HCF Member Eligibility Criteria (BMI ≥30, without an existing health condition)

Physiotherapist Programs

Program Overview

HCF Member Eligibility Criteria

Diagnosed knee or hip osteoarthritis.

Are 18 years of age or older

Have an HCF hospital product that they have held for at least 12 months

Are financial paid up members at the time of participation

Provide consent to participate
Complete a Stand Up To Joint Pain – assessment and follow up care planning session with Prima's Care Support Team

Maintain medical supervision for existing medical conditions

Are willing to provide their outcome data over the course of the program (including changes in pain and function)

Strength, Mobility and Pain Management Kit

Program Overview

Individual Eligibility Criteria

Participating Private Health Funds

* Clinical and policy eligibility criteria apply. Waiting periods apply.