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SRC Recovery rebate - private health

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#1 Meli-melo

Posted 16 August 2019 - 01:19 AM

Hello, please no judgement, I need your advice as I'm worrying too much and can't think without being so stressed.

I have gold hospital + extras phi, today I made an enquiry about whether I would be able to claim a rebate for SRC recovery shorts. And their reply this evening:

"SRC recovery shorts will only attract a benefit following a caesarean birth of your child. In the event
(I) was to have a caesarean we will pay a benefit of 80% of the charge for SRC shorts to the
item limit to a maximum of $300 per person per calendar year. A benefit is only payable after
evidence of the caesarean birth is sighted. No benefit will be payable for SRC shorts following a
natural birth."

Which is confused me because I feel like there's another reasons get the recovery shorts and it's considered as medical compression garment. This is my third pregnancy, I'm 33 weeks pregnant with twins and more likely to deliver early that's why I want to get the SRC before the labour. With first childbirth I had episiotomy (third degree tear - forceps) and second I had C-Sec. I have chronic pelvic pain, pelvic instability, and other pelvic floor issues since my childbirth about 4 years ago.

I have an appointment with my pelvic floor physio tomorrow morning, this would be the last appointment before the childbirth, so I don't think I can get the reply from the private health CS in time. My questions are:

1. Pelvic floor physio is the right person to fill out the rebate form or must be my obs or gp? My initial consult last week was with a pelvic floor physio who's leaving for a maternity leave, she said she's never done it. I'm gonna see her colleague tomorrow morning.

2. If yes to the question above, tomorrow morning, should I just get the pelvic floor physio to fill out the rebate form reason being on the pelvic floor issues, buy the shorts right away? With this option, I'm afraid that they won't give me a rebate for the pelvic issues and even if I ended up having csec later on they won't pay for it cause it's prior to the childbirth. I don't know if I'll end up with C-Sec again as I'm gonna try to do VBAC if it's possible.

3. Get the SRC recovery shorts after the childbirth?! If I ended up with a successful VBAC (fingers crossed), what would be your reason to make the purchase claimable (in my situation chronic pelvic pain, previous csec, or maybe bad muscle separation due to twins pregnancy, etc?)

What would you do if you were me please?  Ive never had good experience with their call centre, they don't seem to have a deep knowledge of about this kind of stuff

Any help would be appreciated

#2 eachschoolholidays

Posted 16 August 2019 - 06:12 AM

The conditions are pretty clear - they will only pay if you have a.c-section.  I don’t think you’ll find that they pay on this if you have a natural birth.

#3 Rozzie2018

Posted 16 August 2019 - 10:41 AM

Buy them second hand. I got mine for $50 and they were in brand new condition.

#4 FuzzyChocolateToes

Posted 16 August 2019 - 11:05 PM

 Rozzie2018, on 16 August 2019 - 10:41 AM, said:

Buy them second hand. I got mine for $50 and they were in brand new condition.
Agree. Are you looking to get the Pregnancy Shorts for now? It sounds like you need them now.  What is the insurers stance on the Pregnancy Shorts?

They were awesome when I was pg with #4. Worth every cent. I only regretted not buying them 1st time around.

Edited by FuzzyChocolateToes, 16 August 2019 - 11:08 PM.

#5 MooGuru

Posted 17 August 2019 - 12:24 AM

From memory the pregnancy shorts were covered by my phi but the recovery shorts weren't. I had pelvic instability and my hip kept popping out of the joint. I think the ob wrote a letter saying they were necessary (this was years ago though)

#6 Reno-chic

Posted 17 August 2019 - 09:02 AM

Mine were covered - I got about $60 back of the $180 they cost. And no I didn’t have a c section. But, there was no reference to that in my particular policy.
I then sold mine for about $90 afterwards. Definitely agree get them second hand. So many people don’t wear them lots and they’re basically new.

#7 leoniemary

Posted 30 September 2019 - 09:18 AM

I have had 6 c-sections and the shorts were fantastic. I am short in stature so the belly bands would be uncomfortable for me. Bike shorts without the padding could also work. It's good to know some health funds cover the cost of recovery shorts as support for the wound is the key to comfort after surgery. Check out the wound splint I have designed at http://caesarcare.com

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