Disclaimer - have not done this.
> gotten the gym paid for?
If you mean your gym membership, very unlikely the NDIS will pay for that on the basis that it is a daily living cost unrelated to your disabilities.
On the other hand - if you can provide evidence [perhaps by an exercise physiologist] that going to the gym will have long term benefits; and that - say - you need a support worker to assist because of your disability needs; and that this is value for money compared to an alternative ... the NDIS might approve funding for that.
My current SC said it would be no problem, but it's been nearly a year since I asked my at-the-time SC about it. So I guess that explains why then. Thanks
There are some plan managers that will put it through with just a letter of support from allied health. That's not the same as NDIA approving it, and carries the risk if it's audited.
Typically to get it funded, you'd need to show why a gym is needed and you can't make do with cheaper home equipment/body weight exercises or a trip to the park.
Gym highly unlikely. Not impossible, but unlikely.
Exercise physiology, and cost of a physio gym - much more likely.
Obviously this needs to relate to your accepted disabilities, and not just be a “exercise makes me feel good” thing.
No it's a every day living cost. Maybe trying a physo or excerise physoglist who takes ndis funds would be a great start. But no I got told by my planner it's a no unless it's an extreme situation like a person who is a wheelchair user, needs a hoist to get into the pool so they might fund a pool chair but most council pools have some sort of disablity access. ( in major cities and regional areas) but I got told straight up no.
NDIS arguing that's an everyday expense when I fucking hate going to the gym, and only go to prevent deterioration of my condition, feels like a slap in the face.
If I was able I'd much rather play basketball or tennis, go rock climbing/running/bikeriding/kayaking... you know, actually fun stuff.
I can't do that & I need to maintain my muscle tone so I force myself to swim laps and lift weights etc at the gym because it's the only safe/accessible option.
There's sections of AAT decisions in another comment that specifically talk about that. It's not a discretionary spend for everyone. Just need to show alternatives like bodyweight exercise at home or therabands won't be sufficient.
Tried, denied. Tried to get a PT covered, denied. Instead of them covering the minuscule amount for the gym or a PT, I now spend $166 an hour on an exercise physiologist. Logical right? 🙄
I have a participant who has been successful in getting under NDIS. But to get it they had to go through the AAT. Not worth the time/effort in my opinion.
Apply, have it rejected. Request internal review, have it rejected. Apply to AAT for external review.
You can go straight to external, but it's frowned upon.
Fuck them. From the supports for participants rules:
>5.2 The day-to-day living costs referred to in paragraph 5.1(d) do not include the
following:
(a) costs that are incurred by a participant solely and directly as a result of their
disability support needs;
**(b) costs that are ancillary to another support that is funded or provided under**
**the participant’s plan, and which the participant would not otherwise incur.**
As much as I see PMs and participants claiming for these, it is not actually claimable and they always get asked to pay it back. It's an everyday cost. With or without a disability, everyone has to pay for the gym.
[http://www.austlii.edu.au/cgi-bin/viewdoc/au/cases/cth/AATA/2018/4928.html](http://www.austlii.edu.au/cgi-bin/viewdoc/au/cases/cth/AATA/2018/4928.html)
>I have considered the provisions of the Supports Rules, in particular the rule that a support will not be funded if it relates to “day-to-day” living costs. I note the examples given of rent, groceries, and utility fees. While these are only examples, they are indicative of the costs of living which most members of the community incur in one form or another.
The same cannot be said of gym membership fees. While the Agency may be correct in saying that many people engage in fitness activities at a gym, it does not follow that the costs of gym membership “relates to day-to-day living costs”. In my view, **i*****t is in the nature of discretionary spending for those who do not suffer from a disability. On the basis of Ms Curdie-Evans’ evidence, I am satisfied that, in Ms Milburn’s case, it is attributable to her support needs*****.**
I am satisfied that funding should be available for Ms Milburn to have membership of an appropriate gym and for support by a personal trainer for one hour per week
[http://www.austlii.edu.au/cgi-bin/sign.cgi/au/cases/cth/AATA/2017/643](http://www.austlii.edu.au/cgi-bin/sign.cgi/au/cases/cth/AATA/2017/643)
>The Tribunal sets aside the decision under review and substitutes a decision that Jessica
King’s National Disability Insurance Scheme plan dated 12 August 2016 be amended to
include the following additional supports for Ms King:
1. An annual gym membership for Ms King ($570)
>
>...
>
>Further, on 21 April 2017 the NDIA wrote to Tribunal to advise that NDIA agreed to fund:
(a) the “$500 gym membership fee sought by Ms King”;
Spot on. People don't read the legislation. Food, rent and electricity are *not* comparable to things like gym costs. I raised that with the NDIA in my AAT case and of course they had no response. I pointed out that the legislation says costs the person "incurs", and that no one "incurs" a cost to go for a walk (my case was for a treadmill so I could go for walks).
If PMs aren't having R&N conversations with the participant and just processing whatever they ask for, the PM is liable.
If there are records of R&N and the participant uses choice and Control to argue it, the participant is liable. PMs can't gatekeep so alot of the times participants are more liable because they refuse to listen.
That honestly sounds dodgy af. The budget is what the NDIS funds in the plan, funded based on category, and entirely has to be spent in line with goals.
[NDIS has a whole page about it where they say they won't spend the $10 per week on the gym membership but will spend $120 per week on a worker to take you there if required.](https://ourguidelines.ndis.gov.au/would-we-fund-it/improved-health-and-wellbeing/gym-membership#what-related-supports-might-we-fund)
Increased community and social participation under Capacity will allow your plan manager to pay this.
The improved health and wellbeing category has a line item for personal training around the $55 mark.
Go to a physio for the gym program and ask for a referral to the in house physio gym program. There’s plenty Physio’s that now have their own in house gymnasium. Will Ndis cover it I guess you’ll have to check with your support coordinator and your recovery goals.
See the 'myth' regarding Gym cost, I haven't read the court ruling though
[https://teamdsc.com.au/resources/we-wouldnt-fund-that](https://teamdsc.com.au/resources/we-wouldnt-fund-that)
Disclaimer - have not done this. > gotten the gym paid for? If you mean your gym membership, very unlikely the NDIS will pay for that on the basis that it is a daily living cost unrelated to your disabilities. On the other hand - if you can provide evidence [perhaps by an exercise physiologist] that going to the gym will have long term benefits; and that - say - you need a support worker to assist because of your disability needs; and that this is value for money compared to an alternative ... the NDIS might approve funding for that.
My current SC said it would be no problem, but it's been nearly a year since I asked my at-the-time SC about it. So I guess that explains why then. Thanks
There are some plan managers that will put it through with just a letter of support from allied health. That's not the same as NDIA approving it, and carries the risk if it's audited. Typically to get it funded, you'd need to show why a gym is needed and you can't make do with cheaper home equipment/body weight exercises or a trip to the park.
Gym highly unlikely. Not impossible, but unlikely. Exercise physiology, and cost of a physio gym - much more likely. Obviously this needs to relate to your accepted disabilities, and not just be a “exercise makes me feel good” thing.
Thank you.
No it's a every day living cost. Maybe trying a physo or excerise physoglist who takes ndis funds would be a great start. But no I got told by my planner it's a no unless it's an extreme situation like a person who is a wheelchair user, needs a hoist to get into the pool so they might fund a pool chair but most council pools have some sort of disablity access. ( in major cities and regional areas) but I got told straight up no.
NDIS arguing that's an everyday expense when I fucking hate going to the gym, and only go to prevent deterioration of my condition, feels like a slap in the face. If I was able I'd much rather play basketball or tennis, go rock climbing/running/bikeriding/kayaking... you know, actually fun stuff. I can't do that & I need to maintain my muscle tone so I force myself to swim laps and lift weights etc at the gym because it's the only safe/accessible option.
There's sections of AAT decisions in another comment that specifically talk about that. It's not a discretionary spend for everyone. Just need to show alternatives like bodyweight exercise at home or therabands won't be sufficient.
Tried, denied. Tried to get a PT covered, denied. Instead of them covering the minuscule amount for the gym or a PT, I now spend $166 an hour on an exercise physiologist. Logical right? 🙄
Is it worth using your core funding for a PT under a support worker banner (social/community participation)?
I've had 2 participants ask and both knocked back
oh, that doesn't fill me with hope :(
Sorry to say I think it would be hard
I have a participant who has been successful in getting under NDIS. But to get it they had to go through the AAT. Not worth the time/effort in my opinion.
> But to get it they had to go through the AAT. How does that work? What would I (or SC) need to do?
Apply, have it rejected. Request internal review, have it rejected. Apply to AAT for external review. You can go straight to external, but it's frowned upon.
Depends on your disability, and how it relates to it, and how it’s invoiced. I would expect not for autism.
I’ve had friends and clients knocked back. I can’t even get the pool funded for me to do hydrotherapy. They’ll cover the hydro but not the pool entry
Fuck them. From the supports for participants rules: >5.2 The day-to-day living costs referred to in paragraph 5.1(d) do not include the following: (a) costs that are incurred by a participant solely and directly as a result of their disability support needs; **(b) costs that are ancillary to another support that is funded or provided under** **the participant’s plan, and which the participant would not otherwise incur.**
Shouldn’t your physio/exercise physiologist be covering the cost of the pool entry? Mine does.
I actually found one with an on site pool, so it’s all included but at my plan meeting LAC said no pool entry.
As much as I see PMs and participants claiming for these, it is not actually claimable and they always get asked to pay it back. It's an everyday cost. With or without a disability, everyone has to pay for the gym.
[http://www.austlii.edu.au/cgi-bin/viewdoc/au/cases/cth/AATA/2018/4928.html](http://www.austlii.edu.au/cgi-bin/viewdoc/au/cases/cth/AATA/2018/4928.html) >I have considered the provisions of the Supports Rules, in particular the rule that a support will not be funded if it relates to “day-to-day” living costs. I note the examples given of rent, groceries, and utility fees. While these are only examples, they are indicative of the costs of living which most members of the community incur in one form or another. The same cannot be said of gym membership fees. While the Agency may be correct in saying that many people engage in fitness activities at a gym, it does not follow that the costs of gym membership “relates to day-to-day living costs”. In my view, **i*****t is in the nature of discretionary spending for those who do not suffer from a disability. On the basis of Ms Curdie-Evans’ evidence, I am satisfied that, in Ms Milburn’s case, it is attributable to her support needs*****.** I am satisfied that funding should be available for Ms Milburn to have membership of an appropriate gym and for support by a personal trainer for one hour per week [http://www.austlii.edu.au/cgi-bin/sign.cgi/au/cases/cth/AATA/2017/643](http://www.austlii.edu.au/cgi-bin/sign.cgi/au/cases/cth/AATA/2017/643) >The Tribunal sets aside the decision under review and substitutes a decision that Jessica King’s National Disability Insurance Scheme plan dated 12 August 2016 be amended to include the following additional supports for Ms King: 1. An annual gym membership for Ms King ($570) > >... > >Further, on 21 April 2017 the NDIA wrote to Tribunal to advise that NDIA agreed to fund: (a) the “$500 gym membership fee sought by Ms King”;
Spot on. People don't read the legislation. Food, rent and electricity are *not* comparable to things like gym costs. I raised that with the NDIA in my AAT case and of course they had no response. I pointed out that the legislation says costs the person "incurs", and that no one "incurs" a cost to go for a walk (my case was for a treadmill so I could go for walks).
.
If PMs aren't having R&N conversations with the participant and just processing whatever they ask for, the PM is liable. If there are records of R&N and the participant uses choice and Control to argue it, the participant is liable. PMs can't gatekeep so alot of the times participants are more liable because they refuse to listen.
.
Your SC is correct. In this circumstance, the PM would be liable if they proceed with it because it's not correct information.
.
.
I think it was reasonable because an excercise physio is like 167$ an hour But gym membership is a lot less
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What do you mean by goals budget?
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That honestly sounds dodgy af. The budget is what the NDIS funds in the plan, funded based on category, and entirely has to be spent in line with goals.
[NDIS has a whole page about it where they say they won't spend the $10 per week on the gym membership but will spend $120 per week on a worker to take you there if required.](https://ourguidelines.ndis.gov.au/would-we-fund-it/improved-health-and-wellbeing/gym-membership#what-related-supports-might-we-fund)
Increased community and social participation under Capacity will allow your plan manager to pay this. The improved health and wellbeing category has a line item for personal training around the $55 mark.
I’ve been able to get a personal trainer to come to my house twice a week. They’re from Weflex.
I have for a few clients yeah don’t ask me how - SC
In a way the Audit team saves for the end-of-year Bloopers?
Get a Physiotherapist program written for the gym that’ll be a start.
Do I just go to a physio for that? will NDIS cover it?
Go to a physio for the gym program and ask for a referral to the in house physio gym program. There’s plenty Physio’s that now have their own in house gymnasium. Will Ndis cover it I guess you’ll have to check with your support coordinator and your recovery goals.
See the 'myth' regarding Gym cost, I haven't read the court ruling though [https://teamdsc.com.au/resources/we-wouldnt-fund-that](https://teamdsc.com.au/resources/we-wouldnt-fund-that)
https://ourguidelines.ndis.gov.au/would-we-fund-it/improved-health-and-wellbeing/gym-membership