What Pelvic Health Physiotherapy Costs, and What ACC Covers
Money and cover are the two things most people want settled before they ring. Here are both, in full, including the parts that are not covered.
If anything here does not match your situation, ring 0800 267 346 or book a free 15-minute call and we will tell you where you stand before you commit to an appointment.
The short answer
An initial pelvic health assessment at CoreGood costs $230 and takes 60 minutes. Follow-up appointments cost $140.
ACC covers injury, not illness. Maternal birth injuries sustained on or after 1 October 2022 may be covered, and so may an accidental injury such as a coccyx fracture from a fall. Erectile dysfunction, premature ejaculation, age-related bladder leakage, overactive bladder, prolapse from a birth before 1 October 2022, non-traumatic chronic pelvic pain and menopause symptoms are not covered by ACC and are paid privately.
You do not need a referral from your GP.
How much does pelvic health physiotherapy cost?
Our fees are below. They are the same at both clinics. You will be told the cost of any recommended plan before you agree to it, and you will not be charged for anything you have not agreed to.
| Appointment | Length | Private fee | With ACC cover |
|---|---|---|---|
| Initial pelvic health assessment | 60 min | $230 | $200 |
| Follow-up pelvic health appointment | 30 min | $140 | $115 |
| Initial musculoskeletal physiotherapy (Kāpiti only) | 30 min | $95 | $64 |
| Follow-up musculoskeletal physiotherapy (Kāpiti only) | 20 min | $85 | $54 |
| MAPLe HD EMG assessment | 60 min | $360 | $330 |
| MAPLe HD EMG therapy | 40 min | $160 | $130 |
| PelviPower session | 20 to 30 min | $140 | Not ACC funded |
| Focused shockwave therapy session | 30 min | $200 | Not ACC funded |
| Focused shockwave and PelviPower | 40 min | $290 | Not ACC funded |
| Vertica Pro therapy | 40 min | $300 | Not ACC funded |
| Vertica home programme, Pro and Sync | 12 month programme | $2,500 | Not ACC funded |
| Online video consultation | 60 min | $230 | $200 |
| Free 15-minute discovery call | 15 min | No charge | Not applicable |
All figures include GST, and the fees are the same at the Kāpiti and Palmerston North clinics. Two lines are not available at both: general musculoskeletal physiotherapy, for backs, joints and sports injuries, is seen at Kāpiti only, and online video consultations are arranged case by case rather than booked as a standard appointment, so ring and ask. Palmerston North is pelvic health physiotherapy, and it has the PelviPower chair, the biofeedback trainer, focused shockwave therapy, MAPLe HD EMG and Vertica. The MAPLe HD EMG assessment fee covers the single-use probe as well as the appointment. Fees current as of August 2026.
What is included in the fee?
The fee covers the appointment itself, the assessment, the explanation of what we have found, any hands-on or equipment-based treatment carried out in that session, and the home programme you leave with. There is no separate charge for an assessment report, for real-time ultrasound during a standard appointment, or for a letter to your GP if you ask for one.
Products such as pessaries, dilator sets, weights or supplements are charged separately if you choose to buy them. We will always tell you the price first, and you are never obliged to buy anything from us.
Does ACC cover pelvic floor physiotherapy?
Sometimes. ACC is New Zealand's accident insurance scheme, and it covers injury, not illness. That single distinction decides almost every pelvic health case.
If your pelvic floor problem was caused by an identifiable injury, ACC may cover part of the cost of your physiotherapy. If it developed gradually, or because of age, childbirth before October 2022, hormonal change, or as an ordinary consequence of surgery, disease or medication, ACC does not cover it and you pay privately.
ACC does not usually pay the whole fee. It subsidises the appointment and you pay the balance, which is called a surcharge or part-charge. The surcharge amounts for CoreGood are in the fees table above.
Which pelvic health problems does ACC cover?
1. Maternal birth injuries sustained on or after 1 October 2022.
This is the main pathway. ACC added a defined list of birth injuries from that date. The full list is below.
2. Accidental injury.
A coccyx fracture from a fall, a pelvic or groin injury from sport, a pelvic fracture from a car accident, an injury sustained at work. The ordinary ACC rules apply.
3. Treatment injury.
An injury caused by treatment may be covered where it is not a necessary part of that treatment and not an ordinary consequence of it. The recognised risks of a procedure are ordinary consequences, so they do not qualify, which is why most post-surgical pelvic floor problems are self-funded. The route is narrow, it is decided case by case, and whether it applies to you is a question for ACC rather than for us. We will tell you if we think it is worth asking.
Which birth injuries does ACC cover?
Since 1 October 2022, ACC has covered a defined list of maternal birth injuries sustained during labour or delivery. Injuries sustained before that date are not covered, even if you still have symptoms today.
| Covered maternal birth injury | Also known as |
|---|---|
| Anterior or posterior vaginal wall prolapse | Cystocele, rectocele |
| Uterine prolapse | |
| Levator ani avulsion | Pelvic floor muscle tear from the pubic bone |
| Obstetric anal sphincter injury | OASI, third or fourth degree tear |
| Perineal or genital tears | Perineum, labia, vagina, vulva, clitoris, cervix, rectum, anus or urethra |
| Coccyx fracture or dislocation | Broken or dislocated tailbone |
| Pubic ramus fracture | |
| Symphysis pubis capsule or ligament tear | |
| Pudendal neuropathy | Pudendal nerve injury |
| Obstetric fistula | Vesicovaginal, colovaginal or ureterovaginal fistula |
| Obstetric haematoma of the pelvis | |
| Post-partum uterine inversion | |
| Ruptured uterus during labour |
ACC also covers other mental or physical injuries caused by a covered birth injury. Funded care can include physiotherapy, hospital treatment and surgery, counselling, nurse services, radiology, and rongoā Māori.
Not included under this cover: any of the above sustained before 1 October 2022, general pregnancy-related conditions that are not on the list, and injuries to the baby.
Do I need a GP referral to claim for a birth injury?
No. A physiotherapist who is registered with ACC and holds appropriate and current pelvic health training and competencies can lodge a maternal birth injury claim directly at your first appointment. Midwives can also lodge within their scope.
CoreGood is a registered ACC treatment provider, and Nathan is credentialed to lodge maternal birth injury claims directly. We can lodge your ACC claim at your first appointment. You do not need to see your GP first.
What is not covered by ACC?
The following are not covered by ACC. They are illnesses, gradual changes or conditions rather than injuries, and you pay privately for physiotherapy for any of them.
| Not covered by ACC | Why |
|---|---|
| Erectile dysfunction | An illness or a consequence of vascular health, diabetes, medication or age, not an accident |
| Premature ejaculation | Not an injury |
| Stress incontinence that has developed gradually with age | Age-related and degenerative changes are excluded |
| Overactive bladder and urinary urgency | Not an injury |
| Prolapse related to a birth before 1 October 2022 | The maternal birth injury cover is not backdated |
| Chronic pelvic pain that did not arise from an accident | Non-traumatic origin |
| Menopause-related symptoms, including vaginal dryness and painful sex | Hormonal change, not injury |
This is not a limitation of our service. It is how the ACC scheme is written. We would rather tell you now than have you find out at the front desk.
If you are in one of these categories, everything else on this page still applies. You do not need a referral, our fees are published above, and the free 15-minute call is available to you.
How do I know which category I am in?
Ring us, or book the free 15-minute call. Describe what happened and when, and we will tell you which route applies before you book anything. If ACC cover looks likely, we will explain what we need from you at the first appointment. If it does not, we will say so plainly.
Do I need a referral to see a pelvic health physiotherapist?
No. In New Zealand you can book a physiotherapy appointment directly. You do not need to see your GP first, you do not need a letter from a specialist, and you do not need a referral to lodge an ACC claim.
If you already have a referral or a letter from your GP, midwife, obstetrician, gynaecologist, urologist or surgeon, bring it. It saves time at the first appointment and it means we can write back to them if you would like us to. You do not need one to be seen.
We work alongside GPs, urologists, gynaecologists, midwives and surgeons, and we are happy to be part of a wider plan. That is different from needing their permission to see you.
Will my health insurance cover it?
Possibly. Physiotherapy is covered under some New Zealand health insurance policies, usually under an optional extras or day-to-day module rather than the base hospital cover. Whether your policy covers pelvic health physiotherapy, how much it pays, whether there is an excess and whether you need a GP referral to claim all depend on your individual policy.
Southern Cross members: we are a Southern Cross Health Society Easy-claim provider. We submit the claim electronically at the time of your appointment, and you pay only the balance.
Other insurers: we do not hold provider arrangements with any other insurer, so there is no direct billing. You can still claim in most cases. Pay us directly, and we will give you a receipt with the information your insurer needs.
The safest step is to ring your insurer before your first appointment and ask three questions: is physiotherapy covered on my policy, do I need a GP referral to claim, and what is my excess. Then ring us and we will match our fees to what they have told you.
How do I pay?
Payment is due at the time of your appointment. We do not invoice.
| Accepted | Notes |
|---|---|
| EFTPOS | No surcharge |
| Credit card | 1.5% surcharge |
| PayWave | 1.5% surcharge |
| Cash |
Q Card, Farmers Card, online payment and bank transfer are not accepted.
Your payment details are not recorded. After you have paid, we do not retain any credit or debit card information.
There is no payment plan or instalment option for a course of sessions. Everything is paid at the time of the appointment.
What happens if I need to cancel?
Ring us as soon as you know. A fee will apply if you change your appointment within 24 hours.
We know that plans change and emergencies happen. Ring us and talk to us. The policy exists so that appointment times are not wasted while somebody else is waiting, not to catch people out.
How many appointments will I need?
There is no single answer, and anyone who gives you one before assessing you is guessing.
Some people need an assessment, an explanation and a home programme, and that is the whole course of care. Others benefit from a structured programme over several weeks. What you need depends on what is contributing to your problem, how long it has been going on and what you want to get back to.
What we will do is tell you after your assessment. You will leave the first appointment knowing what we recommend, roughly how many appointments that involves, what it will cost in total and what you would be doing at home between visits. You can then decide.
You can stop at any time, and you can ask for a second opinion at any time. Neither will offend anyone here.
What if I am not ready to book?
Book a free 15-minute discovery call. It costs nothing, it is confidential, and there is no obligation to book an appointment afterwards.
You describe what has been happening. We tell you honestly whether we are likely to be able to help, whether ACC is likely to apply, what an assessment would involve and what it would cost. If we are not the right service for you, we will say so and point you somewhere better.
Ring 0800 267 346 and ask for a discovery call. Reception will answer anything practical there and then, and if your question is clinical they will book a time for Nathan to ring you back.
Ready to book?
You do not need to know exactly what is wrong, and you do not need a referral. If you know what it costs and where you stand with ACC, the only step left is the first appointment.
Or ring 0800 267 346. Both clinics: Paraparaumu Beach and Palmerston North.