On-the-spot claiming is available at a range of extras providers via electronic claiming terminals such as HICAPS or HealthPoint. To claim your benefit, simply swipe your membership card and your claim is processed straight away. All you have to pay is the balance. You can check if your provider offers HICAPS below.
Claiming via HICAPS is unavailable for some services.
You can make a claim by uploading photos of your receipts and instantly submitting them via our mobile app in less than a minute. If you would like to have your claim assessed even quicker, we also have a faster claim payment option. To use this feature, all you have to do is enter a few extra details from your receipt into the mobile app and it will be assessed on the spot.
You can also submit other documentation via the app such as membership forms. We will retain all documents unless you indicate otherwise. Any account or receipt submitted must be on an official receipt or account form, and bear the provider’s official stamp. It must be legible and display the provider’s name, provider number, practice address, ABN/ACN, the date of service, a description of the service, the name of the patient and the cost. Cash register dockets will not be accepted.
Simply log in to our member portal and follow the instructions to submit your claim. There’s no need to send in receipts. Just keep all receipts for twelve months after you claim in case we need to check them.
We pay claims under the understanding that:
The costs involved are not recoverable from a third party (eg. workers compensation, or other insurance/damages). If treatment costs are reimbursed by a third party you must repay any benefits we have paid for the claim.
All claims are subject to private health insurance laws, Fund Rules and policies and procedures. For further details please contact us for a copy of our Fund Rules.
Want to know about claiming for hospital visits? Click here
We have a great range of hospital covers, so you can pick the one that suits your lifestyle and budget.With extras you can claim for services such as dental, optical, physio and massage. We have a great range of covers, so you can pick the one that suits your lifestyle and budget.
(*) Prices include direct debit discount. (R) Restrictions apply. Sub limits may apply on extras products, click on for more details. Set extras benefits apply per service and vary depending on cover. Waiting periods may apply. Your rates may differ based on your Lifetime Health Cover loading (LHC). Actual rates may differ from those stated by up to 5c due to rounding increments.
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