There are a couple of different ways you can claim on services through your cover.
If your healthcare provider has a HICAPS or CSC HealthPoint electronic claiming facility, you can claim at the time of your consultation – before you even leave the building. The system processes your claim much like an EFTPOS transaction and allows you to just pay the difference and your claim is finalised on-the-spot.
You can use HICAPS or CSC HealthPoint at most of the following health service providers:
- Dentists, endodontists, periodontists, dental prosthetists/advanced dental technicians, prosthodontists and paediatric dentists
- Dispensing optometrists, optical dispensers
- Occupational therapists
- Speech therapists
- Remedial massage of myotherapists
- Acupuncture and chinese medicine practitioners
To use our online service, log in to Online Member Services and follow the steps to submit a claim. You can claim for services like general dental, optical, physio, chiro, massage and acupuncture and many others. You can claim up to $400 per day on services received up to three months before the day you lodge your claim.
Simply enter the details from your receipts and click on the submit button - that's it! Any benefit entitlement will then be paid into your nominated financial institution account, usually within two business days.
You don't need to submit your receipts with your claim but we may request them for review, so we ask that you keep them for 12 months from the date of claiming. Terms and conditions apply and not all services can be claimed online.
Claiming by email
Email is a fast and convenient way to submit your claim. Just download and complete a claim form, and send a scanned copy of the form (including your financial institution account details) and receipts to email@example.com. Please keep your original receipts as we may request them.
Simply submit your claim through one of the methods above and your benefits will be paid directly into your nominated financial institution account, usually within two business days of the claim being processed. This service lets us pay your claim quickly and securely so you can access your money as soon as possible.
To update your financial institution account details to receive your claim, please call 1800 623 893.
Claiming for hospital services
Most hospital claims are settled directly with the hospital after your treatment (once your appropriate excess has been paid, and not including things like phone calls, TV hire, newspapers, parking etc). If you need to submit a hospital claim to us, you can fill out a claim form and email it to us at firstname.lastname@example.org.