Claiming from your HCi cover
We offer a range of claiming methods that are fast, easy-to-use and, if you choose, even paperless.
// CLAIMING FROM HCi
Lodging extras claims is easy!
HCi extras cover helps cover your health expenses away from hospital.
Once you have used a service, you simply let us know via OMS (the quickest and most secure option), emailing a completed claim form or when visiting our Burnie office.
// CLAIMING EXTRAS
OMS
- the HCi member portal
Logging into OMS makes claiming securely and easily!
When it's time to claim, simply take a photo of the receipt(s) or upload a pdf then submit! Easy!
// SUBMITTING CLAIMS
HCi OMS
Login and submit the invoice – easy!
PO Box 931, Burnie, TAS 7320
In person
25 Cattley Street, Burnie
Whether submitting via OMS or by filling out a claims form, all accounts and receipts must include the following:
- patient’s name
- provider details (provider name and provider number)
- appropriate item number and description of the services / products being claimed
- amount paid
- date of purchase/supply/service
- script number (for pharmacy claims)
- prescribing doctor’s details, including provider number (for pharmacy claims).
Tip – submit documents securely through OMS – and avoid filling in a claims form!
Extras claims are often processed the day they are received, assuming they include all the necessary information.
Claims are processed within 3 business days of receipt. Payments may be delayed by bank processing times, depending on your bank/financial institution and account type.
// CLAIMING PAYMENTS
Receiving payments from HCi claims
With electronic claiming on the spot, we pay the provider for you – easy!
When you pay the provider and then put in a claim, we will assess and pay the claim as quickly as possible. In most cases extras claims are processed within 3 days of being received, assuming they include all the necessary information. Please note that bank delays may result in longer waits for money to arrive in your account.
The claims payment, or refund, will be made into your nominated bank account if you have already paid the provider.
However, if you have not paid the provider we will pay the appropriate claim amount directly to the provider electronically.
// WHEN CLAIMING PRODUCTS FROM HCi
You need to complete our medically eligible declaration* with an extras claim for:
Medical appliances including CPAPs, blood pressure monitors, blood glucose monitors, circulation boosters, TENS machines, and nebulisers. Note that continuous glucose monitor systems are excluded from HCi cover.
Contraceptive medication used to treat medical conditions (we do not cover contraception).
Medical botox or medicinal cannabis
Non-surgical prostheses such as breast prostheses, surgical bras, and surgical stockings.
Custom made and/or fitted medical braces such as CAM walkers, wrist/knee/ankle brace, or a post-surgical brace.
Fitted and/or custom-made surgical footwear
Custom-made and/or fitted wigs
It’s easy to submit your medical eligibility form and supporting evidence via OMS, too!
* Unfortunately, we can no longer accept a doctor’s letter or medical certificate. Please use the medical eligibility declaration instead.
// WHEN CLAIMING FROM HCi
It’s important to know:
Services / products must be provided by practitioners operating in private practice and who are approved by HCi.
Claims must be lodged within 2 years of the service.
Eligible HCi claim payments are calculated on the date services/products are provided.
Goods and services claimed must be supplied by registered Australian providers and websites within Australia.
All relevant waiting periods must be served before claims will be assessed.
Claims are not payable during any period in which your membership is unfinancial (ie not paid at least 2 weeks in advance) or suspended (eg while overseas).
Vaccination claims require a receipt confirming details of who received what vaccination.
Medically required braces and supports can be claimed only if they are custom made for the patient – cover does not include off the shelf items.
HCi may change its products, benefits, and terms and conditions from time to time. We will notify members as soon as practicable before any detrimental changes.
// CLAIMING HCi COVER
Exclusions from cover
Our extras cover doesn’t include a few things, such as
- treatments and services provided by a family member or business partner (unless our CEO gave written prior approval)
- services where you may be able to claim compensation, damages or benefits from another source (eg WorkCover). This applies whether or not you receive compensation from that source.
- non-prescription glasses and sunglasses, or optical consultations
- items for sport, recreation or entertainment
- exercise accessories and equipment
- repeat treatments or services on the same day
- things you didn’t actually pay, such as a discount or gift voucher (eg if you had a discount so paid $40 instead of $60, we will only assess a claim for $40)
- materials or supplies associated with Chinese medicine
- pharmaceuticals without a prescription, contraceptives, anabolic steroids and any drugs not approved in Australia.