Hospital and medical claims

Hospital claims

Generally, when you are discharged from hospital, the hospital staff will forward the account for your hospital treatment direct to HCI. Check this before you leave.

Medical claims for treatment received whilst in hospital

If you receive bills from your doctor for medical treatment you received whilst in hospital, you must lodge your medical claims at a Medicare office first, before submitting with us.

You cannot claim your out-of-pocket expenses and HCI does not pay benefits for medical treatment provided to you out of hospital. 

You can receive your benefits by direct transfer or cheque.

If you have paid the account, your benefit can be paid electronically into your bank account. You will receive separate notification as to the payment details.

If you have paid the account, a cheque will be made payable to you, or if you have not paid the account, a cheque will be made payable to the practitioner who provided the treatment. 

Receiving benefit payments

Direct Credit

If you have paid the account, your benefit can be paid electronically into your nominated bank account. You will receive separate notification as to the payment details.

Cheque

If you have paid the account, a cheque will be made payable to you, or if you have not paid the account, a cheque will be made payable to the practitioner who provided the treatment.

It’s important to remember:

All accounts and receipts must include the appropriate item number and a full description of the services / products being claimed and must be accompanied with a completed claim form.

All services / products must be provided by practitioners who are operating in private practice and who are approved by HCI.

Claims must be lodged within 2 years of the date of service. 

Benefit payments are calculated on the date services/products are provided.