Ancillary Provider Recognition

Under Medibank's Fund Rules, Ancillary Providers must be in Independent Private Practice, and Medibank reserves the right to verify that from time to time.'Independent Private Practice' means a professional practice (whether sole, partnership or group) that is self-supporting. This means that accommodation, facilities and services are not provided or subsidised by another party such as a public hospital or publicly funded facility.

Despite this, Medibank has absolute discretion to recognise an Ancillary Provider who is not in private practice. Medibank may, for instance, exercise that discretion where it considers not to do so would be harsh and/or unfair.

In order to be eligible to be considered for, or to maintain, Recognised Provider status, Ancillary Providers must also satisfy Medibank's Requirements for Recognised Providers which include criteria for being a Recognised Provider and examples of circumstances in which Medibank may suspend or cancel a provider's recognition. However, notwithstanding the examples in this document, Medibank has an overarching discretion to suspend or cancel recognition if it considers it reasonable.

For specific criteria required for your speciality, please refer to the information below:

 

Requirements for recognition as an Alternative Therapist

For recognition with Medibank as an Alternative Therapist you must be a member of a professional organisation that meets the requirements under rule 10 of the Private Health Insurance (Accreditation) Rules. A list of professional organisations currently recognised by Medibank is below.

  • Members of organisations listed below: We suggest you contact the organisation to ensure your level of membership is approved by Medibank for provider registration purposes. Some levels of membership (e.g. student member) may not be approved, however this will vary from organisation to organisation.
  • Members of a professional organisation not listed below: Please contact your organisation and arrange for them to contact Medibank as soon as possible on 1300 654 887 in relation to obtaining an Association Provider Number.
  • Providers who are not members of a professional organisation in your area of speciality: You may wish to consider contacting one of the organisations listed below which is relevant to your discipline and enquire about becoming a member.

List of Professional Organisations

Acupuncture

  • Acupuncture Association of Victoria Inc (AAV)
  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Australian Acupuncture Chinese Medicine Association (AACMA)
  • Australian College of Acupuncturists (ACAL)
  • Australian National Acupuncturists and Chinese Herbalists Association (ANACHA)
  • Australian Natural Therapists Association (ANTA)
  • Australian Traditional Chinese Medicine Association (ATCMA)
  • Australian Traditional Medicine Society (ATMS)
  • Chinese Medicine and Acupuncture Society of Australia Ltd (CMASA)
  • Federation of Chinese Medicine and Acupuncture societies of Australia (FCMA)
  • Society of Natural Therapists & Researchers (SNTR)

Alexander Technique

  • Australian Society of Teachers of the Alexander Technique
  • Australian Traditional Medicine Society (ATMS)

Aromatherapy

  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Australian Natural Therapists Association (ANTA)
  • Australian Traditional Medicine Society (ATMS)
  • International Aromatherapy & Aromatic Medicine Association Incorporated

Bowen Therapy

  • Australian Traditional Medicine Society (ATMS)
  • Bowen Association of Australia (BAA)
  • Bowen Therapists Federation of Australia (BTFA)
  • Society of Natural Therapists & Researchers (SNTR)

Chinese Massage

  • Australian Traditional Medicine Society (ATMS)

Chinese Medicine

  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Australian Acupuncture Chinese Medicine Association (AACMA)
  • Australian College of Acupuncturists (ACAL)
  • Australian National Acupuncturists and Chinese Herbalists Association (ANACHA)
  • Australian Natural Therapists Association (ANTA)
  • Australian Traditional Chinese Medicine Association (ATCMA)
  • Australian Traditional Medicine Society (ATMS)
  • Chinese Medicine and Acupuncture Society of Australia Ltd (CMASA)
  • Federation of Chinese Medicine and Acupuncture societies of Australia (FCMA)
  • Society of Natural Therapists & Researchers (SNTR)

Counselling

  • Australian Counselling Association (ACA)
  • Australian Traditional Medicine Society (ATMS)
  • Psychotherapy and Counselling Federation of Australia (PACFA)

Diabetes Educators

  • Australian Diabetes Educators Association (ADEA)

Feldenkrais

  • Australian Feldenkrais Guild (AFG)

Homoeopathy

  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Australian Natural Therapists Association (ANTA)
  • Australian Register of Homeopaths
  • Australian Traditional Medicine Society (ATMS)
  • Society of Natural Therapists & Researchers (SNTR)

Hypnotherapy

  • Australian Association of Clinical Hypnotherapy and Psychotherapy (AACHP)
  • Australian Clinical Hypnotherapy Association (ACHA) 
  • Australian Hypnotherapy Association (AHA)
  • Australian Society of Clinical Hypnotherapists (ASCH)
  • Australian Traditional Medicine Society (ATMS)

Kinesiology

  • Australian Institute of Kinesiologists Ltd
  • Australian Kinesiology Association (AKA)
  • Australian Traditional Medicine Society (ATMS)

Myotherapy

  • Association of Massage Therapists (AMT)
  • Australian Natural Therapists Association (ANTA)
  • Institute of Registered Myotherapists of Australia (IRMA)
  • Australian Association of Massage Therapists (AAMT)

Naturopathy

  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Australian Association of Ayurveda Inc (AAA)
  • Australian Natural Therapists Association (ANTA)
  • Australian Naturopathic Practitioners Association (ANPA)
  • Australian Traditional Medicine Society (ATMS)
  • Complementary Medicine Association (CMA)
  • National Herbalists Association of Australia (NHAA)
  • Naturopathic Practitioners Association (NPA)
  • Society of Natural Therapists & Researchers (SNTR)

Nutrition

  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Australian Natural Therapists Association (ANTA)
  • Australian Traditional Medicine Society (ATMS)
  • Society of Natural Therapists & Researchers (SNTR)

Reflexology

  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Australian Traditional Medicine Society (ATMS)
  • Reflexology Association of Australia (RAA)

Remedial Massage

  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Australian Association of Massage Therapists (AAMT)
  • Australian Natural Therapists Association (ANTA)
  • Australian Traditional Chinese Medicine Association (ATCMA)
  • Australian Traditional Medicine Society (ATMS)
  • Chinese Medicine and Acupuncture Society of Australia Ltd (CMASA)
  • Federation of Chinese Medicine and Acupuncture societies of Australia (FCMA)
  • Massage Association of Australia (MAA)
  • Massage Australia
  • Institute of Registered Myotherapists of Australia (IRMA)
  • Society of Natural Therapists & Researchers (SNTR)

Shiatsu

  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Association of Massage Therapists (AMT)
  • Australian Natural Therapists Association (ANTA)
  • Australian Traditional-Medicine Society (ATMS)
  • Massage Australia
  • Shiatsu Therapy Association of Australia (STAA)

Western Herbal Medicine

  • Alumni Association of Natural Medicine Providers Inc (AANMP)
  • Australian Natural Therapists Association (ANTA)
  • Australian Traditional Medicine Society (ATMS)
  • National Herbalists Association of Australia (NHAA)
  • Society of Natural Therapists & Researchers (SNTR)
 

Requirements for recognition as a Chiropractor

For recognition with Medibank as a Chiropractor, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team".

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as a Dental Prosthetist

For recognition with Medibank as a Dental Prosthetist, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team"

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as a Dentist

For recognition with Medibank as a Dentist, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team".

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as a Dietician

For recognition with Medibank as a Dietician, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team".

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as an Eye Therapist / Orthoptist

For recognition with Medibank as an Eye Therapist / Orthoptist, you must be a member of the Australian Orthoptic Board (AOB). Send the completed application form with a certified true copy of your membership with the board to Medibank either via:

  • fax to (03) 8456 6250
  • mail to: Medical and Ancillary Exceptions Team
                GPO Box 9999
                Melbourne 3001

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as a Hearing Aid Supplier

For recognition with Medibank as a Hearing Aid Supplier, you must have an Australian Business Number (ABN).

Send the completed application form to Medibank either via:

  • fax to (03) 8456 6250
  • mail to: Medical and Ancillary Exceptions Team
                GPO Box 9999
                Melbourne 3001

 

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as an Occupational Therapist

For recognition with Medibank as an Occupational Therapist, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team"

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as an Optical Dispenser

For recognition with Medibank as an Optical Dispenser you must:

  • Western Australia and South Australia: be permitted by the regulatory authorities of that State to practice as an Optical Dispenser.
  • All other States and Territories: have an Australian Business Number (ABN).

Send the completed Application Form and certified true copies of the appropriate documentation to Medibank either via:

  • fax to (03) 8456 6250
  • mail to: Medical and Ancillary Exceptions Team
                GPO Box 9999
                Melbourne 3001

 

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as an Optometrist

For recognition with Medibank as an Optometrist, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team"

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as an Osteopath

For recognition with Medibank as an Osteopath, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team"

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as a Physiotherapist

For recognition with Medibank as a Physiotherapist, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team"

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as a Podiatrist

For recognition with Medibank as a Podiatrist, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team"

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as a Prosthetist and Orthotist

For recognition with Medibank as a Prosthetist and Orthotist, you must have an Australian Business Number (ABN).

Send the completed application form to Medibank either via:

  • fax to (03) 8456 6250
  • mail to: Medical and Ancillary Exceptions Team
                GPO Box 9999
                Melbourne 3001

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as a Psychologist

For recognition with Medibank as a Psychologist, you must be registered with Medicare Australia. Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team"

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.

 

Requirements for recognition as a Speech Pathologist

For recognition with Medibank as a Speech Pathologist, you must be registered with Medicare Australia.

Medicare Australia notifies us of Provider numbers issued on a daily basis, which is then automatically updated in our systems.

See more information on Medicare Australia’s registration criteria.

For urgent applications, please fax your Medicare Australia confirmation letter to (03) 8456 6250, marked "Attention: Medical and Ancillary Exceptions Team"

For further information, please call our Ancillary Provider Enquiry Line on 1300 654 887.