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Want a little more help with your claim?
Our claims guides and information page is here to walk you through claiming for the most common services, like ambulance, health appliances and subscriptions, with simple step-by-step instructions and clear information.
Other ways to make a claim
Most extras providers offer the convenience of claiming on the spot using your membership card.
Members with an Android phone can use their digital card in the My Medibank app to tap and claim at extras providers with a HICAPS machine.
Send us a letter with your completed claim form and the original invoices or receipts.
- Antenatal/Postnatal services (includes birthing classes and lactation consultants)
- Chinese Medicine, Exercise Physiology and other Natural Therapies³
- Clinical Psychology
- Eye Therapy
- Health and extended screening services
- Health appliances and services
- Nursing services
- Occupational Therapy
- Optical Items
- Pharmaceuticals (non-PBS)
- Remedial Massage
- School accident
- Speech Therapy
- Weight Watchers and health subscriptions
- Ambulance services (medically necessary)
- Claims involving compensation or damages
- GapCover claims (surgeons, anaesthetists, assistants etc.)
- Individual claims associated to more than one individual
- Hospital accommodation
- Diagnostic procedures
- Therapeutic procedures
- Oral and Maxilofacial services
- Cleftlip and cleft palate services
- Miscellaneous services
After upgrading your cover, waiting periods will only apply for any new services, or for increased benefits or annual limits. If you need to claim during the waiting period, you will receive the same benefits as your previous level of cover, provided you have served all waiting periods on the previous level of cover. Log into the My Medibank app and head to the Out of pocket estimator section to estimate future claim expenses.
Currently “Product bonus’” are not visible in My Medibank. Please contact us for assistance regarding limits.
Some services require extra paperwork, and it is for that reason not all claims can processed electronically. See further up this page for a list of services that are claimable online and a procedure for other services that are required to be claimed with supplementary paperwork.
We take the privacy of our members seriously, and it’s for that reason we only show your limits and those of dependants under the age of 16. Don’t forget, other members on your policy who are over 16 can create their own My Medibank account and view their extras limits on the go both online and through the app (remember the email address should be different to others on the policy). Get started at here.
We take the privacy of our members seriously, and it’s for that reason members are unable to edit financial information for partners, spouses and any dependants over the age of 16. Don’t forget, other members on your policy who are over 16 can create their own My Medibank account and update claim payment details on the go both online and through the app (remember the email address should be different to others on the policy). Get started here.
Unfortunately, viewing claim information after giving Claim Consent is not available online through My Medibank. To request personal information regarding a claim please contact us.
Things you should know:
1 Claims submitted in store, will be processed separately (at a later date) and pay benefits to you, the hospital or the provider, as appropriate.
2 Some claims, like paper based, may take longer to update.
3 Following the government changes on 1 April 2019, all private health insurers are no longer permitted to pay benefits towards some natural therapy services. Read more about the changes to some natural therapies.
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