How to Make a Claim for Health Screenings

Q: What kinds of health screenings can I claim for?

Health screenings you can claim for are: Health screen bone density Health screen MRI Health screen retinal scan Bowel cancer health screening kit Note: Mammograms and breast MRIs are covered by Medicare.

Get everything ready

If your cover includes benefits for health screenings, you can claim for them online using the information on this page.

To claim online, you will require the My Medibank app on your phone, or access to My Medibank on the web. If you don't have a My Medibank account, register now in two easy steps.

If you haven't paid for your screening or would like to submit with a claim form, you can also make a claim by post or in one of our stores.

Check your cover summary in your My Medibank account if you're not sure if you're eligible to claim.

Key Information

Check you’ve served relevant waiting periods; under ‘Limits’ in My Medibank
Services need to be performed by an appropriate provider
Only certain products cover health screening services, check your inclusions

Before you start your claim

Make sure :

- You have a digital copy of the receipt for the service/treatment, displaying the provider ID and item number, and dated within the last two years. (Note: Accepted digital file formats include: JPEG/JPG, PNG, HEIC/HEIF or PDF. A photo of the receipt is fine, as long as it's clear.)
- The service is performed by a Medicare registered provider but there are no Medicare benefits payable for that service.
- The provider of the screening is appropriate for the service. (Eg. A retinal scan should be done by an optometrist or ophthalmologist, and a bone density test or MR should be done by a radiologist.)

Please review the following information:

1. Check you've served any relevant waiting periods. If you’re not sure, you can check under "Limits" in My Medibank.
2. You need to be on one of the following products to claim: Silver Plus New Families Essentials; Silver Plus New Families Comprehensive; Medibank Silver Plus Families; Silver Plus Settled Families Comprehensive; Flexi 80; Flexi 80 MC; Medibank Corporate Healthy Focus Extras 60; Medibank Corporate Healthy Focus Extras 75; Medibank Corporate Thrive Extras 60; Medibank Corporate Thrive Extras 75; Medibank Corporate Comfort Extras 60; Medibank Corporate Comfort Extras 75; Better Health Elite Extras; Corporate Basic Plus Health Cover; Corporate Silver Health Cover; Corporate Silver Plus Health Cover; Corporate Silver Plus Health Cover Elite; Corporate Gold Health Cover; Medibank Gold Ultra Health; My Choice Extras Support 60 & 75; My Choice Extras Complete 60, 75 & 90.

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Claiming on App
Claiming on Web

How to claim for a health screening on the app

1. Log in and make a claim

2. Enter name and date of service

3. Enter provider details

4. Enter claim details

5. Enter item details

On the item screen with the date of service, tap +Add first item. You can add an item by typing in the item number, or scrolling down the list of common items and tapping on the correct one.

If the number under Quantity is correct, leave it as is. If it isn’t, tap the Quantity number and select the correct quantity from the scrollable list that appears. Next, tap Item Charge and type in the amount. Tap the green tick.

If you have more items to claim for, tap +Add another item and follow the same steps.

Tap Confirm.

6. Upload receipt

7. Upload documents

8. Confirm payment details and submit claim

How to claim for a health screening on the web

1. Log in and make a claim

2. Claim health appliance

3. Enter provider details

4. Add item number

5. Add treatment details

6. Upload your receipt/s

7. Add your payment details

8. Review & submit

Start your claim online

Make a health screening claim

Download the My Medibank app

Still have questions?

What kinds of health screenings can I claim for?

Can I claim for someone else?

You can claim for someone else on your policy, but you can’t submit a single claim form for more than one person at a time. You’ll need to do a separate claim form for each person. Please keep in mind that unless we have the other person’s consent, we won’t be able to discuss the details of the claim once it has been submitted.

To authorise someone else to act on your behalf when dealing with Medibank, apply using this Authority form.

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Things you should know:

If you’re on Overseas Student Health Cover (OSHC), please visit OSHC Help & Support to find out more about claiming for a health screening, or call our OSHC 24/7 Student Health and Support Line on 1800 887 283.

Claims submitted in store will be processed separately (at a later date) and pay benefits to you, the hospital or the provider, as appropriate.

Some claims, like paper based, may take longer to update.