You can find information on registering as a provider here: https://www.medibank.com.au/providers/ancillary/register/
If you have a Medicare-issued provider number, Medibank does not issue a confirmation letter.
For non - Medicare providers, your professional association can provide a copy of your Medibank provider confirmation letter.
If your provider number was issued before September 2015, your association may not have a copy. In this case, they will need to request one from the Provider Registrations team at: provider.registrations@medibank.com.au
More information is available here:
https://www.medibank.com.au/providers/ancillary/members-choice/
Information around Maximum Agreed Prices is available here:
https://www.medibank.com.au/providers/ancillary/benefit-schedules/
If a member submits a claim via post, the app, or Online Member Services, the benefit is paid to the member.
Providers can only claim directly through HICAPS or HealthPoint terminals, and payments will be made via those services.
Claims must be submitted within 2 years of the date of service.
No. Services must be provided within Australia.
If it is the same day as the service, you may be able to reverse the claim via your terminal and resubmit it.
If not, please contact Provider Services to request a case:
https://www.medibank.com.au/providers/contact/
For same-day reversals, use your terminal.
For previous dates, contact Provider Services to raise a case:
https://www.medibank.com.au/providers/contact/
These claims can be reversed via the terminal on the same day (member card required).
If outside the same day, contact Provider Services.
https://www.medibank.com.au/providers/contact/
If on the same day and the membership card is available, reverse the claim via the terminal and resubmit without the bonus.
Otherwise, contact Provider Services to raise a case.
https://www.medibank.com.au/providers/contact/
Quotes can be completed through HICAPs or through Tyro/iSOFT terminals .
Otherwise you can also contact Medibank Provider Services team to obtain a quote. https://www.medibank.com.au/providers/contact/
Members can also do quotes through the Medibank App by going to “Cover” followed by "Health Insurance" section and tap on “Out of pocket estimator" to get started. Find out more about the My Medibank app here.
This usually occurs when the same claim has been submitted more than once, even if no benefit was paid previously.
Reverse the earlier claim(s) and resubmit.
No. HICAPS and iSOFT/Tyro claims must be submitted on the same day the service is provided. Claims cannot be backdated or submitted for future dates.
Please contact HICAPS or your terminal provider directly, or Medibank Provider Services for further assistance.
If it is the same day as the service, you may be able to reverse the claim via your terminal and submit a new claim.
If the claim cannot be reversed on the same day, please contact Provider Services to have a case raised:
https://www.medibank.com.au/providers/contact/
Enter 0.00 in the benefit field. Do not leave it blank.
No. A valid physical or digital member card is required.
No. There is no requirement for a 6-month gap between dental check-ups and cleans.
Information is available here:
https://www.medibank.com.au/help/livebetter/
Leave your details and a Medibank expert will be in touch to take you through your options. In providing your telephone number, you consent to Medibank contacting you about health insurance.
We'll have someone call you soon to help with any questions you have.
Complete this form to express your interest in one of our programs. If you're eligible, a member of our team will call you within 2-3 business days.
What program are you interested in?
Sorry, only members with current Hospital cover are eligible to participate in these programs
Eligible Medibank members with Extras cover are able to access a range of telehealth services included on their cover - you can find out more here. Alternatively, if you would like to talk to one of our team about your cover, we're here on 132 331.
Please provide your details so we can know how to contact you.
By clicking Submit, I understand that Medibank or its subsidiaries may contact me to discuss my eligibility for the Covid-19 Heath Assist program(s), and will disclose my personal information within the Medibank Group of companies and to third party service providers. Please see Medibank’s privacy policy for further information about how Medibank will handle my personal information, and how to contact Medibank: https://www.medibank.com.au/privacy/
If you are eligible, one of our health professionals will call you in 2-3 business days to discuss your situation and help to enrol you in the relevant program.
There is no cost to participate, however some referred services may incur an out of pocket cost.