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Ancillary Provider Recognition

In order to be recognised, or to continue to be recognised, by Medibank as a Medibank Recognised Provider, Medibank require ancillary health care providers to meet recognition criteria.

The recognition criteria comprise of standards which are applicable by modality. Refer to your modality below to identify which recognition criteria, standards and application forms are applicable to you.

Recognised providers are encouraged to visit the Medibank website regularly to see the most current version. The recognition criteria, standards and/or application form were last updated on 15 June 2018 and may be amended by Medibank and ahm from time to time.

Urgent applications and further information

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

For further information, please call our Hospital and Provider Advocacy Team (HPAT) on 1300 654 887.

Requirements for recognition as an other ancillary heath care provider

For recognition with Medibank as an ancillary health care provider, 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 organisation 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 organisation listed below which is relevant to your discipline and enquire about becoming a member.

As an ancillary health care professional, Medibank expect you meet the following recognition criteria and standards:

For more information about how the recognition criteria operate, please see the FAQs.

List of professional organisations

Requirements for recognition as AHPRA registered health care provider

Requirements for recognition as:

  • Chiropractor
  • Dental Prosthetist 
  • Dentist 
  • Dietician 
  • Exercise Physiologist 
  • Occupational Therapist 
  • Osteopath 
  • Physiotherapist 
  • Podiatrist 
  • Psychologist 
  • Speech Pathologist

For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system.  See more information on Medicare Australia’s registration criteria.

As an ancillary health care professional, Medibank expect you meet the following recognition criteria:

For more information about how the recognition criteria operate, please see the FAQs.

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: Ancillary Provider Registrations
                 Medibank Private Limited
                 GPO Box 9999 (your capital city)

As an ancillary health care professional, Medibank expect you meet the following recognition criteria:

For more information about how the recognition criteria operate, please see the FAQs.

Requirements for recognition as an Optical Dispenser 

For recognition with Medibank as an Optical Dispenser you must 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: Ancillary Provider Registrations
                 Medibank Private Limited
                 GPO Box 9999 (your capital city)

As an ancillary health care professional, Medibank expect you meet the following recognition criteria:

For more information about how the recognition criteria operate, please see the FAQs.

Requirements for recognition as an Optometrist

For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system.  See more information on Medicare Australia’s registration criteria.

As an ancillary health care professional, Medibank expect you meet the following recognition criteria:

For more information about how the recognition criteria operate, please see the FAQs.