Ancillary Provider Recognition
In order to be eligible to be considered for, and to maintain, Medibank Recognised Provider status, ancillary providers must 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 included in Medibank’s Requirements for Recognised Providers, Medibank has an overarching discretion to suspend or cancel recognition if it considers it reasonable.
Ancillary providers should note that Medibank’s Requirements for Recognised Providers have been updated and contain new requirements that providers must satisfy to be considered for, and to maintain, Medibank Recognised Provider status. Medibank encourages providers to familiarise themselves with the updated Requirements which are effective as of 24 March 2015.
The new requirements include certain acknowledgements regarding the collection, use and disclosure of personal information. By continuing to provide services to Medibank’s members on and from 24 March 2015, a provider is deemed to have consented to Medibank’s collecting, using and disclosing their personal information in accordance with Medibank’s Requirements for Recognised Providers (as updated at 24 March 2015).
Note that, 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.
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.
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.
- Medibank's Remedial Massage Definition and Requirements for Benefit Payment.
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 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 (AUSTAT)
- 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 (IAAMA)
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 Natural Therapists Association (ANTA)
- Australian Traditional Medicine Society (ATMS)
Chinese Medicine
- Alumni Association of Natural Medicine Providers Inc (AANMP)
- Australian Acupuncture Chinese Medicine Association (AACMA)
- 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)
- Complementary Medicine Association (CMA)
- 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)
Homeopathy
- Alumni Association of Natural Medicine Providers Inc (AANMP)
- Australian Natural Therapists Association (ANTA)
- Australian Register of Homeopaths (ARoH)
- Complementary Medicine Association (CMA)
- Australian Traditional Medicine Society (ATMS)
- Society of Natural Therapists & Researchers (SNTR)
Hypnotherapy
- Australian Association of Clinical Hypnotherapy and Psychotherapy (AACHP)
- Australian Hypnotherapy Association (AHA)
- Australian Society of Clinical Hypnotherapists (ASCH)
- Australian Traditional Medicine Society (ATMS)
Kinesiology
- Australian Institute of Kinesiologists Ltd (AIK)
- Australian Kinesiology Association (AKA)
- Australian Traditional Medicine Society (ATMS)
Lactation Consultant
- Lactation Consultants Australia and New Zealand (LCANZ)
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)
- Complementary Medicine Association (CMA)
- 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)
- Association of Massage Therapists (AMT)
- Australian Acupuncture and Chinese Medicine Association (AACMA)
- 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 Australia (MGA)
- Institute of Registered Myotherapists of Australia (IRMA)
- Society of Natural Therapists & Researchers (SNTR)
- Massage Association of Australia (MAA)
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 (MGA)
- 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)
- Complementary Medicine Association (CMA)
- 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.
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.
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.
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.
Requirements for recognition as an Exercise Physiologist
For recognition with Medibank as an Exercise Physiologist, 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.
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)
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.
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)
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.
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.
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.
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.
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.
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.