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Claiming with Health Partners

Your options don’t end at health cover. When it comes to claiming, choose the option to suit you.

 

Health Partners App

Simply download the free app to your smartphone, register your details, take a photo of your itemised account and submit.

With no paperwork or hassle, most benefits are paid within 2 business days of your claim being submitted.

 

Please ensure you have the latest version of the app downloaded before making a claim. 
iPhone app: Version 3.4.1 (updated 9 November 2016)
Android: Version 1.0.7 (updated 6 November 2016)

Online

Submit your claim in three simple steps via Members Online.

Claim form

Claim forms are available to download here, at our centres and upon request. Supply your direct credit details for electronic payment or opt for cheque payment. Once the form is completed (with itemised accounts attached), you can mail it freepost to:

Health Partners Claims Assessor
Reply Paid 1493
Adelaide SA 5001.

If you prefer, submit your claims in person at any Health Partners Member Services, Dental or Optical centre. Please note that over-the-counter cash claiming is not available.

On the spot

Your claim can be processed on-the-spot whenever you visit a HICAPS provider or Health Partners professional. Simply present your membership card at the time of service and you will only have the balance to pay – or nothing at all, depending on your level of cover.
 

What you must include with your claim

Claims must be supported by an itemised account(s) and/or Medicare Statement(s). We cannot pay benefits on quotes. Itemised accounts must show the following information:

  • The provider's name, provider number and address
  • The patient’s full name and address
  • The date of service
  • The description of the service, including any item numbers
  • The amount charged.

Please remember to also check for any additional documentation that may be required to support your claim in the Health Partners Member Guide or PDS, particularly in relation to Wellness programs, Health Aids and Appliances.  General information about claiming and benefits can also be found in these two documents; pages 56-57 in particular provide a good overview.

Payment of claims

 Claims are payable by cheque or direct credit.

If you select direct credit payment, you must supply your bank account details on the Member Claim form.
You only need to supply these details once – the next time you submit a claim (either via our app or the claim form), simply tick the direct credit box and we will transfer your benefit to the same account.

Once direct credit payments have been processed, a statement will be sent to you outlining benefits paid.

By default, cheques will be made out to the main member, or to the provider if the account is unpaid.