The Pharmaceutical Benefits Scheme (PBS) makes a range of prescription medicines more affordable to Australian residents due to the Government subsidising the cost. These medicines also require a PBS co-payment to be paid towards each item by the patient.

If you are on eligible extras cover, all you have to do is pay up to $20 per non-government subsidised prescription, we will cover any gap over $20, up to your cover’s limit.

Private medicines are medicines that the Government does not include on the Pharmaceutical Benefits Scheme (PBS). These medicines are not subsidised and can be quite expensive. Health Partners offers a benefit on these with some exclusions, which can be found on the Health Partners Pharmacy Benefit Exclusion List (on this page).

If you are on eligible extras cover, we will pay a maximum benefit of $50 per prescription^. This benefit will only apply after your co-payment of $40. Additional Member Contribution amounts may apply if the private prescription price is above the combined Member co-payment and maximum benefit.

Members can enjoy an unlimited 20% discount on the full price of non-prescription pharmacy products*, only available at Health Partners Participating Pharmacies. This means that members can save every day on the good stuff like cosmetics, vitamins, hair care and skincare. T&Cs apply. Save on:

• Vitamins & supplements
• Pain relief and minor ailment products
• Perfume and beauty products
• Skincare & hair care
• Sports medicine and wound care items.

If you have eligible extras cover with Health Partners, you can claim a wide range of pharmacy benefits at over 50 participating pharmacies. Just make sure:

• your premium payments are up to date,
• you’ve served the 2 month waiting period and
• your pharmacy benefit limit for the year has not already been reached.

If you’re unsure of your eligibility or your available benefit limit, please contact us.

What cannot be claimed?

• Non-prescription medicine
• PBS prescriptions that attract a government subsidy
• PBS listed items under the value of $20
• Private prescriptions valued under $40
• Natural remedies including some vitamins and supplements
• Medical devices (scheduled by the TGA)
• Any items not listed on the Poisons Standard (Standard for the Uniform Scheduling of Medicines and Poisons)
• Items listed on our Exclusion List on this page which may change from time to time.

All claimable prescriptions must be dispensed at a pharmacy which is a Health Partners participating pharmacy or for members covered with National Extras who cannot access a Health Partners participating pharmacy, at their local pharmacy that meets our recognition criteria.

You can claim on-the-spot benefits at over 50 Health Partners participating pharmacies. Just present your membership card together with your prescription and the pharmacist will do the rest!

The gap that you pay will depend on what prescriptions are claimed. For a non-government subsidised PBS prescription, you will only pay $20 or less per prescription, and we will pay the rest up to your annual limit. For private and compounding prescriptions, we will pay a maximum benefit of $50 per prescription, after your co-payment of $40. Additional Member Contribution amounts may apply if the private prescription price is above the combined Member co-payment and maximum benefit.

If you live outside South Australia and have eligible extras cover, you can have your prescriptions dispensed at any pharmacy that meets our recognition criteria and submit your claim manually.

With eligible extras cover you can present your membership card at participating pharmacies to save 20% on the full price of most non-prescription items (this includes a range of over-the-counter non-prescription medicines, but excludes schedule 3 recordable items). T&Cs apply.

Yes, you’ll need your membership card to claim benefits and to apply the 20% discount. The pharmacy staff will ask for your card to confirm your benefit eligibility.

• Products already discounted – any additional discount will be at the pharmacies discretion
• Price matched items
• Agency lines, such as National Diabetes Services Scheme (NDSS), SA Lotteries
• Specific exclusions by location (e.g. Chanel at The Village Pharmacy, Burnside)
• Schedule 3 Recordable items
• Government-deemed essential item such as Rapid Antigen Test (until further notice)
• Products from a pharmacy that is not a Health Partners Participating Pharmacy.

Health Partners do not own our participating pharmacies, but these pharmacies enter into an agreement with the fund to supply benefits and discounts to our members. These pharmacies claim your prescription benefits for you on the spot, saving you time, as well as providing your 20% discount on items in their pharmacies. Not all pharmacies agree to be part of the Health Partners program. If you'd like to suggest a pharmacy to join our network, ask your pharmacist or contact us.

If your membership is paid up to date, you have served your waiting periods and you have benefits available, ask the pharmacy to call us on 1300 113 113. Alternatively, you might like to call us from the pharmacy yourself. We can usually sort out any eligibility issues over the phone.

If you believe that you are entitled to the discount but your pharmacy disagrees, please ask the pharmacy to call us, or feel free to contact us. If you call us from the pharmacy, we might be able to sort it out straightaway. If you have paid for the item, retain your proof of purchase so we can take a look.

Sure! Contact us and we can try our best to assist.

Yes, compounding prescriptions are included in pharmacy benefits. Private and compounding prescription rules apply. We have several compounding pharmacy partners, you can find pharmacy partners using the map.

It’s always a good idea to give them a call first to make sure they can supply what you’re after, and they can let you know if there is a waiting period to order.

Yes, some drugs prescribed during assisted reproductive treatment are claimable, and some Health Partners participating pharmacies carry specialist IVF medication. Private and compounding prescription rules apply. Contact us for more information.

Members can claim for vaccines (excluding those claimable under the National Immunisation Program). Benefits are only payable if the vaccine prescription is purchased at a Health Partners participating pharmacy, administered by a qualified pharmacist, or if the vaccination is supplied and administered by a medical practitioner. If it is the latter, please retain proof of payment and submit the claim manually. We don’t pay a benefit towards government subsidised vaccinations or any administration or consultation fees applicable to government subsidised or private vaccinations. Please note that pharmacy limits and private and compounding prescriptions rules apply.

Each year, we also provide our members with free flu vaccinations at selected Health Partners participating pharmacies. Check our website during flu season for more information, how to access and terms and conditions.