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Extras - fast claims....on the spot (HICAPS)

HICAPS is an electronic health claiming and payments system that lets you process your claim automatically after your treatment before you leave the surgery or practice. This service is available at participating:

  • dentists, endodontists, periodontists, dental prosthetists/advanced dental technicians, prosthodontists, paediatric dentist
  • dispensing optometrists, optical dispensers
  • physiotherapists
  • chiropractors
  • osteopaths
  • podiatrists
  • occupational therapists
  • psychologists

With HICAPS you no longer have to make a separate trip to your private health fund branch to lodge your claim or send your claim via the post. The claim is finalised on the spot immediately after your consultation.

So there’s no need to pay the full consultation fee up-front then wait for the reimbursement of your benefit.

All you need is your health fund membership card.

After the consultation, your health fund card is simply swiped through the HICAPS terminal by the health service provider. Your claim details are entered and in seconds the whole transaction is processed. Once your claim is authorised by the health fund, you simply pay the balance amount – the difference between the full fee for the treatment and the amount claimed from your health fund.

For example:

Your bill…………………………..$35.00
Your claims benefit……………...$28.00
You pay the balance…………….$7.00

If the health service provider has installed EFTPOS with HICAPS, then you can pay the balance with your debit or credit card.

So there’s no more paperwork or wasted time!

The whole process is so quick and easy. No more queuing or claim forms to fill in.

So next time you visit your health service provider, ask if you can use your health fund membership card to claim on the spot with HICAPS!

Find a health service provider in your area that offers you the convenience of HICAPS.

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