Claim most Extras on the spot

With the majority of Extras claims such as dental and optical, health providers can process your claim on the spot using eftpos-style claiming facilities and your membership card.

All you have to do is swipe your membership card and sign to validate the service. Your claim will be automatically lodged with Emergency Services Health and we pay the provider directly.

There is no need to pay the full consultation fee up-front and then wait for reimbursement of your benefit. Just present your Emergency Services Health membership card, pay any out of pocket gap and you're done.

 

Just take a photo using our App

Not all Extras claims can be lodged on the spot with your membership card, but we still want to make it easy for you to claim. You can simply download our Emergency Services Health Mobile Claims App and lodge your claims from your mobile phone.

To make your claim simply:

1. Download the free App to your smart phone

2. Register your details in the App

3. Photograph your account items

4. Submit your claim with a press of a button, no claim form required!

APPLE STORE               GOOGLE PLAY

 

Other Extras Services Claims

Not all extras claims can be lodged on the spot. For extras claims that cannot be lodged on the spot simply fill out a Emergency Services Health claim form and send it with the relevant accounts and receipts to any of the three options:

  • Mail: Emergency Services Health, Reply Paid 84966, Halifax Street SA 5000
  • Free Fax: 1300 151 152.

 

Hospital Claims

Hospital claims generally come directly to us from the hospital and we send the claim payment back to the hospital. This means you don't have to make a claim.

 

Medical Claims & Access Gap Cover

Doctors billing under our Access Gap Cover will normally forward their account directly to Emergency Services Health. We then claim your Medicare entitlements and pay that, together with your Emergency Services Health benefit, directly to the doctor.

 

Payments

Cheques covering medical or extras services are made payable to you if you've paid the account or, if you haven't, to the provider of the service. In both instances the cheques are sent to you (naturally if the payment is in your favour you can elect to have the payment direct credited to your financial insitute).

If the account has not been paid, forward the cheque to the provider together with your portion of the payment.

 

Lodgement of Claims

Claims must be lodged with Emergency Services Health within two years of the date of service. Claims older than two years will not be accepted.

 

How to fast-track your claims payments

If you have already paid the invoice from your medical or extras provider, Emergency Services Health offers PromptPay to ensure fast payment of your claim. With PromptPay your benefit is paid directly to your financial institution account as a direct credit.

Download our claim form, simply write "YES" in the box `Please Pay To My Bank Account Yes/No' and then fill in your nominated financial account details.

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