How to make a claim
Get more value and benefits from your private health insurance, without the hassle.
Did you know lodging claims with Emergency Services Health is easy? Here's everything you need to know on how to claim with our Extras and Hospital cover.
Manage your policy 24/7
Can I join?
If you work or volunteer for Australian emergency services, or you once did,
you can join us and so can your close relations.
Don't lose it
Have you ever been told to use your Benefits before the year ends?
For our members, this isn't the case.
A better deal on hospital
Find out why our members love our cover and why it's better value when compared to equivalent, no excess, hospital policies
Find a Access Gap Cover Doctor
Access Gap Cover eliminates, or substantially reduces, the out-of-pocket expenses that are part of a hospital stay for people with private health insurance. We have arrangements with a majority of doctors around Australia where, in most cases, our members will be fully covered for in-hospital medical treatment, or will at least be advised prior to treatment of any gaps that might exist.
You can search for participating doctors by specialist group, doctor name, and locality. You can also call us on 1300 703 703 or your doctor to verify if you will be covered in the Access Gap Scheme before treatment.
Find a Contracted Hospital
We have agreements with most private hospitals that are likely to be be accessed by members. These agreements (as part of Police Health Limited) ensure that an agreed schedule of fees (including in-patient accommodation, thatre and special unit accommodation fees as appropriate) is charged by the hospital and paid by us on our member's behalf.
Please note that a member's benefit entitlements will be affected by factors such as their level and type of cover and the financial status of their membership. This will affect the amount we will reimburse to the hospital. We strongly recommend you contact us on 1300 703 703 to confirm your benefit entitlement prior to recieving hospital treatment. If you choose a non-agreement hospital you may incur out-of-pocket expenses for hospital related sevices irrespective of your level of cover.
Mobile Claiming App
As a member of Emergency Services Health, we’ve got your back. Our Emergency Services Health App lets you manage your health cover 24/7.
Use the app to:
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Easily make a claim for you or your dependents
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Access benefit limits and cover details
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View your claims history
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Update your contact details
Who can use the Emergency Services App?
Anyone can access general fund information via the app, but to use features relating to your membership, you must be an Emergency Services Health Member and have registered your online membership account.
Using Your member card
We like to make claiming on your health insurance easy, and one of the easiest ways to make a claim is through HICAPS – the system that lets you swipe your Emergency Services Health membership card to make a claim on the spot. HICAPS claiming isn’t available for everything, but this handy search function will help you identify times when it likely is.
Before you begin your search it’s important to note that this search facility is provided by HICAPS and therefore may include some health providers not recognised by us for on the spot claims, but may still be claimable*. The search may also include health providers not recognised by us for any payment of benefits and therefore won’t be covered by us. These situations are rare however members may wish to confirm that their health provider is recognised for benefits prior to service by contacting us directly.
On the spot HICAPS claiming is not available for;
- orthodontic,
- pharmacy,
- health appliances (including hearing aids),
- eye therapy.
To learn more on how you can claim for the above items, click here
Nourish Baby
Your one stop shop for all things baby.
If you’re trying or expecting a baby, members can now gain access to the Nourish Learning Hub.