CLAIMING EXTRAS MADE EASY

Claims can be made using your membership card (through eligible providers), OMS, a claims form or in our office.

We pay eligible claims for covered services if

• any relevant waiting periods are complete
• the provider is HCi recognised and approved
• goods and services are supplied by registered Australian providers and websites within Australia
• it is claimed within 2 years of the date of service
• a receipt and any required documentation is provided. (Tip – submit documents securely through OMS)

Our extras cover doesn’t include a few things, such as

• treatments and services provided by a family member or business partner
• non-prescription glasses and sunglasses, or optical consultations
• items for sport, recreation or entertainment
• exercise accessories and equipment
• repeat treatments or services on the same day
• claims above what you paid (eg if you had a discount so paid $40 instead of $60, we will only assess a claim for $40)
• materials or supplies associated with Chinese medicine.

ADDITIONAL INFORMATION for extras cover claims

HCi recommends you carefully read all membership documentation provided.

Some other things worth noting:

• Claims are not payable for covered services where you may be able to claim compensation, damages or benefits from another source (eg WorkCover). This applies whether or not you receive compensation from that source.
• Medically required braces and supports can be claimed only if they are custom made for the patient – cover does not include off the shelf items.
• Cover claims are not payable during any period in which your membership is unfinancial (ie not paid at least 2 weeks in advance) or suspended (eg while overseas).
• Vaccination claims require a receipt confirming details of who received what vaccination.

HCi may change its products, benefits, and terms and conditions from time to time. We will notify members as soon as practicable before any detrimental changes.