Private Health Funds

We accept all private health insurance and can process claims on the spot with the Hicaps machine (with the exception of certain item numbers which are restricted by health insurance companies from on the spot claims). If your claim does not go through on the day for any reason, we will issue you an invoice which you can send to your private healthfund to claim the rebate you are entitled to.

Private healthfunds are companies that are completely separate from us. Therefore, we have no control over how much rebate you’ll get back from any claim from any item number. If the dentist detects any problem/s that will need treatment, you will be given an itemised treatment plan with item numbers and prices of each service. You can quote these item numbers to your healthfund to know your exact rebate for the treatment required.

We encourage you to be fully aware of your annual individual limits (for both general and major dental cover), and to constantly check your policy for any changes that may have been implemented by your healthfund.

How do I claim?

After the consultation, your health fund or medicare card is simply swiped into the HICAPS terminal by the health service provider. Your claim details are entered and in seconds the whole transaction is processed.

WorkSafe claims are simply lodged using HICAPS by your health service provider and sent to WorkSafe for assessment.

The whole process is so quick and easy. No more queuing or claim forms to fill in. Next time you visit your health service provider, why not ask if you can use HICAPS to claim on the spot.

Do I need to pay for the full fee before I can claim my health fund rebate?

There’s no need to pay the full consultation fee up-front then wait for the reimbursement of your benefit. Once your claim is authorised by the health fund, you simply pay the gap amount – the difference between the full fee for the treatment and the amount claimed from your health fund.

WorkSafe claims are simply lodged using HICAPS by your health service provider and sent to WorkSafe for assessment.

The whole process is so quick and easy. No more queuing or claim forms to fill in. Next time you visit your health service provider, why not ask if you can use HICAPS to claim on the spot.

My health fund card does not have a magnetic strip?

It is possible that your health fund is not linked with HICAPS or you have an old Medibank Private card. Please refer to your Health Fund.

WorkSafe claims are simply lodged using HICAPS by your health service provider and sent to WorkSafe for assessment.

The whole process is so quick and easy. No more queuing or claim forms to fill in. Next time you visit your health service provider, why not ask if you can use HICAPS to claim on the spot.

Are my treatment details confidential when claiming my health fund rebate?

Yes, your treatment details are sent directly to your health fund through the HICAPS system and can only be viewed by your provider and your health fund, utilising secure encryption protocol which fully protects your privacy.

WorkSafe claims are simply lodged using HICAPS by your health service provider and sent to WorkSafe for assessment.

The whole process is so quick and easy. No more queuing or claim forms to fill in. Next time you visit your health service provider, why not ask if you can use HICAPS to claim on the spot.

How much are you REALLY getting back?

Are your extras rebate shrinking while your premiums keep growing?

Maybe it’s time to SWITCH.

Thousands of patients and professionals have signed the letter of complaint to help improve private health insurance.

To get unbiased comparison between healthfunds and to know more about what you can do to get better value for your extras insurance money, you can visit the Australian Dental Association website for more details: https://www.ada.org.au/time2switch/Home

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