Private health insurers

Participating brands

HICAPS has partnered with all Australian health insurers as well as both Worksafe (Vic) and Medicare to make processing claims and payments easier for patients and health practitioners Australia-wide.

Overseas health claiming with HICAPS

Having partnered with select health funds*, HICAPS makes it easy to process health care claims for overseas workers, students and visitors.

How to process overseas visitor claims

If your patient has either overseas visitor health cover or overseas student health cover, you can process a claim by following these simple steps:

  1. After consultation swipe the patient’s private health insurance card through the HICAPS terminal.
  2. Enter the patient’s claim details into the HICAPS terminal or PMS.
  3. Once authorised, the patient can then pay the gap amount (if there is any).
  4. Like all claims with HICAPS, we’ll deposit a consolidated settlement within one to two business days.

View and download the Overseas Visitor Cover item number guides.

Want to know more about processing overseas visitor health claims? Give our customer service team a call Monday to Saturday 8am – 10pm (AEDT) on 1300 650 852.

*Currently only available with Medibank, Bupa, nib.

Other information

Not every health fund allows for every service to be processed through your HICAPS terminal. See the list below for a list of services that can be claimed per health fund.

HICAPS participating health fund for remedial massage therapist (PDF, 839KB)

HICAPS participating health funds service list (PDF, 959.6KB)

The following funds can process claims on a HICAPS Mobile terminal.

HICAPS mobile participating health funds service list (PDF,231.6KB)

Please note:
*Medibank Private: only available to participating: physiotherapists, psychologists, podiatrists, occupational therapists and chiropractors.

**TUH: only available to participating dentists, physiotherapists, psychologists, podiatrists, osteopaths, optometrists, occupational therapists, chiropractors, acupuncturists, dietitians, speech pathologists and exercise physiologists.

***La Trobe Health Services: only available to participating podiatrists, physiotherapists
and psychologists.

 

Note: the times listed below are when the health funds are generally available to process claims through a HICAPS terminal – these times may change. To confirm, we recommend contacting them directly.

Health fund operating hours (PDF, 35.7KB)

Fund

Health Fund Name Abbreviations

Monday-Friday

Saturday

Sunday

ACA Health Benefits Fund

ACA

24 hours

24 hours

24 hours

ADF Family Health

ADF

8.30am – 5.00pm

8.30am – 5.00pm

-

ahm Health Insurance

AHM

6.00am – 11.00pm

6.00am – 8.00pm

6.00am – 8.00pm

Australian Unity

AU

7.00am – 10.00pm

7.00am – 10.00pm

7.00am – 10.00pm

BUPA

BUPA

24 hours

24 hours

24 hours

CBHS Friendly Society

CBHS

24 hours

24 hours

24 hours

CBHS Corporate

CBHCRP

24 hours

24 hours

24 hours

Credicare Health Fund

CHF

24 hours

24 hours

24 hours

Defence Health

DEF

24 hours

24 hours

24 hours

Doctors Health Fund

DHF

6.00am – 10.00pm

6.00am – 10.00pm

Emergency Services Health

ESH

24 hours

24 hours

24 hours

GMF

GMF

6.00am – 10.00pm

6.00am – 10.00pm

GMHBA

GMHBA

24 hours

24 hours

24 hours

Grand United

GUH

6.00am – 10.00pm

6.00am – 10.00pm

6.00am – 10.00pm

HBF (WA time)

HBF

24 hours

24 hours

24 hours

HCF

HCF

24 hours

24 hours

24 hours

Health.com.au

NIA

24 hours

24 hours

24 hours

Health Care Insurance (Tas time)

HCI

24 hours

24 hours

24 hours

Health Partners (SA time)

HPI

24 hours

24 hours

24 hours

HIF of WA (WA time)

HIFWA

24 hours

24 hours

24 hours

Hunter Health Insurance

CDH

24 hours

24 hours

24 hours

Latrobe Health Services

LHS

24 hours

24 hours

24 hours

Medibank Private Limited

MBP

5.00am – 23.59pm EST

5.00am – 23.59pm EST

5.00am – 23.59pm EST

Mildura Health Fund

MDH

24 hours

24 hours

24 hours

My Own Health Insurance

AIA

24 hours

24 hours

24 hours

Navy Health

NAVY

24 hours

24 hours

24 hours

NIB Health Funds Ltd

NIB

6.00am – 9.00pm

6.00am – 9.00pm

6.00am – 9.00pm

Nurses & Midwives Health

NMH

24 hours

24 hours

24 hours

Onemedifund

OMF

6.00am – 10.00pm

6.00am – 10.00pm

Police Health (SA time)

PHF

24 hours

24 hours

24 hours

Phoenix Health Fund

PHNX

24 hours

24 hours

24 hours

Queensland Country Health (Qld time)

QCH

24 hours

24 hours

24 hours

RB Health Society

RBHS

6.00am – 10.00pm

6.00am – 10.00pm

rtHealth Fund

RNT

6.00am – 10.00pm

6.00am – 10.00pm

St Lukes Health (Tas time)

STL

24 hours

24 hours

24 hours

Teachers Federation Health Ltd

TFH

24 hours

24 hours

24 hours

Teachers’ Union Health

TUH

7.00am – 10.00pm

7.00am – 10.00pm

24 hours

Transport Health

TFS

24 hours

24 hours

24 hours

Westfund

WDH

6.00am – 10.00pm

6.00am – 10.00pm

 

Need a hand? We’re here to help. You can call us Monday to Saturday 8am – 9pm EST on 1300 65 08 52.

 

HICAPS terminals can process up to 24 item numbers in one transaction. However, the actual number of items per transaction can vary from health fund to health fund.

Once the patient’s health fund is swiped through the terminal, the screen will display the maximum number of items available.

The list below details the maximum number of items accepted by each health fund.

Maximum item number guide (PDF 66KB)

Fund

Card Prefix

Number of items accepted

Contact phone Monday – Friday

Contact hours Monday – Friday

ACA Health Benefits Fund

90360012

21

1300 368 390

9.00am – 5.00pm

ADF Family Health

90360109

23

1300 561 454

8.30am – 5.00pm

ahm Health Insurance

90360041

24

1300 309 710

8.30am – 5.00pm

APIA

90360002

24

1800 175 377

9.00am – 5.00pm

Australian Unity

90360008

24

13 29 39

8.30am – 8.00pm

Budget Direct

90360042

24

03 5225 3658

8.30am – 5.00pm

BUPA

90360006

16

13 41 35

8.00am – 8.00pm

CBHS Health Fund Limited

90360009

24

02 9843 7624

8.15am – 5.00pm

CBHS Corporate

90360139

24

02 9843 7624

8.15am – 5.00pm

CUA Health (Qld time)

90360045

16

1300 499 260

8.00am – 5.00pm

Defence Health

90360020

23

1800 335 425

8.30am – 5.00pm

Doctors Health Fund

90360005

23

1800 226 126

8.30am – 6.00pm

Emergency Services Health

90360140

23

08 8212 2770

9.00am – 5.00pm

Frank Health Insurance

90360042

24

1300 437 265

8.00am – 6.00pm

GMHBA

90360042

14

1300 446 422

8.00am – 6.00pm

Grand United Health

90360043

15

02 9370 6787

8.30am – 5.00pm

HBF (WA time)

90360025

23

1800 620 133

8.30am – 5.00pm

HCF

90360015

16

02 9290 0152

8.30am – 4.30pm

Health Care Insurance

90360013

23

03 6432 1199

8.45am – 5.00pm

Health.com.au

90360125

23

1800 199 802

8.00am – 6.00pm

Health Partners (SA time)

90360024

24

08 8223 7588

8.00am – 5.30pm

HIF of WA (WA time)

90360026

16

1300 134 060

8.30am – 5.30pm

Hunter Health Insurance

90360058

23

024990 1385

8.30am – 5.00pm

Latrobe Health Services

90360038

16

1300 362 144

9.00am – 5.00pm

Medibank Private Limited

90360004

16

1300 654 887

8.00am – 4.30pm

Mildura Health Fund

90360048

9

03 5023 0269

8.30am – 5.00pm

My Own Health Insurance

90360138

23

1300 300 338

9.00am – 5.00pm

Navy Health

90360010

23

03 9896 9300

8.30am – 7.00pm

NIB Health Funds Ltd

90360002

22

1800 175 377

9.00am – 5.00pm

Nurses & Midwives Health

90360142

23

1300 344 000

9.00am – 5.00pm

OneMedifund

90360088

23

1800 148 626

8.30am – 5.00pm

Peoplecare

90360016

23

1800 808 690

8.30am – 5.00pm

Police Health

90360021

23

08 8212 2770

8.30am – 5.00pm

Qantas Assure Health Insurance

90360002

22

1800 175 377

9.00am – 5.00pm

Phoenix Health Fund

90360019

23

02 4935 5738

7.45am – 4.30pm

Queensland Country Health (Qld time)

90360022

23

1800 813 415

8.30am – 5.30pm

Reserve Bank Health Society

90360089

23

1800 027 299

8.30am – 5.00pm

RT Health Fund Ltd

90360084

23

1300 886 123

8.30am – 5.00pm

St.LukesHealth

90360044

23

1300 651 988

9.00am – 5.00pm

Teachers Health Fund

90360011

16

1300 727 538

8.00am – 5.00pm

Teachers’ Union Health

90360018

23

1300 806 808

7.30am – 5.30pm

Territory Health Fund

90360022

23

1800 623893

7.30am - 5.00pm

Transport Health

90360056

23

03 8420 1880

8.30am – 5.00pm

Uni Health

9036001

24

1300 727 538

8.00am – 5.00pm

Westfund

90360096

23

1300 937 838

8.00am – 5.00pm