How do I claim
It’s so convenient and easy! You can now use HICAPS to process your health fund claims, Medicare Easyclaims and lodge your Worksafe Victoria claims on the spot in the practice.
Private Health Fund Claims
After the consultation, your health fund card is simply swiped through the HICAPS terminal by the health service provider. Your claim details are entered and in seconds the whole transaction is processed.
Once your claim is authorised, you simply pay the gap amount - the difference between the full fee for the treatment and the amount claimed from your health fund.
If the health service provider has installed HICAPS with EFTPOS facility then you can pay the gap owing with your EFTPOS or credit card.
There are three payment options for patient claims that can be lodged through Medicare Easyclaim. The type of claim submitted is dependent on the manner in which you have agreed with your provider to settle the account.
- Fully paid account - you have paid your account in full.
- Part paid account - you have paid a contribution toward the settlement of the account.
- Unpaid account - account has not been paid.
Following full account payment by cash, EFTPOS, credit card or cheque, your Medicare card is simply swiped through the HICAPS terminal and your rebate is paid directly into your bank account.
HICAPS, together with WorkSafe Victoria (WorkSafe), has developed a new initiative enabling eligible health service providers to lodge invoices for treatment provided to injured workers via the HICAPS terminal.
The method of payment will not change from that currently in place.