Lodging Claims with the Fund is easy.

With the majority of extras claims such as dental and optical, many of the health providers can process your claim on the spot using electronic claiming facilities, provided by HICAPS and iSOFT - HealthPoint.

Often referred to as “Eftpos style” claiming, simply swipe your membership card and sign to validate the service. Your claim will be automatically lodged with Police Health and we’ll pay the provider directly, leaving you to pay only the out of pocket gap.

To find out if your health provider offers electronic claiming, simply look for the HICAPS & iSOFT logo, contact your health provider, or click here to search HICAPS online.

Not all claims can be lodged electronically, with these claims just simply fill out a Police Health Claim Form. Click here to download the form - (221KB PDF).

Send the completed form, together with all the relevant accounts and receipts, to:

Hospital claims generally come direct to us from the hospital and we send the claim cheque back direct to the hospital, so you won't have to make a claim.

Cheques covering Medigap or extras services will be made payable to you if you've already paid the account, or to the provider of the service if you haven't paid the account. In both instances the cheques will be forwarded to you. If you haven't paid the account, just send the cheque on to the provider together with your portion of the account.

Doctors billing under our Access Gap Cover will normally forward their account direct to us. We will then claim your Medicare entitlements for you and pay that, together with your Police Health benefit, direct to the doctor.

PromptPay

Our PromptPay facility pays your claim cheques direct to your nominated account as an automatic direct credit. Click here to download the claim form (PDF 221KB). When you fill it out, be sure to tick 'yes' to credit direct.

Claims must be lodged with police health within 2 years of the date of service. Claims older than 2 years will not be accepted.

You will need Adobe Acrobat Reader to view this file.
The reader can be downloaded for free from Adobe.

Over some connections, large PDFs may take a while to download. During this time there may be little or no indication of the file downloading. Please be patient, as this should only take a few minutes.

If you are experiencing difficulties downloading or viewing PDFs, our PDF help pages will help you troubleshoot your problems.