Making a Health Insurance claim should be easy. After all, that’s why we have Health Insurance.
We know you’re busy so let’s make this quick!
If your provider uses HICAPS you can claim on-the-spot with your membership card, otherwise there are four easy ways you can make a claim:
- Download the free app.
- Register your details.
- Upload a clear photo of your itemised account and a receipt (required for payment of claim).
Most claims submitted via the app are paid within 2 business days.
Claims must be supported by an itemised account(s), receipt(s) (required for payment of claim) if paid, and/or Medicare Statement(s). We cannot pay benefits on quotes.
Itemised accounts and/or receipts (required for payment of claim) must show the following information:
- The provider’s name, provider number and address.
- The patient’s full name and address.
- The date of service.
- The description of the service, including any item numbers.
- The amount charged.
Please remember to also check for any additional documentation that may be required to support your claim in the Health Partners Member Guide, particularly in relation to Wellness programs, Health Aids and Appliances. General information about claiming and benefits can also be found in this document.
Member claims are deposited by direct credit directly into your preferred bank account (or a cheque is provided if required).
Simply supply your bank account details on your membership application, on the Member Claim form or at any time by a Benefits Payment form.
You only need to supply these details once – the next time you submit a claim (either via our app or the claim form), simply tick the direct credit box and we will transfer your benefit to the same account.
Once direct credit payments have been processed, a statement will be sent to you outlining benefits paid.
By default, cheques (if not receiving your benefit via direct credit bank transfer) will be made out to the policyholder, or to the provider if the account is unpaid.