Swipe your membership card at the provider (as long as it has a HICAPS machine) and pay the gap if there is any remaining balance on the bill. I
If the provider doesn't have a HICAPS machine, pay the bill in full, keep your receipt, then submit a claim via the app or online member area.
If you're claiming for hospital services
You'll have to pay your excess amount directly to the hospital. Then, the hospital bills Frank for the remainder. In some cases, hospitals charge more than the amount covered by Frank, and you'll have to pay the difference, on top of your excess. This is called the gap amount. For medical services within a hospital, your doctor or specialist may bill Frank and Medicare directly, and then they will send you a bill or any out-of-pocket expenses.
If the doctor sends you the entire bill, you will need to submit the claim through Medicare using 'two-way' claiming for Frank and Medicare to pay benefits.
If you need any help, you can email frank@frankhealthinsurance.com.au
Complaints info
Frank is owned by GMHBA, which has a reasonable track record for complaints. GMHBA has 2.2% of market share but only accounted for 1.9% of all complaints received by the Commonwealth Ombudsman's Office. However, it did account for 2.7% of all complaints investigated by the Office.
Congratulations, Frank!
Frank received the highly commended award for 'Health Insurance - Basic Hospital' in the 2024 Product Awards.
Nicola Middlemiss is a journalist with nearly a decade of experience in personal finance and insurance. She has contributed to Domain, Yahoo Finance, Money Magazine and Insurance Business Australia, offering in-depth insights into commercial insurance in the Australian market. Nicola holds a Bachelor’s degree in English from the University of Leeds and a Tier 1 General Insurance (General Advice) certification, which complies with ASIC standards. See full bio
Nicola's expertise
Nicola has written 243 Finder guides across topics including:
Personal finance
Personal insurance, including car, health, home, life, pet and travel insurance
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