HICAPS: Physio examining his patients neck in physiotherapists office

HICAPS

What is HICAPS and how can it help you claim on extras quicker?

If you regularly claim on extras services such as optical and dental, you may already know what HICAPS is.

If you don’t, this guide provides a brief rundown on what it is, how it works and which health funds offer it for which types of ancillary services.

Compare extras health insurance that supports HICAPS

What is HICAPS?

HICAPS is an acronym for Health Industry Claims and Payments Service. It’s an electronic health claims system that allows you to claim Medicare, WorkSafe Victoria, or private-health Extras benefits at the time of payment.

When a service provider gives you the bill for your treatment, you hand them your Medicare, WorkSafe Victoria, or health-fund membership card, and they swipe it through an electronic HICAPS machine. The machine then automatically processes your claim. If you are claiming from your health fund, its contribution will be processed on the spot, and you pay the remaining gap if applicable.claim.

HICAPS covers most ancillary services from a variety of providers including participating doctors, dentists, optometrists, chiropractors and physiotherapists.


Which funds use HICAPS?

HICAPS is a service provided by most Australian health funds. These include:


What services can be claimed on HICAPS?

The following list summarises the services that can be claimed through HICAPS by some of the leading health funds.

FundYou can make HICAPS claims for:Find out more
ahm
  • acupuncture
  • chiropractic
  • dental
  • dietetics
  • exercise physiology
  • myotherapy
  • naturopathy
  • occupational therapy
  • optical
  • osteopathy
  • physiotherapy
  • podiatry
  • psychology
  • remedial massage therapy
  • speech therapy
NB: AHM will only accept HICAPS claims processed on the day of treatment.
 More info
Australian Unity
  • acupuncture
  • chiropractic
  • dental
  • dietetics
  • exercise physiology
  • myotherapy
  • naturopathy
  • occupational therapy
  • optical
  • osteopathy
  • physiotherapy
  • podiatry
  • psychology
  • remedial massage therapy
  • speech therapy
 More info
CBHS health fund
  • acupuncture
  • dental
  • remedial massage
  • occupational therapy
  • osteopathy
  • podiatry
  • speech therapy
  • chiropractic
  • dietetics
  • naturopathy
  • optical
  • physiotherapy
  • psychology
  • myotherapy
 More info
GMHBA
  • acupuncture
  • chiropractic
  • dental
  • dietetics
  • exercise physiology
  • myotherapy
  • naturopathy
  • occupational therapy
  • optical
  • osteopathy
  • physiotherapy
  • podiatry
  • psychology
  • remedial massage therapy
  • speech therapy
 More info
HCF
  • chiropractic
  • dental
  • dietetics
  • exercise physiology
  • optical
  • osteopathy
  • physiotherapy
  • podiatry
  • speech therapy
 More info
health.com.aulogo
  • acupuncture
  • chiropractic
  • dental
  • dietetics
  • exercise physiology
  • myotherapy
  • naturopathy
  • occupational therapy
  • optical
  • osteopathy
  • physiotherapy
  • podiatry
  • psychology
  • remedial massage therapy
  • speech therapy
 More info
HIF Logo
  • acupuncture
  • chiropractic
  • dental
  • dietetics
  • exercise physiology
  • myotherapy
  • naturopathy
  • occupational therapy
  • optical
  • osteopathy
  • physiotherapy
  • podiatry
  • psychology
  • remedial massage therapy
  • speech therapy
 More info
nib
  • acupuncture
  • chiropractic
  • dental
  • dietetics
  • exercise physiology
  • myotherapy
  • naturopathy
  • occupational therapy
  • optical
  • osteopathy
  • physiotherapy
  • podiatry
  • psychology
  • remedial massage therapy
  • speech therapy
 More info
people care health fund
  • acupuncture
  • chiropractic
  • dental
  • dietetics
  • exercise physiology
  • myotherapy
  • naturopathy
  • occupational therapy

  • optical
  • osteopathy
  • physiotherapy
  • podiatry
  • psychology
  • remedial massage therapy
  • speech therapy
 More info
Transport Health Logo
  • acupuncture
  • chiropractic
  • dental
  • dietetics
  • exercise physiology
  • myotherapy
  • naturopathy
  • occupational therapy
  • optical
  • osteopathy
  • physiotherapy
  • podiatry
  • psychology
  • remedial massage therapy
  • speech therapy
 More info

Compare extras policies that let you take advantage of HICAPS

Picture: Shutterstock 

Richard Laycock

Richard is the senior insurance writer at finder.com.au and is on a mission to make insurance easier to understand.

Was this content helpful to you? No  Yes

Related Posts

Compare health insurance on finder.com.au

Compare all health 35 funds today
Compare all health 35 funds today

Compare all 35 private health funds and quotes for 65,000 policies.

More info...
Latest health insurance member discounts
Latest health insurance member discounts

Compare the latest member discounts and benefits from health funds.

More info...
Compare combined health insurance
Compare combined health insurance

Get health insurance with extras and hospital cover in one policy.

More info...
Health insurance for overseas visitors
Health insurance for overseas visitors

Compare overseas visitor health cover offered by participating funds.

More info...

Ask a Question

You are about to post a question on finder.com.au

  • Do not enter personal information (eg. surname, phone number, bank details) as your question will be made public
  • finder.com.au is a financial comparison and information service, not a bank or product provider
  • We cannot provide you with personal advice or recommendations
  • Your answer might already be waiting – check previous questions below to see if yours has already been asked

Disclaimer: At finder.com.au we provide factual information and general advice. Before you make any decision about a product read the Product Disclosure Statement and consider your own circumstances to decide whether it is appropriate for you.
Rates and fees mentioned in comments are correct at the time of publication.
By submitting this question you agree to the finder.com.au privacy policy, receive follow up emails related to finder.com.au and to create a user account where further replies to your questions will be sent.

Ask a question
feedback