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.
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.
HICAPS is a service provided by most Australian health funds. These include:
- ACA Health
- ADF Family Health
- ANZ (Closed to new members)
- Australian Unity
- Budget Direct
- CBHS Health Fund Limited
- CUA Health Limited
- Defence Health
- Doctors Health Fund
The following list summarises the services that can be claimed through HICAPS by some of the leading health funds.
|Fund||You can make HICAPS claims for:||Find out more|
NB: AHM will only accept HICAPS claims processed on the day of treatment.
|Australian Unity||More info|