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.

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.

FundWhat’s covered?Find out more
ahmYou can make HICAPS claims for acupuncture, chiropractic, dental, dietetics, exercise physiology, myotherapy, naturopathy, occupational therapy, optical, osteopathy, physiotherapy, podiatry, psychology, remedial massage therapy and speech therapy.
NB: AHM will only accept HICAPS claims processed on the day of treatment.
 More info
Australian UnityYou can make HICAPS claims for acupuncture, chiropractic, dental, dietetics, exercise physiology, myotherapy, naturopathy, occupational therapy, optical, osteopathy, physiotherapy, podiatry, psychology, remedial massage therapy and speech therapy. More info
CBHS health fundYou can make HICAPS claims for acupuncture, dental, remedial massage, occupational therapy, osteopathy, podiatry, speech therapy, chiropractic, dietetics, naturopathy, optical, physiotherapy, psychology and myotherapy. More info
GMHBAYou can make HICAPS claims for acupuncture, chiropractic, dental, dietetics, exercise physiology, myotherapy, naturopathy, occupational therapy, optical, osteopathy, physiotherapy, podiatry, psychology, remedial massage therapy and speech therapy. More info
HCFYou can make HICAPS claims for chiropractic, dental, dietetics, exercise physiology, optical, osteopathy, physiotherapy, podiatry and speech therapy. More info
health.com.aulogoYou can make HICAPS claims for acupuncture, chiropractic, dental, dietetics, exercise physiology, myotherapy, naturopathy, occupational therapy, optical, osteopathy, physiotherapy, podiatry, psychology, remedial massage therapy and speech therapy. More info
HIF LogoYou can make HICAPS claims for acupuncture, chiropractic, dental, dietetics, exercise physiology, myotherapy, naturopathy, occupational therapy, optical, osteopathy, physiotherapy, podiatry, psychology, remedial massage therapy and speech therapy. More info
nibYou can make HICAPS claims for acupuncture, chiropractic, dental, dietetics, exercise physiology, myotherapy, naturopathy, occupational therapy, optical, osteopathy, physiotherapy, podiatry, psychology, remedial massage therapy and speech therapy. More info
people care health fundYou can make HICAPS claims for acupuncture, chiropractic, dental, dietetics, exercise physiology, myotherapy, naturopathy, occupational therapy, optical, osteopathy, physiotherapy, podiatry, psychology, remedial massage therapy and speech therapy. More info
Transport Health LogoYou can make HICAPS claims for acupuncture, chiropractic, dental, dietetics, exercise physiology, myotherapy, naturopathy, occupational therapy, optical, osteopathy, physiotherapy, podiatry, psychology, remedial massage therapy and speech therapy. More info

Compare your health insurance options

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.

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