Ways to make a health insurance claim.

Hospitals and doctors

Hospital: When admitted to a hospital as a private patient you will be asked to pay the excess (if applicable).
After this payment all hospital accounts will be directly forwarded to us on your behalf. Should you receive a hospital account, please post it directly to us at: HIF, Reply Paid X2221, Perth, WA 6847.

Medical: Doctor's accounts may include your surgeon, specialist, anaesthetist and assistant surgeon.

Find your nearest hospital                          Find your nearest doctor

Download a claim form

Our new and improved claim form now makes it even easier for HIF members to submit a health claim.
Simply open the form on screen, type directly into the fields within the PDF and then print it out. Easy!
You can also save a copy of each completed claim form for future reference.

 Download an HIF claim form                           Download a Medicare claim form

NB: Please remember to sign each new claim form before sending a copy to HIF.
 

Important information

• Please ensure you send all doctors accounts to HIF not Medicare (claims sent to Medicare first are not eligible for any AccessGap payments). Accounts are to be sent in with claim forms for both Medicare and HIF.
• Medical claims can be sent by post or presented in person at our head office, though please be advised that we can not provide immediate payment for AccessGap accounts presented in person.
• Inpatient pathology and radiology accounts can either be submitted to HIF or Medicare first.  A claim form for both HIF and Medicare are required when submitting these accounts.

When lodging a claim, you must ensure the following details and documents are included:
(claims received without these details will be returned unprocessed) 

Please also note:

• We will retain all documents relating to a claim
• All claims must be lodged within two years of the date of service
• Claims for services older than two years will not be processed 

With our ancillary health cover, there are four ways you can claim:

	Claim on the spot: Claim for ancillary services on the spot using your HIF member card. Simply swipe it through the e-terminal* at your health service provider and your benefits will be deducted from the fee automatically. You then just need to pay any additional out-of-pocket expenses (if there are any).  To find your nearest ancillary provider with eClaiming facilities, please visit the HICAPS website *Available at all HIF providers that use HICAPS  or iSoft e-terminals.
	Claim by smartphone, email or fax: Did you know that paid ancillary claims of up to $700 per day can be submitted via our new SmartClaim mobile app, or via email or fax, courtesy of our Fast-Track system? To find out more about SmartClaim and to download the app to your Apple or Android mobile device, check out our new Mobile Claiming page. Alternatively, to Fast-Track your claim, simply complete a claim form and fax it to (08) 9328 1685, along with your itemised accounts and receipts. Alternatively, you can scan your completed claim form and accounts, then email  the documentation to us at claims@hif.com.au  *Check out the terms and conditions to see if your claim is eligible for SmartClaim or Fast-Track.
	Claim by mail: You can also submit your ancillary claims by mail. Just download a claim form, attach the relevant accounts and post it to us. Our postal address is: HIF, GPO Box X2221, Perth, WA 6000.
	Claim in person: Alternatively, if you're in Western Australia, you can make a cash claim (up to $500) at one of five HIF claim agents in WA:

Important information

When lodging a claim, you must ensure the following details and documents are included:
(claims received without these details will be returned unprocessed) 

• The member's full name
• The patient's name
• The healthcare provider's name
• The member's signature
• An itemised account (original copy)
• The receipt (if paid).

Please also note:

• We will retain all documents relating to a claim
• All claims must be lodged within two years of the date of service
• Claims for services older than two years will not be processed

If you register for Direct Credit, we’ll pay your benefits directly to your nominated bank account. No more cheques. No more bank queues. Easy.

• If you're not an HIF member yet but intend to join in the future, you can nominate your bank account for Direct Credit during the online application process.
• If you are already an HIF member who hasn't registered for Direct Credit yet, please get in touch and we'll be happy to update your preferences.