What is an outpatient service?

We get this question a lot, so hopefully, we can help to provide some clarification. 

If you receive medical treatment in a doctor’s surgery, hospital or emergency department and have not been admitted into hospital you’ll be classified as an outpatient. 

Outpatient treatments (or services) can include but are not limited to: 

  • x-rays
  • scans
  • minor surgery
  • chemotherapy

It’s important to note that if you’re treated as an outpatient, health funds by law, are unable to pay a benefit. The good news is that most outpatient services are payable by Medicare so you should be able to claim a benefit through them. 

What if I’m an Overseas Visitor?

If you’re an overseas visitor and not eligible for Medicare, a benefit towards outpatient services may be provided on the following products: 

In order for HIF to pay a benefit for an overseas policy you will need to submit an invoice that has a provider number and a valid MBS item code along with the HIF claim form so that HIF can assess the claim

Need more information?

If you’d like to receive more information simply complete our general enquiry form or if you'd prefer to speak to one of our consultants call us on 1300 134 060 and we'll be happy to assist.

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