How to claim

If you have an excess on your cover, you'll be required to pay this before you are admitted. Once you've paid your excess to the hospital, we'll pay your hospital benefits in accordance with your level of cover.

The hospital will send the claim directly to GU Health for payment. Once this is paid, you’ll receive a statement from us. If you make the payment in full, we will send the benefit to you.

Claims relating to pre-existing conditions may need to be assessed by GU Health prior to being approved for payment. We recommend that you contact us before any hospital treatment if there's any doubt as to whether a condition is pre-existing.

If your doctor doesn't participate in the GU Health Medical Gap Network, you'll need to complete the following steps when claiming your hospital medical expenses:

Firstly, take your expenses to Medicare and obtain a Statement of Benefit Advice confirmation letter

• Complete a claim form, attach your Medicare Statement of Benefit Advice and either submit via Flex-eClaim, the GU Health App or send to us via email or mail

• If you’re a non-resident, you can also claim for medical services online via Flex-eClaim or the GU Health App.

• If your doctor participates in the GU Health Medical Gap Network, the bill can be sent directly to GU Health.

If your doctor participates in the GU Health Medical Gap Network, the bill can be sent directly to GU Health.

You'll need a letter from your doctor explaining why the treatment or aid is required. It will need to specify that the treatment or aid:

• will help to manage or prevent a chronic disease or condition.

• will be provided or supplied by a recognised practitioner or supplier.

You can find more information on what you’re entitled to claim in Your Plan Information booklet or in Online Member Services.

Provide your bank account details online to receive benefit payments directly into your bank account with FastBack. Simply log in to Online Member Services.

You can claim for extras and medical services by email or post. Simply download and print a claim form, fill in the details and send it to us at:

Email:
[email protected]

Mail:
GPO Box 2988
Melbourne Vic 8060