At GU Health, we make claiming easy. You can make a claim:
Claim on eligible extras online in three easy steps with Flex-eClaim. Get feedback on the status of your claim and benefits are paid into your bank account within two business days of your claim being approved.
To find out more and to make a claim now click here.
If your extras service provider has a HICAPS facility, you can swipe your GU Health Member Card to claim instantly and only pay the difference between your benefit amount and the full cost of the treatment
You can also 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 by:
For enquiries related to claims, please contact
1800 249 966
+61 2 4914 1519
GPO Box 2988,
Melbourne Vic 8060
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 chosen level of cover.
The hospital will send the claim directly to GU Health for payment. Once this is paid, you will 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:
If your doctor participates in the GU Health Medical Gap Network, the bill can be sent directly to GU Health.
There are three ways to claim on extras:
Claim instantly and only pay the difference between your benefit amount and the full cost of the treatment with HICAPS.
Simply swipe your GU Health Member Card through a HICAPS terminal post treatment. This is subject to individual limits and HICAPS availability.
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:
Your Plan Information provides information on what you’re entitled to claim. You would have received this booklet in your GU Health Welcome Pack. If you need a new copy, please contact your Member Relations Team or go to Online Member Services.
You can also find and update the details relating to your cover, such as mailing address, FastBack details, membership and excess years and your remaining benefit limits, in Online Member Services.
GU Health is a business of nib health funds limited ABN 83 000 124 381. Copyright © nib health funds limited 2020.