- Coronavirus FAQ's
- How we're supporting you during coronavirus
- Adding or removing people from your account
- Authorising another person on your cover
- Cover review
- How do I check my limits?
- Pre-existing conditions
- Suspending your cover
- Updating your details
- What am I covered for?
- Waiting periods explained
- Private health insurance reforms
- Gap in cover
- Emergency Department Fees
- Going to Hospital
- Hospital Added Costs
- Insulin Pumps
- IVF & assisted reproductive services
- LHC exemptions
- Public vs. Private
- Restrictions & Exclusions
- Understanding out of pockets
- What is an excess?
- What is LHC?
- What is the MBS?
- Where does Medicare fit in?
- Transcranial Magnetic Stimulation (TMS) Pilot
How do I check the status of my claim?
You can always check your claim history once you login.
Your HICAPS or iSOFT claims (where you've used your health.com.au card on the spot) will be visible in your claim history immediately. They will generally remain at a “pending” status until the next business day, when the next round of payments will be made. At this point, the status will change to "paid".
If you uploaded your receipts via our website, your claim will get placed in a queue to be processed by one of our claims assessors. Your claim won't show up on your policy until this happens, which can take up 10 days from when it's uploaded.
Often, your doctor will send your claim directly to us. If this was done via Medicare’s "electronic system", then your claim goes straight onto your claims history. Alternatively, your Doctor may submit an invoice and a claim form manually, but still request a direct payment. When this happens, your claim will appear within 21 days.
Finally, if you have submitted your Medicare Statement of Benefit, we'll process it for you within 10 business days of receipt.
The hospital is responsible for making a hospital claim. They'll send this directly to us on your behalf, and it will appear in your claims history within 28 days of us receiving it.
(Important to remember, though: sometimes hospitals wait a month or more after your admission before even submitting the claim, so don't hold your breath.)