How does hospital claiming work?

Important notice:

On 1 July 2021, will join Frank Health Insurance. 24 June is the last day to submit outstanding claims and update your address with

Claiming and the online member area are unavailable from 25 June onwards. You can claim again with Frank from 1 July 2021. 

Learn more about upcoming important dates that will affect claiming here.





Now, back to what you came here for: How does hospital claiming work?


When you’re admitted to a private or public hospital, simply let them know that you currently have a policy with (or Frank if after 1 July).

Your hospital account will then be sent directly to (or Frank if after 1 July) for assessment.

Just be aware that you might be sent invoices for any specialist services you received while you’re in hospital - likely to be things such as things like anaesthetists or assisting surgeons. These Medical services require a separate claiming process. 
What does ‘contract’ hospital mean?
A contract hospital is a private hospital with which we have a direct billing agreement. We have agreements with nearly every private hospital in Australia. 

Please note: each policy varies and have different exclusions and restrictions with regards to your hospital cover. Please refer to the going to hospitaguide to ensure you are aware of how it works.