Electronic Claim Processing

The ADF Family Health Card can be used for electronic claiming via HICAPS or HealthPoint. This initiative is not a private health insurance product.

The ADF Family Health Card can be used in conjunction with private health insurance. It is recommended that claims be electronically submitted to the private health insurer prior to processing the ADF Family Health Card. The ADF Family Health Card can then be used to claim the gap, up to the available limit. Any remaining amounts must be paid by the ADF family. The process is summarised below:

NOTE:  The ADF Family Health Card may not be compatible with all practice software. If the practice is unable to electronically process any claim, ADF families should pay for their visit and follow the claims processing procedures available here.

Navy Health Ltd has been contracted for the administration of all claims processing functions for the National ADF Family Health Program.