Lodging a Claim

  • You must add your banking details to your family ID for benefits to be paid. Add your banking details by registering or logging into the online portal.
  • All claims must be submitted within 12 months from the date of the service being performed. Any claim received that is over 12 months old will not be paid.

Please ensure you read the conditions of use before claiming

 

Allied Health Claims

  1. At the time of service:
    Using your ADF Family Health Program card at the providers office is the quickest way to claims your benefit.
  2. Claiming App:
    Download the claiming App for your Apple or Android device. You will need to upload your receipts for service from your provider.
  3. Online
    Register or log in to the online claiming portal. You will need to upload your receipts for service from your provider

General Practice, Specialist, Diagnostic and Radiology Claims

Mobile Claiming – Claiming App

  1. Ensure your banking and contacts details have been provided in the Online Member Services Portal.
  2. Download the ADF Family Health App from the Apple App store or the Google Play store.
  3. Visit eligible health care provider and pay for visit/services.
  4. Claim Medicare Rebate.
  5. Open App and follow ‘Make a Claim’ instructions. (You will be able to take a photo of your Medicare receipts and upload).
  6. Money paid into your bank account within 2 business days.

Online Claiming

  1. Visit an eligible health care provider and pay for visit/services.
  2. Claim Medical Rebate.
  3. Log onto Online Member Services website
  4. Scan Medicare receipt.
  5. Follow instruction to upload Medicare receipt.
  6. Money is paid into your bank account within 2 business days.
    NOTE: When using the Online Claiming method, Receipts must uploaded at the time of the claim

Manual Claiming

  1. Visit an eligible health care provider and pay for visit.
  2. Claim Medicare Rebate.
  3. Attach Medicare receipt to an ADF Family Health Medical & Specialist claim form.
  4. Fax, email or mail claim and receipts to: ADF Family Health, PO Box 172, Box Hill, Vic 3128 adffhclaims@navyhealth.com.au.
  5. Money paid into your bank account within 2 business days.

Private Health Insurance

If you have private health insurance it is recommended that you claim your treatment from the private health insurance provider first and then claim any remaining amount via one of the above methods. Please attach a copy of your private health insurer’s receipt before sending in your claim via manual or online methods.