Will my private health insurance cover my appointments?

Private health insurance coverage for your appointments at HMC depends on specific conditions. To be eligible for a private health rebate on your appointment fee, your private health insurance policy must cover appointments with your clinician.

Coverage:

  • Psychologists & Clinical Psychologists:

    • Services are typically covered by most private health funds.

  • Accredited Mental Health Social Workers:

    • Services are only covered by Bupa Health Insurance, UniHealth, Teachers Health, St Lukes Health, HCF Health Insurance or Nurses & Midwives Health.

  • Other Clinicians:

    • Services provided by a Provisional Psychologist, Play Therapist, or Therapy Assistant are not eligible for private health rebates.

Important:

  • It is your responsibility to contact your private health insurer to confirm if your policy covers the services you intend to claim.

  • Private health funds do not cover cancellation fees or assessment reports.

  • Certain services, such as telephone appointments, may not be covered by specific funds. Ensure your fund covers the specific services you require.

Billing & Claims:

  • Some insurers may require specific billing codes to process rebates. If applicable, please obtain this information and provide it to HMC before your appointment.

  • You cannot claim from both Medicare and private health insurance for the same appointment.

  • We can process private health rebates in the clinic, for eligible services, provided by a eligible clinician under your level of cover.