There are lots of ways to make a claim. You'll just need to make sure you've served all your waiting periods before you start the claims process. Then, if you have Extras cover, you can simply use your membership card. Alternatively, you can use our member portal, or even claim by post. We've detailed the ins and outs in the member guide (plus some extra process info that may come in handy).
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There are lots of ways to make a claim. You'll just need to make sure you've served all your waiting periods before you start the claims process. Then, if you have Extras cover, you can simply use your membership card. Alternatively, you can use our member portal, or even claim by post. We've detailed the ins and outs in the member guide (plus some extra process info that may come in handy).
You can see them all online. Simply log in to our member portal and head to the Claims section to look at your history.
It doesn’t happen often, but there are instances where benefits are not paid at all or are paid at a lower level. These are when:
- The treatment is not covered under your policy
- The treatment was not provided by a recognised provider
- The treatment was not provided in Australia
- You’ve already claimed the maximum allowable benefits during a specified period
- You’ve transferred to AIA Health Insurance from another fund and have already claimed for that treatment
- It’s been more than two years since the treatment you’re claiming for
- The health care account has been incorrectly itemised
- You have an excess to pay on your chosen level of cover
- The service is subject to a waiting period or another limit
- You’re claiming for treatments carried out overseas
- Treatment was provided to or from a family member or business associate
- If AIA Health Insurance believes that you are not receiving acute care after 35 days of continual hospitalisation
- Surgery is performed in hospital by a registered podiatrist/podiatric surgeon
- When no MBS item number is provided by the health practitioner
- If the MBS item is being performed for a cosmetic reason and not medical
- The treatment was the second treatment performed on you in a day by a single practitioner.
To find out more, we recommend checking out your cover’s detailed terms and conditions published in our Fund Rules. These are available by calling us on 1800 333 004.
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Copyright © 2024. AIA Group Limited and its subsidiaries or affiliates. All rights reserved. Priority Protection and Priority Protection for Platform Investors products are issued by AIA Australia Limited (ABN 79 004 837 861, AFSL 230043). AIA Vitality, a personalised, science-backed program that supports members every day to make healthier choices, is available with eligible products issued by AIA Australia. AIA Health with AIA Vitality is issued by AIA Health Insurance Pty Ltd ABN 32 611 323 034, a registered private health insurer governed by the Private Health Insurance Act 2007, Private Health Insurance Rules 2007 and the AIA Health Insurance Pty Ltd Fund Rules. It is general information only and is not intended in any way to be financial, legal, tax, health, medical, nutritional or other advice. You should consider your own personal circumstances and needs and view the relevant product documents, fact sheets, fund rules and terms and conditions before making a decision to acquire such products. If necessary you should obtain professional advice from a financial, tax, medical or health professional. Unless expressly stated, any views or expressions of opinion (including any video content) do not represent the opinion of AIA.
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