Medix

Medix provides care when you need it most. Should you ever receive a worrying diagnosis Medix will be there to support you through your medical journey. As an AIA Health Insurance member you’ll be appointed a local personal medical case manager, who will review your original diagnosis and any existing treatment plans in consultation with global leading specialists, to provide you with a comprehensive treatment plan, designed to support you every step of the way. 

Medix’ sole focus is providing you with access to the best personalised care for your treatment and recovery. It’s much more than just a second medical opinion.

Personal Medical Case Management is all about the reassessment of the medical case, planning, coordination, implementation and on-going supervision, to ensure best quality care.

As an AIA Health Insurance member you’ll be supported by your local personal medical case manager, a medical coordinator nurse and a 24/7 service centre. Your case manager will review your personal medical situation in detail, including any diagnosis or existing treatment plans. You will then receive a personal medical recommendation, based on the collective knowledge of an expansive network of leading local and international specialists; giving you peace of mind that you will receive the best medical advice. 

Medix services are available free of charge to AIA Australia customers that hold an eligible individual Life Insurance (life, TPD, trauma or income protection) or Health Insurance policy.

For AIA Health Insurance, members who have a hospital only or combined (hospital and extras) policy, (excluding Basic and Basic Plus Hospital products), and have been a member for 6 months or more are eligible.

For further information on eligibility please refer to the AIA Medix Personal Medical Case Management Terms and Conditions.

Medix provides free support to eligible Health Insurance members for a broad range of illness types, including:

• Cancer
• Liver diseases
• Kidney diseases
• Chronic gastroenterological diseases experienced during a period of at least 90 days
• Cardiovascular diseases
• Neurological diseases and invasive procedures into the central or peripheral nervous system
• On-going Orthopaedic diseases experienced during a period of at least 90 days
• Elective invasive procedures following disease with the intent of treating a disease/medical condition and excluding diagnostic reasons
• Haematological diseases
• Rheumatologic diseases
• Metabolic diseases
• Endocrine diseases
• Ear, nose and throat (ENT) diseases and related invasive procedures
• Immunological diseases
• Pulmonary diseases
• Infectious diseases experienced during a period of at least 7 days
• Ocular diseases
• Orphan diseases
• Combined pathologies: several diseases requiring multidisciplinary treatment and, consequently, coordination between at least two specialists from different fields of expertise
• Any medical problem that has required hospitalization or a medical problem that requires hospitalisation due to complications following a procedure or treatment, all lasting more than 3 consecutive days.
• Paediatric patient whose case matches one of the following descriptions:
  • Elective surgery, i.e., a non-urgent procedure prescheduled following the recommendation of a specialist from a paediatric clinic (including outpatient clinics)
  • Chronic disease
  • Hereditary disease
  • Congenital anomaly
  • Developmental impairments following a period of at least 6 months of consultation and treatment at a paediatric development centre and consultation with at least two specialists in fields related to the medical problem.
• Mental Health - limited to certain diagnosable mental disorders—health conditions characterized by alterations in thinking, mood, or behaviour associated with distress or impaired functioning. Medix Australia will support patients struggling with their mental health who experience stress, loneliness, minor to mild depression, anxiety, relationship problems, death of a loved one, grief, various mood disorders. 
• COVID-19, where the individual has been released from clinical setting (i.e. discharged from hospital) and has only mild or minimal symptoms. 

For further information on eligibility please refer to the AIA Medix Personal Medical Case Management Terms and Conditions.

All eligible AIA Health Insurance members can access Medix services free of charge for supported illnesses.

The Medix service does not cover the costs of any additional medical tests, consultations or treatments recommended by Medix. Many recommended tests, consultations or treatments may be covered by Medicare or Personal Private Health Insurance cover.

If you have an AIA Health Insurance policy, you may be covered for the recommended treatment, depending on your level of cover and if you have served the waiting period. You will need to follow the regular AIA Health Insurance hospital claim procedures. 

Medix has no commercial incentive to change your diagnosis or treatment plan. Their sole focus is to ensure you have access to the best care and support you require during your medical journey. All services provided to you by Medix are treated as confidential.

Access to the AIA Medix Personal Medical Case Management Service does not form part of your insurance policy and your utilisation of this service is separate to any AIA Health Insurance claims processes. 

AIA Health Insurance is issued by AIA Health Insurance Pty Ltd. AIA Health Insurance Pty Ltd will not share your personal information with Medix unless you choose to access the service. If you choose to access the service, AIA Health Insurance Pty Ltd will share with Medix only the personal information that is necessary to verify your identity and determine your eligibility to the service.  

Medix will never share your information with its doctors, or any other persons, including AIA Health Insurance Pty Ltd, without your prior consent. Medix will handle, and will ensure that all medical practitioners involved in the provision of the Medix service handle, your personal information in accordance with Australian privacy laws.