Find a Contracted Hospital
Police Health has agreements with most private hospitals that are likely to be accessed by members. These agreements ensure that an agreed schedule of fees (including in-patient accommodation, theatre and special unit accommodation fees as appropriate) is charged by the hospital and paid by Police Health on the member’s behalf.
Please note that a member’s benefit entitlements will be affected by factors such as their level and type of cover and the financial status of their membership. This will affect the amount Police Health will reimburse to the hospital. We strongly recommend if you contact us on 1800 603 603 to confirm your benefit entitlement prior to receiving hospital treatment. If you choose a non-agreement hospital may incur out-of-pocket expenses for hospital related services irrespective of your level of cover.
Find a Doctor - Access Gap Search
Access Gap Cover eliminates, or substantially reduces, the out-of-pocket expenses that are part of a hospital stay for people with private health insurance. We have arrangements with a majority of doctors around Australia where, in most cases, our members will be fully covered for in-hospital medical treatment, or will at least be advised prior to treatment of any gaps that might exist. You can search for participating doctors by specialist group, doctor name, and locality. You can also call us on 1800 603 603 or your doctor to verify if you will be covered in the Access Gap Scheme before treatment.
Counsellor Provider Search
How do Police Health’s counselling benefits work?
As part of our commitment to supporting the mental health and wellbeing of our Members, Police Health offers counselling services in our Extras cover.
As the counselling profession is unregulated, benefits will only be claimable by recognised providers. In order to qualify as recognised providers, counsellor’s must be registered with either the Australian Counselling Association (ACA), or the Psychotherapy and Counselling Federation of Australia (PACFA) and be in private practice whilst meeting a set of practice and educational criteria. This ensures our members can have confidence in the counsellors we recognise.
With the new benefit in place, eligible members will be able to claim back 80% of the cost of a counselling session, up to $80. Benefits are payable for one-on-one sessions, couples/family sessions and group sessions.
Counselling benefits and Psychology benefits have a combined Annual Maximum of $850, with a combined Psychology and Counselling Rollover Benefit of up to $1700 per person. *
*Subject to waiting periods and other conditions.
For more information call us on 1800 603 603.
In order to qualify as recognised providers, counsellor’s must be registered as a level 2, 3 or 4 counsellor with the Australian Counselling Association Inc (ACA) or, a counsellor or psychotherapist with Clinical Membership with the Psychotherapy and Counselling Federation of Australia (PACFA) and be in private practice and meet a set of practice and educational criteria.
Complementary Therapies Provider Search
Please note from the 1 April 2019, the Australian Government has made changes to therapies eligible for cover.
Accepted forms of complementary therapy
- Remedial Massage Therapy
- Remedial Therapy
- Chinese Medicine
Complementary therapy NOT covered*
- Alexander Technique
- Western Herbal Medicine
*not a complete list, please call us 1800 603 603 to check.
Recognised service providers
While the vast majority of private service providers registered and practising in Australia within an accredited therapy will be recognised by us for benefits, not all providers are recognised. Individual therapists are required to meet certain criteria in education, continuing work experience, professional education, hold appropriate professional indemnity and public liability insurance and have completed a prescribed number of hours work experience. If you wish to ensure your provider is recognised by Police Health, please contact us prior to treatment.
Where can I claim on the spot using my member card (HICAPS)?
We like to make claiming on your health insurance easy, and one of the easiest ways to make a claim is through HICAPS – the system that lets you swipe your Police Health membership card to make a claim on the spot. HICAPS claiming isn’t available for everything, but this handy search function will help you identify times when it likely is.
Before you begin your search it’s important to note that this search facility is provided by HICAPS and therefore may include some health providers not recognised by Police Health for on the spot claims, but may still be claimable*. The search may also include health providers not recognised by Police Health for any payment of benefits and therefore won’t be covered by us. These situations are rare however members may wish to confirm that their health provider is recognised for benefits prior to service by contacting Police Health directly.
*On the spot HICAPS claiming is not available for; orthodontic, pharmacy, health appliances (including hearing aids), counselling and eye therapy. However these claims can be submitted via our app, or by emailing us a claim form.
Recognised & Registered Service Providers
While the vast majority of private service providers registered and practicing in Australia will be recognised by us for benefits, not all providers are recognised.
If you wish to ensure your provider is recognised by Police Health, please contact us prior to treatment.
Phone us on 1800 603 603 or email firstname.lastname@example.org