Claiming Options

Claiming Options

Hospital claims and most in-patient medical claims will be sent directly to the underwriter St.LukesHealth by the provider.

Claims for extras benefits can be made by one of the following methods.

Astute Simplicity Health App

We’re always looking for new ways to interact with you and we want to make it easy for you to take advantage of your health insurance at a time and place that suits you.

The Astute Simplicity Health app is your one-stop destination for your private health insurance needs and is available online and as an app on your phone.

What are the features of the Astute Simplicity Health app?

We’ve added plenty of new features that will help you on your health journey, including:

  • Benefit limits
  • Claim on the go
  • View your payment details
  • Digital card
  • Update your information
  • Download the Astute Simplicity Health app from either the App Store or Google Play.

Point of service (HICAPS)

Astute Simplicity Health, through its underwriter, St.LukesHealth is a participant in the Health Industry Claims and Payments Service (HICAPS).

HICAPS is an electronic claiming process which offers members the convenience of automatic claims processing, on the spot at the point of service. Members with extras cover will be issued with an Astute Simplicity Health membership card which will provide access to the HICAPS network. HICAPS is currently available at participating dentists, optometrists, physiotherapists, podiatrists, chiropractors, clinical psychologists, occupational therapists, acupuncturists, remedial masseurs, dieticians and speech therapists.

Receive your benefit refund by direct credit

If you have already paid your provider for services being claimed, Astute Simplicity Health can offer you the convenience of having your benefit refund deposited directly into your nominated bank, building society or credit union account. To choose this method of benefit payment, download and complete a Benefit Deposit Request form and return it to Astute Simplicity Health either by email or post.

Want to find out more?

Call today on 1300 090 960

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