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National ADFFH Fact Sheets

National ADFFH Fact Sheets

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<strong>National</strong> ADF Family<br />

Health Program<br />

The Detail<br />

Medical Benefits<br />

Medical items included in the <strong>National</strong> ADF Family Health<br />

Program are all services provided in a general practice<br />

setting that have an associated Medicare Benefits Schedule<br />

Item Number.<br />

Please Note: Services provided in a hospital setting and for<br />

appliances are not covered.<br />

You do not need to show your ADF Family Health Card<br />

when visiting the General Practice. The exception will be<br />

if your general practice allows you to claim the ADF Family<br />

Health rebate electronically.<br />

In most cases, you will be required to pay for your GP<br />

visit up front; you then claim the Medicare rebate before<br />

submitting a claim for gap reimbursement from ADF Family<br />

Health. This can be done manually (claim form) or via Online<br />

Member Services.<br />

Please keep your Medicare receipt to send with your<br />

claim form. Unfortunately we cannot accept credit card<br />

statements as proof of payment.<br />

Please refer to the enclosed Quick Guide for a step by step<br />

guide on how to claim.<br />

Allied Health and Specialist Benefits<br />

The following Allied Health vocational groups are eligible for claims<br />

reimbursement under the <strong>National</strong> ADF Family Health Program:<br />

Service<br />

Audiology<br />

Chiropractic & Osteopathy<br />

Dental<br />

Dietician<br />

Occupational Therapy<br />

Optical<br />

Physiotherapy<br />

Podiatry & Chiropody<br />

Psychology<br />

Speech Therapy<br />

Description<br />

Consultations by a certified provider.<br />

Consultations by a certified provider.<br />

All items listed by the Australian Dental<br />

Association (ADA).<br />

Consultations by a certified provider.<br />

Consultations by a certified provider.<br />

All prescription eyewear, lenses, frames,<br />

contact lenses and repairs.<br />

Consultations by a certified physiotherapist,<br />

ante/post natal classes provided by a<br />

registered physiotherapist or midwife.<br />

Consultations by a certified provider.<br />

Consultations by a registered psychologist.<br />

Consultations by a certified provider.<br />

Please Note: Services that attract GST and appliances (with the<br />

exception of dental and optical) are excluded from reimbursement.

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