FREQUENTLY ASKED QUESTION

What information does a member eligibility check give medical providers?

A member eligibility check can give medical providers information regarding a member’s eligibility to claim on a service, including:

• The member’s level of cover
• Any exclusions or restrictions that apply
• If the member’s policy is financial (i.e. premiums have been paid to date)
• How much excess a member will need to pay and if any co-payment applies