FREQUENTLY ASKED QUESTION

What information does a member eligibility check give medical providers?

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 Information for health providers

Eligibility check

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