The main reason for holding Extras cover with Phoenix Health is so you can get benefits back on things you use like dental, optical or physio.
In most cases you’ll be able to swipe your membership card or scan the newly introduced digital card to claim your benefit back at the provider after your treatment – then you just pay the difference to them, if there is one.
At Phoenix Health, claiming is simple! The easiest way to make a claim is to make sure you carry your Phoenix Health Member Card with you, and swipe it at the time of your treatment to receive your benefit on-the-spot.
Digital membership cards are here! From the 1st of April 2025. Here’s how you can scan to claim:
- Download the Phoenix Health App on to your smart phone from the App Store for iOS or Google Play for Android
- Log in to the App and head to My Card
- Scan your QR code to claim on the spot wherever HICAPS claiming is available
Your individual QR Code
To keep you and your membership safe, your QR code will update every 5 minutes, so it can’t be stolen or shared. When you go to My Card in your App you will be issued with a new QR code to use to claim.
If for some reason your QR code won’t register, close the App and open it again to use a new QR code.
Want more information about the Phoenix Health App? Click here.
Gotten to your appointment and realised you’ve left your member card at home? No problem! Here’s some ways you can make a claim:
- Phoenix Health App – download the Phoenix Health App onto your mobile device, log in and submit your claim in seconds with our:
- Fast Claims – enter few details about your Extras claim and submit as a Fast Claim to receive your benefit into your bank account the following business day.
- Photo Claims – take a photo of your itemised invoice for your treatment and submit to be assessed by the Phoenix Health team within 2 business days.
- Online Member Services (OMS) – Register and log in to OMS and submit your claim in seconds with our:
- Fast Claims – enter few details about your Extras claim and submit as a Fast Claim to receive your benefit into your bank account the following business day.
- Photo Claims – take a photo of your itemised invoice for your treatment and submit to be assessed by the Phoenix Health team within 2 business days.
- Complete and lodge a claim form – Print off and complete a Phoenix Claim Form and then send in with a copy of your itemised invoice for treatment (and any other documentation required to assess your claim), and return by:
- Email – [email protected]
- Post – Phoenix Health Fund, PO Box 156 Newcastle NSW 2300
Whenever you submit a claim, we’ll always require a copy of your itemised invoice for treatment that shows:
- The Providers name, Provider number and practice address
- The Patient’s full name and address
- The date of treatment
- A description of the treatment, including item numbers
- The amount charged per treatment/ item number
For some services, there may be other supporting documentation we require to be submitted with your claim – for example for Healthy Lifestyle claims we will require a Healthy Lifestyle Treatment Plan, and for the purchase of some Aids to Recovery we will require a letter from the treating Doctor outlining the requirement for the aid.
When we’re assessing your claim, if it’s missing any information we require, we will unfortunately not be able to complete your claim. We’ll need to return the claim to you and will need you to re-submit including all required information.
Phoenix Health will pay your benefits directly into your bank account once your claim has been finalised.
You’re able to provide us with bank details on the Claim Form and can update these at any time by logging into the Phoenix Health OMS portal, or by contacting Member Services.
Download the Phoenix Health App on to your smart phone from the App Store for iOS or Google Play for Android.
For all of the information you need about the Phoenix Health Mobile App, head to Phoenix Health App