How to make a claim under the COVID-19 vaccine claims scheme - COVID-19 vaccine claims scheme

Claim for someone else

If you’re acting on behalf of someone else for Medicare, you need to submit the claim using all of the following forms:

You need to send us your forms and proof by:

emailing COVID-19 vaccine claims scheme
mailing them to us using the details on the form.

Step 1 - get ready to claim

Before you claim, make sure you also have all of the following ready:

proof you were admitted to hospital
how you calculated the amount you’re claiming
proof to support the amount you’re claiming.

If you weren’t admitted to hospital, find out what documents you need.

You can also give us a brief outline of what happened from your perspective to help us assess your claim.

Step 2 - get your COVID-19 vaccine claims scheme medical report

Your doctor needs to complete a COVID-19 vaccine claims scheme medical report so you can submit it with your claim. Remember to take your documents when you see your doctor.

Step 3 - submit your claim

You can submit your claim and supporting documents online either:

using your Medicare online account through myGov
using the Express Plus Medicare mobile app.

If you’re using your Medicare online account, sign in to myGov then:

Select Medicare.
Select Make a claim, then Make a COVID-19 vaccine claim.
Follow the prompts.

If you can’t go online or aren’t eligible for Medicare, you can complete the COVID-19 vaccine claims scheme application.

You need to send us your forms and supporting documents by:

emailing COVID-19 vaccine claims scheme
mailing them to us using the details on the form.

Step 4 - wait to hear from us

Once we receive your claim and all supporting evidence, we’ll try and get back to you as soon as possible.

If you’re claiming more than $20,000, the claim may take longer to assess. This is because we need to consult with others.

We may consult with the following independent third parties:

a medical expert
a legal expert.

You don’t need to contact us during this time. We’ll contact you if we need more information.

Step 5 - we let you know the outcome

If we approve your claim, we’ll send you a deed to accept. You’ll receive this as a letter in the mail.

Once you accept, we can pay you the amount we’ve agreed on.

If your claim isn’t approved, we’ll write to you to let you know. You can ask us for a review of the decision. Your letter will explain how to do this.

If you need help, email COVID-19 vaccine claims scheme or call the Australian Immunisation Register.

How to claim

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