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Claim Medicare benefits at your doctor’s office
The quickest way to claim your Medicare benefit is at your doctor’s office straight after you pay.
To do this you need to both:
- be enrolled in Medicare
- show your Medicare card.
If your doctor bulk bills, you don’t need to pay.
When you pay at the doctor’s office, ask if they can make an electronic claim for you. If they can, they’ll do it on the spot. We’ll process the claim as soon as possible and pay your Medicare benefit into either:
- the account for the EFTPOS card you used to pay
- the bank account you’ve registered with us.
You may need to give us proof of payment when you claim. Find out more about proof of payment.
If we’re paying into your bank account, we need your correct bank account details. Find out how to update your Medicare details.
If you pay using cash, we’ll pay your benefit electronically into the bank account you have registered with us.
Claim Medicare benefits online
Using the Medicare online account
If your Medicare online account is linked to myGov, sign in now and select Make a claim.
If you don’t have a myGov account or a Medicare online account, you’ll need to create them.
We’ll pay your benefit into the bank account you’ve registered with us. You can register your bank details using your Medicare online account or the Express Plus Medicare mobile app.
We can’t accept online claims for services over 2 years old.
You can read our online guides about:
- submitting your Medicare claim using your online account
- updating your bank details using your online account.
Using the Express Plus Medicare app
You can make a claim with the Express Plus Medicare mobile app on your mobile phone. Don’t submit a claim if your doctor has done it for you.
To use the app, you need a Medicare online account linked to myGov. If you don’t have these accounts, you’ll need to create them.
Before you start your claim, make sure you have both:
- your invoice and receipt
- details of the service you want to claim.
When you claim, we’ll ask you to either give us or confirm your bank account details.
We pay electronically into the bank account you have registered with us.
Find out how to download the Express Plus Medicare mobile app.
Claim Medicare benefits by mail
If you can’t claim at the doctor’s office or online, you can claim by mail. To do this, complete a Medicare claim form and post it to us. The address is on the form.
We pay electronically into the bank account you have registered with us.
Claim Medicare benefits at a service centre
You can also make a claim at a service centre. When you do, we’ll pay the benefit into your bank account. So it’s important to make sure your bank details are correct. We’ll confirm your bank details when you make your claim.
We pay electronically into the bank account you have registered with us.
Claim Medicare benefits for someone else
You can claim for someone else if:
- they’re enrolled in Medicare
- you have paid for the service.
You don’t have to be on the same Medicare card as them.
You can claim for someone else by any of the following:
- at the doctor’s office
- by mail
- at a service centre.
You can claim online for someone else if they are on the same Medicare card as you.
If your Medicare online account is linked to myGov, sign in now and select Make a claim.
You can also use the Express Plus Medicare mobile app.
If you don’t have a myGov account or a Medicare online account you’ll need to create them.
Statement of claim and benefit
You’ll get a statement of claim and benefit once your claim has been processed.
How you submit your claim for Medicare benefits will decide how you get your statement of claim and benefit.
| How you submitted your claim | How you’ll get your statement of claim and benefit |
|---|---|
| At your doctor’s office | You’ll get a statement at the end of your appointment |
| Online | Your statement will be sent to your myGov account |
| By mail | Your statement will be sent to you by mail |
| At a service centre | You’ll get a statement at the end of your appointment |
Rejected claims
If we reject your claim, we’ll let you know. Reasons why we might reject a claim include:
- you or your doctor have already claimed it
- we need more details to assess your claim
- there was a mistake with your claim.
We may also reject a claim if you have already received the maximum allowable benefits for that service.
To find out more about why your claim was rejected, call the Medicare program.