Out of pocket expenses

If you had to pay for your medical treatment when you suffered the harm, you may be able to claim out of pocket expenses.

You can claim out of pocket costs linked to the harm you suffered like consultations with doctors and medical aids. Find out what out of pocket expenses you can claim in the COVID-19 vaccine claims scheme policy on the Department of Health and Aged Care website.

You may also claim the cost for getting the COVID-19 vaccine claims scheme medical report you need to submit with your claim.

What proof you need

Before you can claim, you need to get your doctor to complete a COVID-19 vaccine claims scheme medical report. You need this as proof when you submit the claim. We need your doctor’s responses to help us assess your claim.

You need to provide the following documents with your claim:

  • a completed COVID-19 vaccine claims scheme expenses form
  • proof of past expenses you’ve had, like receipts
  • proof of expected future expenses for treatment, like quotes
  • proof the expenses were linked to the harm you suffered.

Don’t include any amounts you got or will get from third parties, like benefits from Medicare or private health insurance.

How you calculate out of pocket expenses

You need to calculate the actual costs you had, or expect to have for future medical treatments. Remember to deduct any amounts you got or will get from third parties when you calculate the amount.

Page last updated: 7 July 2022