04/05/2026
Private Health Care Rebates for Western Herbal Medicine
After 6 years private health funds are allowing rebates for Western Herbal Medicine, and there's some things you should know.
Different funds are allowing rebates at different times...St Lukes is available now, whereas Medibank Private (and most likely Bupa and AHM) are not allowing claims til the start of the new financial year....every fund is different so you will have to check with yours. Some insurance companies may choose not to provide this cover.
Your rebate will change depending on which fund you belong to and what cover you have....again you will have to check with your fund.
All funds require computer generated receipts and won't process hand written ones....so in my case for example, I will be sending you a receipt through email which you will then pass onto your fund either through their app or website. Hicaps and other such companies are different businesses to the health insurancers and won't be processing claims in clinic due to the changes they have to make to their programs/equipment. At this point, this is not expected to change until the end of this year.
Depending on their compliance, different qualified herbalists will be given their provider numbers when they have met all the prerequisites of the health insurance companies....I'm ready to go now and have already issued some reciepts.
Some companies may give rebates for supplements, but it will depend on your company and your level of cover.
There is an ïnitial consult" code and a "subsequent consult"code....if you're already an existing client you will get the subsequent code..........I have been told there's not much difference between what you will get back. You used to get more back for the intial visit but that seems to have changed....again, each fund may differ.
If you think you can get cover with your fund but aren't sure, it is best you check with your insurance company to find out .