How to claim - Breathing appliances

Q: What kind of breathing appliances can I claim for?

The breathing appliances we cover are: Nebulisers Spacing devices Peak flow meters Note: If you want to claim for a CPAP-type machine, this is a hospital claim, please refer to the claiming guide for CPAP devices .

Q: How often can I claim a replacement device?

You can claim for a replacement appliance every 3 years. The conditions and procedure for doing this is the same.

If your cover includes benefits for a breathing appliance, you can claim for it online using the information on this page.

To claim, you will require the My Medibank app on your phone, or access to My Medibank on the web. If you don't have a My Medibank account, register now in two easy steps.

If you haven't paid for your breathing appliance or would like to submit with a claim form for some other reason, you can also make an offline claim: Claiming for Extras offline.

Please note that if you want to claim for a CPAP-type machine, this is a Hospital claim. Click here to find out how to claim for a CPAP-type appliance.

Before you start your claim for a breathing appliance, make sure that:

- You’ve served any relevant waiting periods. If you’re not sure, you can check whether you’ve served your waiting period under "Limits" in My Medibank.
- You bought the appliance in Australia.
- You bought the appliance from a business with an ABN (like a chemist or doctor).
- You have an itemised receipt or invoice that shows the provider ID or ABN and the item number for the item, and is dated within the last two years.
- You have proof that your doctor or specialist has recommended you get the appliance, dated within the last 12 months. (ie. A letter from your doctor or specialist saying that you need the appliance, a prescription for the appliance, or an account from a pharmacy saying that the appliance was prescribed by your doctor or specialist.)

If you're not sure whether you're eligible to claim, you can check your cover summary, as well as limits and waiting periods, on My Medibank online, or the My Medibank app.

How to claim for a breathing appliance on the app

1. Launch the My Medibank app
  
  Tap the app to open, then tap Make a claim on the menu. Next, tap Extras.
  
  If you don’t have the My Medibank app, you can download it for iPhone from the App Store or download it for Android from Google Play, and follow the prompts to register.
2. Select who the claim is for
  
  Tap Start. If there is more than one person on the policy, you'll be able to select the name of the person who received the service. Check the name listed in Who went? If this is the person who received the service, leave it as is. If it was someone else on the cover, tap Change and select the correct name.
3. Select date
  
  Tap Add Date. Select the correct service date from the pop-up calendar and tap OK.
4. Add provider details
  
  Search and select a provider the following ways.
  
  Tap Provider ID to search for a provider using their provider ID.
  
  Tap Other provider details to search for a provider using their full name / business name and postcode.
  
  Or tap and select a provider from the previous provider list.
  
  If a provider has multiple practice types you will be prompted to select the matching practice type to your claim.
  
  Note: sometimes a provider doesn't appear in the search results. If this happens tap Manually enter provider details to add a provider and choose from the practice/item type list to proceed.
5. Add item number
  
  Tap +Add item(s). On the item screen with the date of service, tap +Add first item. You can add an item by typing in the item number, or scrolling down the list of common items and tapping on the correct one.
6. Add treatment details
  
  If the number under Quantity is correct, leave it as is. If it isn’t, tap the Quantity number and select the correct quantity from the scrollable list that appears. Next, tap Item Charge and type in the amount. Tap the green tick.
  
  If you have more items to claim for, tap +Add another item and follow the same steps.
  
  Tap Confirm.
7. Confirm details and upload your receipt
  
  You can upload receipt by taking a photo from the app, or by uploading it from your phone’s photo library. Tap Upload. To take a photo, tap Take a photo and take a photo of your receipt. To upload, tap Upload from Photo Library. Tap on the photo of your receipt to select. Tap on the green tick and then tap Confirm on the Upload receipt screen.
  
  If the item you're claiming for requires supporting documents, you will see a button asking for these. Upload them in the same way you uploaded the receipt.
8. Add your payment details and submit claim
  
  Check payment details. If they’re not correct, tap on Pay to… and add or correct the details. Tap on Submit claim.

How to claim for a breathing appliance online

1. Log in to My Medibank
  
  Log in to My Medibank online, then navigate to Claims > Health appliance & service. Alternatively, click here and log in when prompted.
2. Select who the claim is for
  
  If there's more than once person on the policy, you'll be able to select the name of the person who received the service once you've clicked through the two slides of introductory information.
3. Add provider details
  
  Select the date of your treatment or service.
  
  Choose from the previous provider list or search for a provider by entering their Provider ID or other provider details (full name / business name and postcode).
  
  Once you have selected your provider, confirm the practice/item type from the drop-down and click Next.
  
  Note: sometimes a provider doesn't appear in the search results. If this happens you can choose to add the provider manually by clicking use the details above to continue.
4. Add item number
  
  Enter the item number for your treatment/service (find this on your receipt). If there's no exact match, please get in touch.
5. Add treatment details
  
  Enter quantity, charge amount and treatment date. To add more than one item for the same provider, click: "Add another item".
6. Upload your receipt/s
  
  Upload your digital receipt/s at the bottom of the page (press the red button). You can select more than one file if needed.
  
  If the item you're claiming for requires supporting documents, you will see a section asking for these. Upload them in the same way you uploaded the receipt.
7. Add your payment details
  
  Enter where you'd like your reimbursement paid to, including bank account name, BSB and account number.
8. Review & submit
  
  Review your claim details details. To make changes, click “Back”. To submit, click “Next”.
9. Confirmation receipt
  
  A confirmation page will confirm your claim is submitted and display a claim ID, which you can keep for reference.

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Frequently Asked Questions

What kind of breathing appliances can I claim for?

How often can I claim a replacement device?

Can I claim for someone else?

You can claim for someone else on your policy, but you can’t submit a single claim form for more than one person at a time. You’ll need to do a separate claim form for each person. Please keep in mind that unless we have the other person’s consent, we won’t be able to discuss the details of the claim once it has been submitted.

To authorise someone else to act on your behalf when dealing with Medibank, apply using this Authority form.

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How to claim for a breathing appliance