Health management programs

EXTRA SUPPORT FOR YOU AND YOUR FAMILY

We’re always looking for new ways to help you be your healthiest self. These health management programs are designed to do just that.

Before you start any program, check you’re on eligible cover and the provider of the program is recognised by HCF. If you’re unsure, call us on 13 13 34, or visit your local branch

To claim for a Health Management Program you’ll need to submit a claim form and provide supporting documents. Unless otherwise stated, all programs have a 2 month waiting period and are subject to cover eligibility and annual limits.

Weight Management

To help you achieve a healthy weight, you may be able to claim for a dietitian-led HCF-approved weight management program.

We may also pay towards some weight loss medications that are registered on the Australian Register of Therapeutic Goods (provided they’re used to treat the specific conditions listed for those drugs). The maximum you could claim is $50 for 1 month’s supply of approved weight loss medications in a 12 month period.

HEALTHY WEIGHT FOR LIFE

If you’ve had eligible hospital cover for 12 months, you may qualify for the fully-covered Healthy Weight for Life program. It’s designed to help people over 18, with a BMI over 28 and Type 2 diabetes, a chronic heart condition or osteoarthritis lose weight.

If you don’t meet the criteria above and have eligible extras cover you can claim towards this program.

However you qualify, your healthcare provider will need to complete a Healthy Weight for Life authorisation and claim form

EXERCISE CLASSES & GYM MEMBERSHIP

If your doctor or physiotherapist has recommended an exercise or gym program to treat a specific medical condition (like arthritis, hypertension, obesity, asthma, diabetes or osteoporosis) you may be able to claim towards the cost.

To claim, ask your doctor or physiotherapist to confirm your condition on an Exercise and Gym Benefits form. A physiotherapist or exercise physiologist can complete the form if you’re claiming for their class. Remember to submit a new form for each program.

Recreational or competitive sports or activities aren’t covered.

CHILDBIRTH EDUCATION

You may be able to claim towards classes run by an HCF-recognised childbirth educator. The program must be designed to educate parents about pregnancy and childbirth, and be run by an AHPRA registered nurse or midwife. Class structure could be face-to-face, such as those run in hospitals, or online, like Birth Beat.

Standalone postnatal courses, yoga and birth classes, standalone father or grandparent classes aren’t covered.

BREASTFEEDING SUPPORT

We offer access to breastfeeding consultations from a lactation specialist. Make sure the consultant is an AHPRA registered nurse and midwife, is certified by the International Board of Lactation Consultant Examiners or Lactation Consultants of Australia and New Zealand and recognised by HCF.

LEARN TO SWIM CLASSES

You may be able to claim for swimming lessons run by swim schools that are ASSA members, USTSWIM (Gold and Silver level) or Swim Australia swim centres.

Download the list of eligible swim centres or call 13 13 34 to find an eligible centre.

Squad training or recreational swimming isn’t covered.

BOWEL CANCER TESTING

If you’re aged 50, 54, 58, 60, 62, 64, 66, 68, 70, 72 or 74 you’ll be sent a free bowel cancer screening kit through the National Bowel Cancer Screening Program.

If you’re outside of these ages you may be able to claim if you submit a receipt confirming you’ve had the test.

HOW TO CLAIM

To claim for a Health Management Program (other than Healthy Weight for Life or Exercise & Gym programs), complete our claim form and include original receipts showing:

  • full name of the HCF member who participated in the program
  • provider’s full name or company/trading name, their ABN or ACN, address and phone number
  • address the service was provided 
  • description and cost of the program, details of amounts paid and outstanding balances
  • dates the program was started and completed date the invoice or receipt was issued.

If you have any questions about claiming, call 13 13 34.

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