With Emergency Services Health, you can choose your preferred hospital, doctor or any other service provider, such as your physiotherapist and dentist, as long as the provider is recognised by us.
Recognised Providers are different to the 'Preferred Providers' you may hear about through other health funds. When we say Recognised Providers we are simply referring to providers with the appropriate qualifications, licenses and rights to provide treatments to patients in Australia. The rest is down to your preference.
In the case of Hospitals however, it's important to note that we recommend members visit hospitals we are in contract with to avoid unnecessary out-of-pocket expenses. See our Contracted Hospital search to learn more and find one near you.
If you ever want to double check if your provider is recognised by us, please call us on 1300 703 703.
Yes, Referral letters need to be submitted for most health aids and appliances with your claim via our mobile app or member portal. In addition, you need to submit a referral letter again after a certain number of years if you claim again. The frequency depends on the type of health aid or appliance.
This ensures that the aid or appliance continues to be medically necessary and is being used as intended. This also helps ensure that we meet compliance obligations, maintain fairness for all members, and uphold the responsible use of member benefits.
To see how often a referral letter needs to be submitted, refer to the table below*.
Health aid or appliance |
How often a referral letter needs to be submitted |
| Hyaluronic acid injections (for the treatment of knee joint pain caused by osteoarthritis) | 1 year |
| Wigs (if related to cancer treatment) | 2 years |
| Blood coagulation monitor |
3 years |
| Blood glucose monitor | |
| Blood pressure monitor | |
| Nebuliser | |
| Transcutaneous Electrical Nerve Stimulatio (TENS) machine | |
| Continuous positive airway pressure (CPAP) machine | 4 years |
*Note: This is a list of the most common health aids and appliances and is not a complete list of all devices that could be covered. If there is something you need to purchase that is not on the above quick reference table, please contact us to confirm if you are covered and if there are any criteria that must be met. All benefits may be subject to Waiting Periods, Limits and other conditions. Providers must be recognised by us. Review the cover tables on the Combined, Hospital and Extras pages, and your State Premium and Benefit Guide.