Health Fund Compliance

Along with the requirements set out by industry standard, each of the various private health funds require providers to comply with the health funds’ Terms and Conditions of Provider Status. Failure to comply with an individual Health Funds Terms and Conditions may result in the practitioner being removed as a provider, for that health fund. Health funds are entitled to conduct their own internal audits and may require you to supply information directly to them from time to time.

Please also refer to the Massage Australia Guidelines of Practice for more information concerning breaches in the requirements of health fund provider status (Accredited Members). As an Accredited Member it is important you are clear on the expectation of the organisation when it comes to such things as proper receipting, misuse of provider numbers and what constitutes health fund fraud.

Please refer to the below links for individual health fund information:

Australian Unity Health Ancillary Provider Terms and ConditionsAustralian Unity Health Ancillary Provider Terms and Conditions

australian_unity_health_deregistration_policy.pdfAustralian Unity Health Deregistration Policy

BUPA Terms and Conditions BUPA Terms and Conditions

HBF Terms and Conditions HBF Terms and Conditions

HCF Terms and Conditions HCF Terms and Conditions

HCF De-listing Policy HCF De-listing Policy

Medibank Requirements for Recognised Providers 2015 Medibank Requirements for Recognised Providers 2015

Medibanks Remedial Massage Definition November 2012 Medibanks Remedial Massage Definition November 2012

NIB Term and Conditions NIB Term and Conditions

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