Become a recognised provider
We only pay benefits for services from ‘recognised providers’. Is that you?
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If you provide services that are included in our Extras cover, and you’re registered with Medicare Australia, you’re already a ‘recognised provider’. You don’t need to make a separate application.
Providers with services in this category
If you’re registered with the Australian Health Practitioner Regulation Agency (AHPRA), and you provide services that are included in our Extras cover, you’re also a ‘recognised provider’.
Services in this category
Chinese herbal medicine
Complementary and alternative therapies
If you belong to an association and/or board that meets our criteria you are a ‘recognised provider’.
- Relevant qualifications for the service provided
- Current Professional Indemnity Insurance Certificate of Currency
- Current Senior First Aid Certificate.
Rule 10 of the Private Health Insurance (Accreditation) Rules 2011 also applies: The standard for treatment is that the complementary or alternative therapy health care provider (among others) providing the treatment must be a member of a professional organisation which covers health care practitioners who provide that type of treatment (the profession).
- The professional organisation must be a national entity which has membership requirements for the profession.
- The professional organisation must provide assessment of the health care provider in terms of the appropriate level of training and education required to practise in that profession.
- The professional organisation must administer a continuing professional education development scheme in which the health care provider is required, as a condition of membership, to participate.
- The professional organisation must maintain a code of conduct which the health care provider must uphold in order to continue to be a member.
- The professional organisation must maintain a formal disciplinary procedure, which includes a process to suspend or expel members, and an appropriate complaints resolution procedure.
Provider recognition and other services
The following services are outside the scope of Rule 10 of the Private Health Insurance (Accreditation) Rules 2011 but must meet our recognition criteria for benefits to be payable.
|Dental hygienist||Optical dispenser|
CBHS and recognised providers
We don’t recommend practitioners to members, nor do we participate in the clinical relationship between member and provider. We are not responsible for clinical outcomes for services provided or not provided by recognised providers. The extent of our responsibility, as a health insurer, is to decide whether to pay or not to pay fund benefits. In doing so, we act in accordance with the CBHS Health Benefit Fund Rules and the applicable Government regulations.