CBHS provides exceptional member care by ensuring that the claims process is simple and streamlined. CBHS can only pay benefits for services provided by ‘recognised providers’. On this page you will find information about the types of providers that are deemed to be recognised providers and the services for which they are considered to be recognised providers.

CBHS and recognised providers Please note that as an insurer, we do not recommend practitioners to members and we do not participate in the clinical relationship between member and provider. CBHS is not responsible for clinical outcomes for services provided or not provided by recognised providers. The extent of CBHS’s 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.

Providers registered with Medicare Australia

If you are a provider registered with Medicare Australia for services that are payable under our Extras levels of cover, you are considered a Recognised Provider by CBHS. Therefore, there is no requirement for you to make a separate application for Provider Recognition.

The services that are payable under our Extras cover products under this category

  • Audiologist
  • Chiropractor
  • Dental Prosthetist
  • Dentist
  • Dietician
  • Exercise Physiologist
  • Occupational Therapist
  • Optometrist
  • Osteopath
  • Physiotherapist
  • Podiatrist
  • Psychologist
  • Speech Pathologist

Providers registered with the Australian Health Practitioner Regulation Agency

If you are a provider who is registered with the Australian Health Practitioner Regulation Agency (AHPRA) for services that are payable under CBHS’s Extras cover products, you are considered to be a recognised provider by CBHS. As such, a separate provider recognition application is not necessary.

The services that are payable under our Extras cover products under this category

  • Acupuncture
  • Chinese Herbal Medicine

Complementary and alternative therapy providers

CBHS recognises many complementary and alternative therapy associations and boards as either meeting or exceeding CBHS’s criteria for recognised providers. Providers that belong to associations and/or boards that meet CBHS’s criteria are deemed to be recognised providers.

These are CBHS’s recognition criteria:

  • Relevant qualifications for the service provided
  • Current Professional Indemnity Insurance Certificate of Currency
  • Current Senior First Aid Certificate

In addition, Rule 10 of the Private Health Insurance (Accreditation) Rules 2011 applies to complementary or alternative providers. This rule requires the provider or treatment to meet each of the following criteria.

  • 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.

(i) Massage therapies:

  • Alexander Technique
  • Aromatherapy
  • Bowen
  • Deep Tissue
  • Feldenkrais
  • Lymphatic Drainage
  • Myotherapy
  • Remedial
  • Rolfing
  • Sports
  • Swedish
  • Therapeutic

(ii) Oriental Therapies

  • Acupressure
  • Chinese Massage
  • Kinesiology
  • Reflexology
  • Shiatsu

(iii) Natural Therapies 

  • Buteyko
  • Herbal Medicine (consultation)
  • Homeopathy (consultation)
  • Naturopathy (consultation)
  • Nutrition (consultation)

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 CBHS’s Recognition Criteria in order for benefits to be payable.

  • Dental Hygienist
  • Dental Technician
  • Diabetes Educator
  • Lactation Consultant
  • Optical Dispenser
  • Orthotist
  • Orthoptist

If you have any questions about a provider that you wish to use, or wish to find out more about the process of becoming a recognised provider with CBHS, contact Member Care on 1300 654 123 or send us an email at help@cbhs.com.au.

What Our Members Think

I joined as a CBHS member in 1978. Through many health events and challenges CBHS has always been there for me and my family. Their exceptional service over this time has always been appreciated.

- Jenny J

What Our Members Think

I've not long joined CBHS from another fund, but so far I've been impressed by the super helpful and friendly staff, the higher claim limits and rebates at a very competitive premium, and how easy it is to lodge manual claims through the app. Thanks CBHS - you've won me over! 😃

- Jessica B

What Our Members Think

What I love about CBHS is their customer service - friendly staff and always ready to help and email you the information you ask about. Keep up the great work!!!

- Linda S

What Our Members Think

I love CBHS as its so so easy to lodge a claim and whenever i need a question answered friendly consultant is one phone call away. The phone back option instead of waiting is brilliant!

- Rachel N

What Our Members Think

I have been with CBHS since I began at CBA 15 years ago...Now I have three beautiful children, one who has a disability. Our top extras cover has been really essential for his early intervention. I do love the ease of claiming online.

- Annette E

What Our Members Think

I am relatively new to CBHS and am loving it already. I worked for a CBA subsidiary a long time ago but was still eligible to join. So much better that the for-profit funds - our premium is only a little more and we pay a lower co-contribution and get great benefits. I am loving the massage rebate for my partner and gym rebate for me!

- David G

What Our Members Think

I'm extremely happy with CBHS! I have been a customer for about six years. I think the price is reasonable. And i would refer you to my family and friends any day. Thankyou CBHS!!!

- Karen W

What Our Members Think

Love CBHS as I never have to doubt that they've got my back when I need it. Been through other insurers who have limited options or limits, yet cost the same or more.

- Mark F

Prev
Next