Recognised providers
We can only pay benefits if you use a recognised provider.
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We turn 70 at the beginning of 2021. Seventy years of providing the highest value health insurance will teach you a thing or two about health and loyalty. We are proud to say that after 70 years, we still exist to bring you value every day. Simply put; our loyalty is to you and your health is our priority.
Are you planning to claim for a treatment or service under Extras (such as acupuncture or physiotherapy)? We can only pay benefits if you use a recognised provider.
Some recognised providers are also members of our CBHS Choice Network. These providers may also reduce or remove gap payments for selected Extras.
Find out more about the CBHS Choice Network.
Providers registered with Medicare Australia
Providers registered with Medicare Australia are all recognised providers.
This could include the following healthcare professionals:
| Audiologist | Exercise physiologist | Physiotherapist |
| Chiropractor | Occupational therapist | Podiatrist |
| Dental prosthetist | Optometrist | Psychologist |
| Dentist | Osteopath | Speech pathologist |
| Dietician |
Providers registered with AHPRA
If your provider is registered with the Australian Health Practitioner Regulation Agency (AHPRA), they are a recognised provider.
These services can include:
- Acupuncture
- Chinese herbal medicine
Complementary and alternative therapies
Providers who belong to relevant associations and/or boards are recognised providers.
They must also have:
- 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 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.
| Massage therapies: | Oriental therapies: |
| Deep tissue | Acupressure |
| Lymphatic drainage | Chinese massage |
| Myotherapy | |
| Remedial | |
| Sports | |
| Swedish | |
| Therapeutic |
Provider recognition and other services
These providers must also meet our recognition criteria for us to pay benefits.
| Dental hygienist | Optical dispenser |
| Dental technician | Orthotist |
| Diabetes educator | Orthoptist |
| Lactation consultant |
We don’t recommend practitioners to you, and we don’t participate in the clinical relationship between you and your provider. We are not responsible for the outcome of clinical services provided or not provided by recognised providers. The extent of our responsibility, as a health insurer, is to determine whether 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.