HBF
We take part in HBF Members’ Plus. Here’s how your extras cover could apply to a visit.
HICAPS · Your card, then your claim
Claiming at Reception With HICAPS.
We send eligible health fund claims from reception, and you leave knowing your gap.
Claim On The Spot With HICAPS.
Chasing paperwork after an appointment is a nuisance. When you’re with a participating fund, reception can send your eligible claim as soon as you’ve been seen, whether you came for a check-up or to have an old filling replaced. Have your membership details ready, and say which fund you use.
What To Check FirstWhat To Expect At Your VisitWhat Electronic Claiming Gives You.
The claim is made during your visit. Your insurer, not us, decides how much benefit applies to the services you had.
Claims at reception
Participating health funds can receive your claim electronically once treatment ends.
A clear gap
When the fund replies, we tell you the benefit applied and what you still owe.
The Steps To A HICAPS Claim.
Book and name your fund
Tell reception which fund you use. Before treatment, ask your insurer what your cover and rebate should be.
Come in for your visit
Your dentist examines you and talks through suitable care and what it costs.
Hand over your card
Reception needs your health fund card, in physical form or as a supported digital card, to prepare the claim.
Finish the agreed treatment
The claim goes out with the item numbers for the services you actually received.
Claim, then pay any gap
When your fund accepts the claim, its benefit comes off the bill and you pay what’s left. If it can’t be claimed on the spot, ask for an itemised receipt and claim directly.
Who Does What.
HICAPS is the electronic link between this practice and participating health funds. It transmits the claim, and your insurer decides the benefit your policy allows.
Visit HICAPS- Our team
- Gives you the item numbers and fees, then sends eligible claims.
- Your health fund
- Compares the claim with your cover, any waiting periods and the benefit you have remaining.
- You
- Look over the benefit and pay any balance.
Check These First.
HICAPS only transmits claims, and it isn’t insurance. Look at your fund, your policy and the care proposed before you count on a rebate.
What To Check
- Confirm your dental extras cover is current.
- Look up your waiting periods and the limits you have left.
- Bring your member card, whether physical or a supported digital one.
Worth Knowing
- An accepted claim may leave part of the fee for you to pay.
- The benefit depends on your policy and on the treatment you have.
nib
Check whether nib First Choice Network arrangements apply to the practitioner and service you need at Absolute Dental.
Afterpay
If you’re eligible, Afterpay Pay in 4 may split approved dental costs into four payments across six weeks.
Frequently Asked Questions
No. HICAPS sends an eligible claim to your health fund; the fund decides the benefit, and you pay the difference between that benefit and the practice fee. A successful electronic claim does not mean the whole appointment is covered. Before treatment, ask for an itemised estimate and check the items with your insurer. Ask about waiting periods, remaining annual limits, any service limits and the practitioner providing care. If the estimate contains several services, ask about each one rather than assume a benefit for the whole visit. Bring your member card and confirm the patient details used for the claim. At reception, check the approved benefit and the remaining amount before settling the account. If the benefit differs from what you expected, ask your fund to explain its assessment and ask the practice to clarify the treatment items. HICAPS is the claiming connection, not the insurer or a promise of a no-gap visit.
Questions Before You Book?
Wondering about HICAPS? Our team explains your treatment, its fees and what to check before you book, and there’s no pressure to decide on the spot.