Frequently asked questions about Health Insurance

Pathology tests in an out-patient setting are covered by Medicare, and therefore aren’t covered by Suncorp Health Insurance. It’s best to check with Medicare to determine what tests are covered and whether you’ll experience any out of pocket costs.

If your Hospital cover provides cover for your treatment, you’ve served your waiting period (including waiting periods for pre-existing conditions) and are admitted as inpatient, your test will be covered.

To support members, coverage has been temporarily expanded for chest, lung, kidney or other treatment related to COVID-19 across all levels of Hospital cover at no additional cost until 30 September 2021. You'll just need to have served the standard two-month waiting period before requiring treatment. Along with other health insurers across Australia, any treatment for COVID-19 as an outpatient that is covered by Medicare will not be covered by Suncorp Health Insurance. To review your level of cover, log in to your My Account or call us on 13 11 55.

The Australian Department of Health announced the COVID-19 vaccine will be provided at no cost to all Medicare-eligible Australians, permanent residents and temporary visa holders who are aged 16 years and older. You will not need to use your private health insurance to cover the cost of the vaccine.

For more information relating to the COVID-19 vaccine, including the Australian Government’s roll-out strategy and eligibility criteria, visit health.gov.au/initiatives-and-programs/covid-19-vaccines

If you have any upcoming appointments with the dentist, physio or other health care providers, it’s important you contact them about your COVID-19 related questions. The good news is that the telehealth services we introduced as part of our COVID-19 support package in 2020 are here to stay.

For more information on the Australian Government management of the outbreak, travel restrictions and advice, contact the National Coronavirus Health Line on 1800 020 080 or https://www.health.gov.au/news/coronavirus-update-at-a-glance

To support the mental health of Health Insurance members, Suncorp Health Insurance has temporarily expanded cover for psychology to eligible members until 30 September 2021. For more information please call 13 11 55.

The telehealth services that we introduced during the pandemic to help access a range of Extras services are here to stay. For more information please call 13 11 55.

Claims for complications arising from COVID-19 will be assessed in line with the Pre-Existing Conditions section of your policy. Please refer to the Suncorp Health Policy Booklet or call 13 11 55.

Suncorp Health insurance HICAPS claims using an Apple Wallet is currently not available. Customers can continue to swipe their Suncorp Health Insurance Member Card through a HICAPS terminal to automatically process claims. Alternatively, claims can be made through Suncorp Health Online Services.