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15.5.21 Purpose

Claims for health costs

Guidance

This table outlines how to submit claims for this Part.

Submitting claims
Item If the member is serving in a country... then claims should be forwarded to the...
1. with an Australian diplomatic mission Post Administration Section of the Australian diplomatic mission in the country of posting.
2. without an Australian diplomatic mission Embassy or High Commission where the controlling Defence Attaché is located.

15.5.23 Assignment of rights to recover costs

15.5.24 Payment for health service instead of reimbursement

Guidance

Example: After an accident, the member incurs costs of USD 20,000 for emergency transport and hospital treatment. The hospital facilities are of a similar standard to those for a public hospital patient in Australia. There is no member contribution under Division 2 section 15.5.8. The CDF approves payment of the full amount direct to the hospital.

Private health insurance

Guidance

 

  1. There is no Commonwealth requirement for members on long-term posting to hold private health insurance. Members wishing to keep private health insurance during their posting should discuss this with their own health fund.

  2. APS employees and dependants are not eligible for the costs outlined in this Part while they are in Australia. Unless they have private health insurance they will only have Medicare cover while in Australia.

    Exception: A dependant who is also an ADF member has standard ADF health policy cover while in Australia.



    Example: A member's dependant child becomes ill while at the overseas post. The family decides that the child should return to Australia for treatment. The family does not have private health insurance. The child only has Medicare cover for the treatment in Australia.

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