Australian Health Fund Rebates
| Provider | Equipment | Cover | |
| ACA Health Benefits Fund |
CPAP Machine and Accessories, Letter of recommendation from doctor and an eligible invoice |
Up to 80% of cost to $1,200, every 5 years | |
| ahm Health Insurance | CPAP Machine and Mask with an eligible invoice |
Hospital Cover CPAP machine $500-$600 each five year Mask benefit of $100 per year |
|
| Australian Unity Health Limited | CPAP Machine only with eligible invoice |
$400 per year need to register as a provider |
|
| Bupa HI Pty Ltd |
CPAP Machine only, Letter of recommendation from doctor and an eligible invoice |
Platinum Cover |
|
| CBHS Corporate Health Pty Ltd | CPAP Machine and Masks Letter of recommendation from doctor and an eligible invoice. |
70% of cost $0-$1,000 machine per three years depending on cover |
|
| CBHS Health Fund Limited |
CPAP Machine and Masks Letter of recommendation from doctor and an eligible invoice. |
70% of cost $0-$1,000 machine per three years depending on cover |
|
| CDH Benefits Fund (Cessnock District Health fund) | No COVER |
|
|
| CUA Health Limited | CPAP Machine and Masks just eligible invoice | % of total spend to $600-$800 based on cover | |
| Defence Health Limited | CPAP Machine and Masks and invoice | Up to $1,500 depending on cover every three years | |
| Doctors' Health Fund |
CPAP Machine and Masks. Letter of recommendation from doctor and an eligible invoice. |
75% of the cost to $1,000, For Fund approved consumable items, benefit paid twice per calendar year. For Fund approved non-consumable items benefits paid 2 years after the first supply. |
|
| Emergency Services Health |
CPAP Machine and Masks. Letter of recommendation from doctor and an eligible invoice. |
80% up to $2,000 per 4 years | |
| GMHBA Limited |
CPAP Machine only. Letter of recommendation from doctor and an eligible invoice. |
up to $200 for sleep apnea machine. | |
| Grand United Corporate Health (corporate Health fund tailor made solutions to individual corporations) |
CPAP Machine only. Letter of recommendation from doctor and an eligible invoice. |
Depends on the corporation plan that they individual is on | |
| HBF Health Limited | CPAP Machine only Eligible invoice required |
Plus 75% up to $1,000 for 1yr increasing by $200 per year to a maximum of $1,800 Mid 65% up to $800 for 1yr increasing by $150 per year to a maximum of $1,400 Basic 55% up to $600 for 1yr increasing by $100 per year to a maximum of $1,000 |
|
| HCF |
CPAP Machine and Mask With an eligible invoice |
$200 per 3 years Claim upon receipt |
|
| Health Care Insurance Limited |
CPAP Machine and Mask With an eligible invoice |
Available on Premier Extras up to 90% of cost up to $700 once every three years for appliance | |
| Health Insurance Fund of Australia Limited |
CPAP Machine and Mask With an eligible invoice |
Super and Premium 70% of spend up to $300 or $600 depending on time in fund. But 5 years between each machines reimbursement. |
|
| Health Partners (South Australian Based) |
CPAP Machine and Accessories Letter of recommendation from doctor and an eligible invoice. |
GOLD and Nationals Years 1-2 75% $500 Years 3-4 85% $750 Years 5+ 100% $1,000 Based on continuous years of Gold Extras membership. Maximum benefit is limited to once every 5 years $150 every 5 years for support |
|
| health.com.au | CPAP Machines and Masks requires an eligible invoice | On top cover $400 on appliances per year | |
| Latrobe Health Services | CPAP Machine and Mask requires an eligible invoice | Premier GOLD and silver cover $250 and $200 on Premier | |
| Medibank Private Limited | CPAP Machine only requires an eligible invoice |
|
|
| Mildura Health Fund (local fund) |
CPAP Machine only requires an eligible invoice |
$400 every three years | |
| National Health Benefits Australia Pty Ltd (onemedifund) | CPAP Machine and Mask requires an eligible invoice |
Extras Plus 50% of cost to $400 Loyalty benefits apply - 80% up to $1,000 after 5 years cover. Contact the fund for details. |
|
| Navy Health Ltd (restricted to ADF or Navy Connected people) |
CPAP Machine Only requires an eligible invoice |
Premium Extras $1000, Healthy Living Extras $600 | |
| NIB Health Funds Ltd. |
CPAP Machine and Mask requires an eligible invoice |
top cover is $500 Provider number 10176845 |
|
| Nurses & Midwives Health (for members of the Nurses and Midwives union) |
CPAP Machine Only requires an eligible invoice |
75% up to $800 one machine every three years | |
| Peoplecare Health Insurance |
CPAP Machine and Masks requires an eligible invoice |
High Extras $500 per person and $1,000 per family Premium Extras $700 per person and $1,400 Per family one Machine every three years, and no limit on masks |
|
| Phoenix Health Fund Limited | CPAP Machine only and Letter of recommendation from doctor and an eligible invoice |
TOP Cover 80% of charge (after $20 co-payment is made) to the value of $900 Intermediate $200 Mid-level $150 |
|
| Police Health (for Police employees and their families) | CPAP Machine and Masks Letter of recommendation from the doctor, with test results if a home study. And an eligible invoice |
Platinum 80% of invoice up to $2,000 over four years. |
|
| Queensland Country Health Fund Ltd (based in Northern Queensland) Townsville, Ayr, Mackay, Mount Isa, Townsville | CPAP Machine and Mask, an eligible invoice and a copy of the Medicare approved sleep study. | Top cover only 80% of $2,000 once every three years for machine and 85% up to $250 per year for consumables. | |
| Railway and Transport Health Fund Limited (government based fund for Transport and Energy workers) | Depending on Corporate plan | Various Corporate health plans | |
| Reserve Bank Health Society Ltd (for employees of the reserve bank) |
CPAP Machine Only. Please contact fund before purchasing |
Gold Extras Limit of $1,800 in any 5 rolling years $360 after 1 year $720 after 2 years $1,080 after 3 years $1,440 after 4 years $1,800 after 5 years |
|
| St.Lukes Health |
CPAP Machine on all cover except basic. and CPAP Masks on top two covers requires an eligible invoice |
90% of spend from $500 up to $1,050 each 5year for machine, depending on the cover. 90% up to $80-$90 dollar per year for Mask (only available on the top two covers |
|
| Teachers Health Fund (exclusively for current and former education members) | CPAP Machine and CPAP Mask |
Top Extras 75% up to $900 once every three years |
|
| Transport Health Pty Ltd |
Top Extras 75% up to $900 once every three years |
Top Hospital Cover and Healthy cover $750 Top Extra Cover 80% of cost to $200 for Masks per year. |
|
| TUH (Queensland Teachers Union) open to past and present members of ANY union and family members | CPAP Machines and Masks |
Top Extras CPAP Machines Yr 1-2 85% of Cost to $620 Yr 3-4 85% of Cost to $655 Yr 5-6 85% of Cost to $690 Yr 7+ 85% of Cost to $790 CPAP Masks 85% to $100.00 Family Extras CPAP Machines 85% of cost to $600 every three years CPAP Masks 85% of cost to $100 per year |
|
| Westfund Limited. |
CPAP Machine require eligible invoice and letter of recommendation from medical practitioner CPAP Mask requires eligible invoice |
Platinum Extras CPAP Machine $750 claimable every 3 years CPAP Mask $100 every year |
Important Note: Health funds may regularly revise their cover through the year. Whilst we attempt to keep this table updated regularly, you are advised to check with your health fund for the latest cover pertaining to your individual circumstances.
