1. 134 148
  2. (+61 3 9862 1095)

Please read the terms, conditions, notices and disclaimers below known as the "Terms and Conditions". Your use of, and/or access to, the site constitutes your agreement to these Terms and Conditions.

We reserve the right to amend the Terms and Conditions at any time. Since you are bound by these Terms and Conditions, you should periodically refer to them in this document and elsewhere on the site.

Copyright and Trade Marks

Intellectual property and restrictions on use of Content on the Site

All information, text, material, graphics and advertisements on the Site ("Content") are Copyright © 1998 - 2017 ahm OSHC, a business of Medibank Private Limited ABN 47 080 890 259, its related bodies corporate, its suppliers and/or licensors unless expressly indicated otherwise on the Site.

The Content is protected by Australian and international copyright and trade mark laws. You must not modify, copy, reproduce, republish, frame, upload to a third party, post, transmit or distribute this Content in any way except as expressly provided for on the Site or expressly authorised in writing by us or our Affiliates. Strictly on the condition that you keep all Content intact and in the same form as presented on the Site (including without limitation all copyright, trade mark and other proprietary notices and all advertisements), you may:

  1. using an industry-standard Web browser, download and view the Content for your personal, non-commercial use, or
  2. if you are an Internet service and/or access provider, supply the Content to your subscriber.

You must not use the Site in any manner or for any purpose which is unlawful or in any manner which violates any right of ours or an Affiliate or which is prohibited by the Terms of Use.

Trade Marks of ahm OSHC and its Affiliates

All trade marks displayed on the Site are trademarks of ahm OSHC, its related bodies corporate, or their respective owners. Nothing contained on the Site should be construed as granting any licence or right of use of any trademark displayed on the Site without the express written permission of ahm OSHC, the relevant ahm OSHC affiliate or third party owner.

Some of the logos may be available to you to place on your own web site as a hyperlink to the relevant Medibank web site, but such use requires the express written authorisation of ahm OSHC or the relevant Affiliate, and any use must be in accordance with the trademark usage guidelines of the relevant trade mark owner.

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Links

The Site contains hyperlinks and other pointers to Internet websites operated by third parties. These linked websites are not under the control of ahm OSHC, and ahm OSHC is not responsible for the contents of any linked website or any hyperlink contained in a linked website. ahm OSHC provides these hyperlinks to you as a convenience only, and the inclusion of any link does not imply any endorsement of the linked website by ahm OSHC or its Affiliates. You link to any such website entirely at your own risk.

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Disclaimers

The Competition and Consumer Act 2010 and similar State and Territory Legislation in Australia may confer rights and remedies on you in relation to the provision by Australian Health Management Pty Ltd and its related bodies corporate of goods or services on the Site which cannot be excluded, restricted or modified ("Non-excludable Rights"). ahm OSHC does not exclude any Non-excludable Rights but does exclude all other conditions and warranties implied by custom, law or statute.

Except as provided for by the Non-excludable Rights:

  1. all Content is provided "as is" and without warranties of any kind, either express or implied,
  2. Australian Health Management Pty Ltd, its related bodies corporate and its suppliers expressly disclaim all warranties of any kind including but not limited to implied warranties of merchantability and fitness for a particular purpose,
  3. Australian Health Management Pty Ltd, its related bodies corporate do not warrant that the functions contained in any Content or any Communications Facility or your access to the Site will be uninterrupted or error-free, that any defects will be corrected or that the Site or the server which stores and transmits Content to you are free of viruses or any other harmful components,
  4. Australian Health Management Pty Ltd, its related bodies corporate do not warrant or make any representation regarding your access to, or the results of your access to, the Site (including any related or linked website) or any Content in terms of correctness, accuracy, timeliness, completeness, reliability or otherwise, and
  5. you (and not ahm OSHC) assume the entire cost of any necessary verification, maintenance, repair and/or correction of any relevant Content.

Although all of our general health content is researched thoroughly, the accuracy, currency and completeness of the information available on our web site cannot be guaranteed and is in no way a substitute for medical advice from a health professional. Content on our site is not intended to be used to diagnose, treat, cure or prevent any disease, and it should not be used for therapeutic purposes. The user is responsible for assessing the accuracy and relevance of content. This disclaimer is attached to all of our content.

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Limitation of liability

Under no circumstances (including but not limited to any act or omission on the part of ahm OSHC) will Australian Health Management Pty Ltd or its related bodies corporate be liable for any indirect, incidental, special and/or consequential damages or loss of profits whatsoever which result from any use or access of, or any inability to use or access, the Site or any Content. You expressly acknowledge and agree that Australian Health Management Pty Ltd or its related bodies corporate does not exert control over users of the Site (including individuals referred to on the Site as guests and experts) and is not liable either for their opinions or their behaviour including any information and/or advice and any defamatory statements or offensive conduct.

To the fullest extent permitted by law, ahm OSHC's liability and the liability of its related bodies corporate for breach of any implied warranty or condition which cannot be excluded is limited at the option of Australian Health Management Pty Ltd and its related bodies corporate to the following:

  • in the case of services supplied or offered by Australian Health Management Pty Ltd and its related bodies corporate
    1. the supply of the services again, or
    2. the payment of the cost of having services supplied again; and
  • in the case of goods supplied or offered by Australian Health Management Pty Ltd and its related bodies corporate,
    1. the replacement of the goods or the supply of equivalent goods,
    2. the repair of such goods,
    3. the payment of the cost of replacing the goods or acquiring equivalent goods, or
    4. the payment of the cost of having the goods repaired.

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Privacy

We are subject to the Privacy Act 1988. See the ahm OSHC Privacy Policy for more information.

Fraud

The Australian Government requires all health insurance providers and members to incorporate a program of fraud control as part of their overall risk management strategy. Our objective is to minimise loss from fraud so that we can maximise the amount available for benefit payments to you.

What do we do about it?

We use an independent firm and our own teams to investigate suspected instances of fraud. Our aim is to recover any money and, more importantly, deter further fraudulent behaviour.

How can members help?

The easiest way to help is to simply be aware of what you are being billed for. Make sure the dates of service are correct and that you received the treatment recorded. It is also important to treat your member card like a credit card, and not to leave it with any provider. If your card is lost, please report it to us straight away.

Report fraud

If you have reason to suspect fraudulent activity, please call us on 134 148 or email us at oshc@ahm.com.au. You can choose to remain anonymous but please be assured that we follow high standards of investigative practice and always protect the interests of all parties.

ahm OSHC Terms and Conditions (T&Cs) for Online Members Services (OMS)

We will advise you from time to time of the transactions our Online Member Services will enable you to perform.

In order to access our Online Member Services, you must be a policy holder with ahm OSHC and be registered for Online Member Services with a password.

These services include but are not restricted to:

  • Online claiming
  • Paying your premium by credit card
  • Viewing previous transactions
  • Viewing and/or editing membership details

Password

Before you can access Online Member Services, you will need to purchase an OSHC policy, register your details and choose a password, by following the procedure set out in the 'apply for cover' page of www.ahmoshc.com.au. You must also confirm that you have understood and agree to these Terms and Conditions for use of ahm's Online Member Services portal (Conditions of Use).

You must take reasonable care to keep your password confidential. If you decide to tell someone your password, they become your nominee and are subject to these Conditions of Use. You will be responsible for any transactions they make as your nominee. We recommend that you do not record your password. If you do so, you are responsible for keeping any records of your password secure and protected, and separate from any records of your membership number.

Transaction Limits

Use of Online Member Services may be subject to transaction limits. These may be imposed by us or by other parties involved in any transaction. These include:

  • the maximum benefit amount which can be paid towards claims for items which are pre-approved, and are assessed and paid automatically
  • the maximum amounts which can be paid subject to prescription medicine annual limits
  • the maximum amounts for online credit card payments per transaction.

Payments

You are liable for all transactions carried out by you or by anyone carrying out a transaction with your authority or express or implied consent, regardless of when the transaction is processed to your account.

You should check your statements and records carefully. If you believe a transaction is wrong or unauthorised you should contact us immediately.

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Online Claiming Terms and Conditions

  1. Online claiming will only be available after the policy holder activates their membership and nominates an Australian bank account for benefits to be paid into.
  2. ahm OSHC will automatically pay eligible claims into the Australian bank account on file. You accept that it is your responsibility to ensure your bank details are up to date at all times, and to inform us as soon as practical of any changes.
  3. Only the policy holder listed on the policy, or their nominee, is permitted to use online claiming.
  4. A benefit limit of $200 per day applies to claims for services that have been pre-approved. Such claims will be assessed and paid automatically.
  5. Claims for which benefits exceed the daily benefit limit, and claims for items that have not been pre-approved, will be submitted for manual assessment by the ahm OSHC claims team
  6. All claims must be accompanied by a copy of the relevant service account(s) and receipt(s) for payment, provided by the doctor or other provider that performed the service(s) being claimed for.
  7. All receipts/service accounts must be in a format that enables ahm OSHC to validate the claims information submitted.
  8. You must retain the original receipt(s) and service account(s) (or a verified copy) for a period of three years following the claim submission.
  9. ahm OSHC may request that you provide the originals (or a verified copy) of your receipt(s) and/or service account(s) in order to verify the details of claims for which we have previously paid a benefit.
  10. ahm OSHC reserves the right to commence recovery action of (a) any amounts paid where we are unable to validate the claims information submitted or (b) any overpayment of any claim for whatever reason, and the overpayment may also be deducted from any future claim.
  11. Policy holders claiming via Online Member Services are bound by all the rules of ahm OSHC
  12. On making an online claim, the policy holder, or their nominee, gives ahm OSHC the same rights as if a claim form had been signed and the policy holder marks and must abide by the following declaration: "Declaration by member I declare that the information on this form is true and correct. I authorise Australian Health Management OSHC to check any of these services with the relevant provider and if any benefits have already been paid. I acknowledge that ahm OSHC may use the information on this claim form to assess and process this claim, or for other purposes related to this claim as outlined in the ahm Privacy Policy. I confirm the services submitted on this claim form were performed by the providers, and received by the persons named on this form. I declare these services cannot be claimed from any other source unless specified in question 3 above.�¢??
  13. ahm OSHC may terminate Online Member Services and/or the ability for online claiming or suspend an individual's access to these services at any time.
  14. ahm OSHC does not warrant that the Online Member Services (including online claiming) will be available or functional as required.
  15. Under no circumstances is ahm OSHC or any of its carriers or suppliers liable or responsible in any way to you or any other person for any loss, damages, costs, expenses or other claims (including consequential damages and loss of profits or loss of revenues), as a result, direct or indirect of any defect, deficiency or discrepancy in Online Member Services (including online claiming service) including its form, content and timeliness of delivery, including, without limitations, for and in relation to any of the following:
    • Any service supplied to you.
    • Any delay in supply of the service.
    • Any failure to supply the service.
    • Any technical or non-technical failure.
    • Any content or information accessed via the service with or without your authorisation.
  16. The Competition and Consumer Act 2010 and certain State and Territory legislation may imply certain conditions and warranties into the Agreement. To the extent permitted by law those conditions or warranties are expressly excluded. Where they cannot be excluded, ahm OSHC's liability (if any) arising from the breach of those conditions and warranties is limited, in ahm OSHC's sole discretion to the supply of the services again or cost of re-supplying the services again.

The registration and use of Online Member Services is subject to these Conditions of Use in addition to any specific terms to which you agree on registering for Online Member Services.

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Web Site Availability

We will make all reasonable effort to ensure that the Site is available 24 hours a day, seven days a week. However, electronic services are subject to interruption or breakdown. Therefore, access to our website is offered on an "as is" and "as available" basis only.

Other

This agreement will be governed by and construed in accordance with the laws of New South Wales, Australia. You irrevocably and unconditionally submit to the non-exclusive jurisdiction of the courts of New South Wales. If any provision of this agreement is found to be invalid or unenforceable by a court of law, such invalidity or unenforceability will not affect the remainder of the agreement, which will continue in full force and effect.

All rights not expressly granted herein are reserved.

Acceptance of Terms and Conditions

Your use of this web site indicates your agreement to be bound by the Terms and Conditions.

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Last updated: May 2016.