From 1 May 2023, ahm OSHC members have access to increased annual limits when claiming towards eligible pharmaceuticals, as per the below:
|Effective until 30 April 2023||Effective from 1 May 2023|
|Member contibution (co-payment)||$30*
|Amount we’ll pay (maximum per item)
|Annual limit - Single membership
|Annual limit - Couple/Family membership
||$300 per member / $600 per membership||$500 per member / $1,000 per membership|
The increased annual limits, less any claims with a date of service between 1 January 2023 to 30 April 2023, apply towards claims for pharmaceuticals with a date of service from 1 May 2023. The previous annual limit will continue to apply for claims with a date of service prior to 1 May 2023.
An updated Cover Summary detailing the changes will be available via your Online Members Services and the ahm OSHC app by the end of May. If you have any questions in the meantime, get in touch on 134 148 between 8.00am–8.00pm Monday to Friday (AEST).
*This amount is equal to the 2023 non-concessional PBS co-payment, which is indexed on 1 January each year. See pbs.gov.au for more information.