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WE ACCEPT ALL
HEALTH FUNDS

At OPSM, we accept all Australian health funds and can help you get the most out of your annual rebates*.
We also have partnerships with over 40 health funds to provide you with a range of great discounts to further reduce the cost of your new glasses, prescription sunglasses and contact lenses.

Are you aware of your exclusive optical benefits at OPSM?

Select your health fund to find out more.

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How to claim
your insurance

Claim your benefits on the spot at OPSM

At OPSM, we accept all Australian health funds. We also process claims on the spot for most health funds, so you can get the glasses you really love.

How much you can claim

How much you can claim depends on which health fund you are with, your level of cover, waiting periods, and prior claims. You can speak with your health fund or pop into your nearest store, and we can help you figure it out.

What you can claim

Your health care optical extras benefits can be used for glasses, contact lenses, and even prescription sunglasses. Up to 85% of our sunglasses at OPSM can be fitted with prescription lenses.

When your health insurance benefits renew

You can claim your health insurance optical extras benefits at any time of the year. However, it is important to note that most health funds don’t roll over any unused benefits when your insurance renews. Ask your health fund to find out when your benefits renew.

*Subject to your particular level of health cover, available limit and health funds rules. Each health fund rebate is different, some have annual benefits based on financial year (1 July to 30 June), so it’s a good idea to check your plan and see what you’re entitled to. Excludes eye tests and contact lens consultations.

Tyro Health Asset

CLAIM ONLINE
WITH

You can now conveniently claim your benefits in real-time through Tyro Health when purchasing contact lenses online.

FAQ

Have a question and need an answer quickly?
Find it here!

Yes, you can claim your health fund rebates online, currently only for contact lenses, using Tyro Health. Tyro Health provides a convenient and efficient way to claim rebates from certain health funds in real-time.
Tyro Health is a digital health platform that allows patients to conveniently claim their health insurance benefits and manage payments for healthcare services.
Tyro Health works by streamlining the health insurance claiming process. Patients can use Tyro Health to instantly claim their eligible benefits by providing their insurance information, Tyro Health then submits the claim to the insurance company on behalf of the patient, eliminating the need for manual paperwork.
Currently, you can claim your health fund rebate on contact lenses as one-off purchases through Tyro Health.
Tyro Health itself does not charge customers for using its platform. However, please note that fees associated with healthcare services and insurance coverage may still apply. It's always advisable to check with your health insurance provider for any specific costs or coverage details.
Eligible health fund members may be able to claim prescription glasses, including those with lens coatings such as BlueGuard, when purchased online. Contact your health fund provider to determine whether you may be eligible. We can provide itemised invoices on eligible items to claim from your health insurer directly.
Eligible health fund members may be able to purchase prescription sunglasses online with health insurance. Contact your health fund provider to determine whether you may be eligible.
Generally, health funds have an annual reset period allowing members to claim optical products every year. The majority reset on the 1st of January with some financial year or based on joining period. Ask your health fund provider regarding your individual reset period and cover.

Disclaimer: This information is general in nature. Please consult your health fund directly to review your insurance and opticals cover and PDS, available limits and health funds terms and conditions.