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How To Claim Health 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 use your benefit to get the glasses you really love. We have partnered with over 25 health funds to provide you with a range of great discounts to help you save even more! Discover your health fund discounts.


HOW MUCH CAN YOU CLAIM?

Everybody is different. 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 store and we can help you figure it out. Simply bring your health insurance membership card into your nearest OPSM store and our friendly experts will be able to help.

Each health fund policy is different, to find out what you can claim on your health insurance policy, visit your nearest OPSM store and speak to our friendly experts.


WHAT CAN YOU CLAIM WITH OPTICAL EXTRAS?

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. Our friendly experts in store can help you work out the best way to spend your Optical Benefit to maximise value and suit your lifestyle.


WHEN DO MY 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 benefits renewal. Most health funds renew their optical extras benefits each financial year, some renew based on the calendar year and other are based on the date you join the health fund. Ask your health fund to find out when your benefits renew.


TAKE ADVANTAGE OF OUR SPECIAL OFFERS.

We want to help you get the best possible value with your health insurance benefits. That’s why we have these special offers. You can use these offers with your optical benefits to save you even more money.

We have partnered with over 25 different health funds to help you get the most out of your Optical Benefits, find your health fund provider here.
Can’t decide which frames to choose? Getting both is now affordable with our half price offer on your second pair. Having two pairs of glasses helps you refresh your look between work and play. They also come in handy as a back up pair. Find out more here.
You can finally get the brands you actually want at NO or LOW GAP. All health fund members can choose from our range of $99 package range with nothing or very little to pay when you use your optical benefit. Medibank or HBF members can select any frame from our $149 range with No Gap Payment.
At OPSM we provide bulk billed eye tests for eligible Medicare cardholders and services. Find out more here.

DESIGNER STYLES TO SUIT YOUR LOOK.

At OPSM we have the latest women’s and men’s glasses and sunglasses from the world’s leading brands. We can help you find the perfect frames to suit your face, your lifestyle and your budget. Your Health Fund Optical Benefits will help you get the glasses you really love all you have to do is pay the difference between your benefit and the purchase price.


WHEN WAS YOUR LAST EYE TEST?

It’s a good idea to check your prescription before you get a new pair of glasses or contact lenses. Eye tests are covered by Medicare for eligible Medicare cardholders and services and you should have your eyes tested at least every two years (or once a year if you are over 40). OPSM recommends that you schedule regular visits with your optometrist based on your eye health needs. You can book online here now or pop into your closest OPSM store to make an appointment to see one of our expert optometrists.

HOW TO CLAIM YOUR BENEFIT INSTORE.

Bring along your health fund card to your nearest OPSM store, and one of our friendly team members can help process your claim. We can also check your health insurance optical benefit so you know exactly how much you can claim and if there are any out of pocket expenses. Book an appointment at your nearest OPSM store today.

HOW TO CLAIM YOUR BENEFIT ONLINE.

You can claim your benefits with your health fund for contact lens orders made online. Once your order has been processed, you will receive an itemised tax invoice including our provide number, item codes and costs. Simply present this tax invoice when you lodge a claim with your health fund to receive your rebate. You can shop our range of contact lenses online.