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Eye Care

Health Fund Rebates

Your optical health fund benefits, available here. We process rebates in-clinic through HICAPS for all major Australian health funds, so you know your gap payment before you leave.

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Home Eye Care Health Fund Rebates
How It Works

Claiming Your Rebate

We accept rebates from all major health fund providers for extras cover with optical benefits, and can process your claim on the spot.

All Major Funds Accepted

We process claims in-clinic for all major Australian health fund providers offering extras cover with optical benefits.

HICAPS On The Spot

Pay only the gap, if any, at the time of your visit. Our HICAPS terminal claims your rebate instantly, with no paperwork or reimbursement to chase up.

Ask Us If You're Unsure

Not sure what your policy covers? Bring your membership card in and our team can check your available benefit before you decide on eyewear or lenses.

Eyewear frame design, from sketch to finished lens
What's Typically Covered

Optical Extras Benefits

Depending on your level of cover, your fund may contribute towards any of the following. Professional consultation fees are billed separately — see our Fees & Charges page for Medicare rebate information.

Frames

Prescription Lenses

Prescription Sunglasses

Contact Lenses

Good To Know

A Few Things Worth Understanding

Benefits Rarely Roll Over

Most annual optical benefits don't carry across into the following year, so it's worth using your cover before your benefit period resets.

Coverage Varies By Fund

Some policies provide a single rebate up to an annual limit, while others use itemised sub-limits for frames, lenses and contact lenses separately.

Benefit Periods Differ

Most funds run on a calendar year, but some operate on a financial year (1 July – 30 June). Check your policy to know when your benefit resets.

Rebates are subject to your particular level of health cover, available limit, and individual health fund rules. A valid prescription is required to claim rebates on optical items. This does not apply to professional services and consultation fees, which are billed separately — see our Fees & Charges page for Medicare rebate details. We recommend checking your specific policy for your individual entitlements.

Not sure what your fund covers?

Bring your membership card to your appointment and our team will check your available benefit for you.

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health-fund-rebates-02.jpg — Reception team processing a HICAPS health fund claim
Common Questions

Health Fund Rebate FAQs

Which health funds does Eyecare Concepts accept?
We process rebates in-clinic for all major Australian health funds offering extras cover with optical benefits. Rather than list providers that change their product names and cover levels often, we simply run your membership card through our HICAPS terminal at your Kew East appointment and it tells us exactly what you're entitled to on the spot.
Can I claim my rebate on the spot, or do I have to pay upfront and claim later?
You can claim on the spot. Our HICAPS terminal processes your health fund rebate instantly at checkout, so you only pay the gap between your bill and your benefit, if any. There's no paperwork to fill in and no reimbursement to chase up afterwards.
Does my health fund extras cover pay for my eye test, or just glasses and contacts?
Health fund extras cover is for optical items such as frames, prescription lenses, prescription sunglasses and contact lenses. Your eye examination itself is a professional consultation fee billed separately and claimed through Medicare, not through your health fund. See our Fees & Charges page for how consultation fees and Medicare rebates work.
How much will my health fund cover towards new glasses?
It depends entirely on your policy. Some funds pay a single combined rebate up to an annual limit, while others set separate sub-limits for frames, lenses and contact lenses. We can't quote a figure without seeing your cover, but if you bring your membership card to your appointment our team will check your available benefit before you commit to a frame or lens choice, so there are no surprises at checkout.
Do unused optical benefits roll over to the next year?
Usually not. Most annual optical benefits don't carry across into the following benefit period, so any amount you don't use is generally lost when your cover resets. It's worth using your available benefit before that happens rather than letting it expire unclaimed.
When does my health fund's benefit period reset?
It depends on your fund. Most run on a calendar year, but some operate on a financial year from 1 July to 30 June. Check your policy documents or member portal for your exact reset date, or ask our team to check when you come in — we can see your available benefit on the HICAPS terminal.
What's the difference between my health fund extras cover and Medicare for eye care?
Medicare covers a rebate towards eligible eye examination consultation fees, while your health fund extras cover pays towards optical products like frames, lenses and contact lenses. The two work independently: Medicare through your consultation, and your health fund through HICAPS for eyewear. Our Fees & Charges page breaks down what Medicare contributes to a standard eye test.
Do I need a current prescription to claim my health fund rebate?
Yes, a valid prescription is required to claim rebates on optical items such as glasses and contact lenses. If your prescription has lapsed, book an eye test with us first — our Do I Need An Eye Test? page covers how often you should have your eyes checked so your prescription stays current and claimable.
I'm not sure what my health fund policy covers — can you check for me?
Yes. Bring your membership card to your appointment at our Kew East practice and our team will check your available benefit on the HICAPS terminal before you decide on frames or lenses, so you know your out-of-pocket cost in advance rather than finding out at the register.
Can I use my health fund rebate towards designer frames or premium lenses at Eyecare Concepts?
Yes, your health fund rebate applies to your purchase regardless of which frame or lens option you choose from our range. Have a look through our eyewear collection, then book an appointment and we'll confirm your benefit and gap payment before you finalise your selection.
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