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Defence Health

ADF Family Health

ADF Family Health Quick Claim Guide

NOTE: Navy Health Ltd is currently contracted by Defence to perform all ADFFH claims processing.

A printable Quick Claims Guide for the National ADF Family Health Program is available here: National ADFFH Quick Claim Guide

Please Note: New Claim Forms for the National ADF Family Health Program will be uploaded to this page in January 2014.

How to Claim Medical Benefits

Method 1

Step 1. Visit general practice and pay for visit.

Step 2. Claim Medicare rebate.

Step 3. Attach Medicare receipt to a Medical Claim Form.

Step 4. Send, fax or email claim to

ADF Family Health
P.O Box 172
BOX HILL, VIC 3128
Fax: 03 9899 4234
Email: adffamilyhealth@navyhealth.com.au

Step 5. Money paid into your account.

Method 2 (Online Claiming)

Step 1 – Visit general practice and pay for visit.

Step 2 – Claim Medicare rebate.

Step 3 – Visit Member Services website.

Step 4 – Scan Medicare receipt.

Step 5 – Follow instructions to upload Medicare receipt.

Step 6 – Money paid into your bank account.

NOTE: When using the Online Claiming method, receipts must be uploaded within 10 days.


How to Claim Allied Benefits

Method 1 – (Point of Sale Claiming):

Step 1. Visit allied health provider.

Step 2. Provider swipes your ADF Family Health card (if provider has HICAPS machine).

Step 3. Provider paid directly for services (subject to benefit balance).

Step 4. Pay provider any balance owing.

Method 2 – (Manual Claiming):

Step 1. Visit allied health provider and pay for visit.

Step 2. Attach original receipt to an Allied Health Claim Form.

Step 3. Send, fax or email claim to

ADF Family Health
P.O Box 172
BOX HILL, VIC 3128
Fax: 03 9899 4234
Email: adffamilyhealth@navyhealth.com.au

Step 4. Money paid into your account (subject to $330 benefit balance).

Method 3 (Online Claiming)

Step 1 – Visit allied health provider and pay for visit.

Step 2 – Visit Member Services website.

Step 3 – Scan original receipt.

Step 4 – Follow instructions to upload receipt.

Step 5 – Money paid into your bank account.

NOTE: When using the Online Claiming method, receipts must be uploaded within 10 days.

Method 4 - (Private Health Insurance Members Only):

If you have private health insurance it is recommended that you claim your treatment from the private health insurance provider first and then claim any remaining amount via one of the above methods.

NOTE: Some practices may not allow two swipes from two different cards for the one transaction, in this case it is suggested that you use your Private Health Insurance card, pay the difference and complete a manual or online claim to be reimbursed the difference.

Please attach a copy of your private health insurers receipt before sending in your claim via manual or online methods..

Need help completing your claim? Contact 1300 561 454.