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Optometry Australia has devoted significant time engaging with nine health insurers – who collectively comprise 90 per cent of the market – to build one helpful resource created exclusively for members to decode what can often be a confusing topic.

Private health insurance rules & rebate conditions 2021 is an easy to understand resource that addresses common questions optometrists have around billing and compliance with respect to private health insurance (PHI), such as:

  • Can a rebate be used as a partial payment at time of ordering if the product is paid in full?
  • Can a product be purchased over two years (frames and lenses) to maximise rebate?
  • Can a rebate be provided on only a frame if a patient chooses to get lenses elsewhere?
  • Do plano lenses need to be retained if a patient purchases a complete pair of prescription sunglasses?

You can download your own copy of the private health insurance resource here; it is the first clickable link.

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