Hospital bills and claiming

If you’ve claimed the service with Medicare or your provider has done so for you, request a Statement of Benefits from Medicare.

This takes about 10 days, and you can download it from your Medicare account via MyGov.

For medical claims, ensure you were admitted as an inpatient and attach your Medical Benefit Statement as proof. 

Once you have your Statement, see our how to make a claim online, opens in a new tab guide to learn more.

If you haven’t claimed with Medicare, complete and submit a Two-Way claim form.

This applies if you received a bill from medical services like specialists, anaesthetists, pathologists, or radiologists. 

1. Complete the Medicare two-way claim form, opens in a new tab and a Medicare claim form, opens in a new tab 

2. Attach the specialist invoice, noting whether it’s paid or unpaid 

3. Submit the completed forms and invoice to Medicare. 

Medicare will process your claim and forward it to nib. We’ll then pay the eligible benefits, so there’s nothing more you need to do. 

Medicare will pay 75% of the Medicare Benefit Schedule fee, opens in a new tab and advise nib, who will then pay 25% of the MBS fee. Any remaining costs will then need to be paid by you.