HEALTH FUNDS
Select all Healthfunds that have claiming guides.
Australian Unity
HCF
Medibank Private
BUPA
GMHBA
NIB
Teacher's Health
TUH
AHM
Defence Health
HIF
Frank
Which of the following healthfunds do you need to access an online portal to find the level of cover?
BUPA
HCF
Medibank Private
TUH
Defence Health
AHM
All of them
None of them
What does "splitting" refer to?
Nothing, you made it up.
When the frame code is separate to a lens code
Any time it isn't processed as a bundle code.
When the frame and lens codes are split up across the two pairs in a two for one
When the lens options are charged for each pair.
When a pair of glasses is snapped in half.
Which healthfunds may contain split codes?
NIB
AHM
HIF
Defence Health
Medibank Private
HCF
Any small Healthfund provider
Any healthfund not listed on EasyPrice
Which Healthfund item code is used to claim the glasses frame?
222
212
851
666
110
220
100
312
Which Healthfund item code is used to claim a single vision lens (not polarised)?
110
212
222
652
312
228
101
852
Which code is used to claim a single vision polarised lens?
110
212
222
312
662
612
12345
215
Which code refers to the Ultraclear Superclean coating?
110
212
612
662
622
262
644
852
Can you claim a Healthfund if the customer is using a Golden Ticket?
Yes
No
Can you claim a Healthfund if the customer is purchasing replacement frames only?
Yes
No
Why should we always quote on EasyPrice first even though Socrates has an EasyPrice button? (Select all correct answers)
Price discrepancies on Socrates may indicate a missing lens option
It gives us a rough estimate of the out of pocket before dispensing
Quickpay won't process the order if we don't
We can use the exact codes and values of what the customer is getting to give an accurate quote before dispensing
It prompts us to discuss lens options as we are quoting
It's just the rules- it doesn't have a purpose
When should we be using Quickpay? (Select the answer most correct).
Every dispense
If the Healthfund uses bundle codes
If it's a small provider
If the till is being used
Every dispense, unless the EFTPOS at my desk is already settled for the day
I don't use it.
Which of the following Healthfunds get 20% off lens options (excluding promos)?
Any LISTED small provider
All healthfunds
Any provider NOT LISTED
GMHBA
AHM
BUPA
Medibank Private
Defence health
HCF
None of them
Which of the following Healthfunds get 25% off lens options (excluding promos)?
Any LISTED small provider
All Healthfunds
Any provider NOT LISTED
GMHBA
AHM
BUPA
Defence Health
Medibank Private
HCF
None of them
Which of the following Healthfunds get no discounts on lens options (excluding promos)?
Any LISTED small provider
All Healthfunds
Any provider NOT LISTED
GMHBA
AHM
BUPA
Defence Health
Medibank Private
HCF
None of them
When can a customer claim again after reaching their limit? (Select the answer most correct).
Financial year
Annual year
Every 2 years
Once a month
Next financial OR annual year depending on which provider they're with
They can only use it once and that's it
Multiple times a year
They can use it again but it gets debited off the next year's cover
What do I do if a Healthfund doesn't have a claiming guide on EasyPrice?
Give the dispense to someone else
Check what they claimed last time and go off that
Use your pre dispense discussion of lens options to do an EasyPrice quote using the exact codes & values at a certain frame price point
The customer will know how much they have to spend
Each Healthfund will give back roughly the same amount for every customer
Assume it's about $200
Panic
Use the NIB claiming guide
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