Supporting ADF families with accessible healthcare is important to us. Here's how to make claiming straightforward:
What is the ADF Family Health Program?
The program helps families of permanent ADF members and full-time reservists access affordable healthcare, especially during relocations. If eligible, participants can claim with any provider enabled for Tyro Health's HealthPoint EFTPOS service.
Program benefits
Eligible participants receive $800 annually for allied and specialist health services.
Participants can use benefits at providers who are enabled for Tyro Health's HealthPoint Private Health Insurance claiming service - no additional provider registration is required.
Benefits can be used for direct claiming or to reduce gaps/co-payments from other insurance.
The program complements rather than replaces Private Health Insurance.
Claims processing guidelines for providers
It's easy to process ADF Family Health claims through your Tyro EFTPOS terminal - it works the same other health fund claims.
Claiming multiple funds?
Unlike most health funds, you can use ADF Family Health alongside private health insurance. Here's how:
Process the private health insurance claim first.
Still have a gap to pay? Create a second claim:
Use the same details as the first claim
Set the service item(s) charge amount to match the remaining gap
Swipe the ADF Family card
Any remaining gap becomes the patient's responsibility
While double claiming is generally not permitted with multiple funds, ADF Family Health is a permitted exception.
💡 Tip for Providers: Most practice management systems require separate invoices for multiple claims on the same service. Creating a second invoice for the ADF Family claim will assist with end-of-day reconciliation, as these and private health insurance benefits appear as separate line items in HealthPoint claims and payment reconciliation reports.
If you have any questions, click on the pink chat bubble on our website or email our Customer Support team.