What does the merger mean for the medical providers?
Currently, it’s still business as usual and no providers overlap or have been transferred. You would need to register separately and bill them separately to the relevant health fund. Please refer to the Rates section for the appropriate rates.
As a medical provider how can I register for RT Health/Transport Health's Medicover gap scheme or change my details?
Simply fill out the Registration form or Change of Details form as per the instructions on the form and email it to Medicover medicover@hcf.com.au
The Medicover Registration form should be used to apply for Medicover Registration for the first time or to add a new provider location. The completed form should be emailed to medicover@hcf.com.au
Who is eligible for RT Health/Transport Health’s Medicover gap scheme?
Medicover is only available to specialist doctors working in Private Practice and must abide to the Terms and Conditions.
It is not available to Pathologists, Radiologists or Doctors employed fully or partially by a publicly funded facility.
I’m a Pathologists/Radiologist can I register for the Medicover gap scheme?
RT Health/Transport Health offers access to Pathologists and Radiologists under a No Gap arrangement called Medical Purchaser Provider Agreement (MPPA).
An MPPA is a contractual arrangement whereby the two parties agree to a rate that will be applicable for eligible services to RT Health and Transport Health members. This rate is accepted as full and complete payment and no gaps (out of pockets) are charged to our members.
An MPPA also provides a direct billing system which is a method by which Recognised Providers registered under the MPPA can submit medical claims directly to RT Health and Transport Health via Eclipse or manually.
How do I claim?
For any claims in association with RT Health or Transport Health, Providers can claim via the following:
- ECLIPSE
- Email RT Health members: help@rthealthfund.com.au
- Email Transport Health members: enquiries@transporthealth.com.au
- Post: PO Box 545 Strawberry Hills NSW 2012
Can I backdate my registration?
If you want to use RT Health and Transport Health’s Medicover Gap or MPPA scheme you must apply and be accepted to participate in your chosen Medicover arrangement for each provider location prior to providing and claiming services for an RT Health/Transport Health member.
RT Health and Transport Health registers Medicover applications (including additional provider locations) from the date, we receive the fully completed application.
In special circumstances we will backdate a maximum of 30 days from the receipt date. This means any claims for services prior to the date of registration will not be applicable for Medicover benefits and claims submitted under Medicover arrangements will be rejected.