What's New?

1st May 2017 - Updated Access Gap Cover Schedules & updated benefit for MBS Item 42705

AHSA inadvertently allocated incorrect benefits for item 42705 (originally published on 4th May 2017). AHSA has now reset the Access Gap Cover benefit for item 42705 to the same level as item 42702 (updated 10th May 2017). For further information on the new Schedules please refer to the Schedule of Benefits.

1 January 2017 Changes

Effective from 1 January 2017 Access Gap Cover schedules have been indexed. 

There is also a new version of the Access Gap Cover Billing & Business Guidelines.  The main changes relate to the publication of Doctors information on the AHSA and participating funds' provider searches.

To facilitate the changes to the business rules the Provider Registration (Provider Details and Direct Credit Authority) form has also been updated. All registrations received on or after 1 January 2017 must use this new form. All out dated Provider Registration forms received after this date will automatically be rejected.

16 January 2017 - Nurses & Midwives Health Pty Ltd Joins Access Gap Cover

Please note Nurses & Midwives Health Pty Ltd joins Access Gap Cover as at 16 January 2017. Download a list of AHSA funds that participate in Access Gap Cover.

9 January 2017 - Emergency Services Health Pty Ltd Joins Access Gap Cover

Please note Emergency Services Health Pty Ltd joins Access Gap Cover as at 9 January 2017. Download a list of AHSA funds that participate in Access Gap Cover.

1st Sept 2016 - CBHS Corporate Health Pty Ltd Joins Access Gap Cover

Please note this is a separate entity to CBHS Health Fund Limited. Access Gap Cover will be available to members who have any hospital product. Download a list of AHSA funds that participate in Access Gap Cover.

1st April 2016 - GMHBA Joins Access Gap Cover

Access Gap Cover will be available to members who hold hospital cover with GMHBA Health Insurance from 1st April 2016. Please note that this change does not apply to members who hold hospital cover with Frank Health Insurance or Budget Direct Health Insurance. Download a list of AHSA funds that participate in Access Gap Cover.

The following letter regarding GMHBA joining Access Gap Cover was sent to medical providers.

GMHBA Joins Access Gap Cover