Can I claim from Westfund and Medicare?
Unfortunately, legislation prevents private health insurers from paying a benefit on outpatient services that attract a Medicare benefit. As a result, we are unable to pay any additional benefits for out-of-pocket expenses related to Medicare claimable outpatient services.
Once your limit with Medicare for an outpatient service is reached, then you may submit your claim to Westfund accompanied with a finalised statement from Medicare.