Health management programs

We’re always looking for new ways to help you be your healthiest self. These Health Management Programs are designed to do just that.

Before you start any program, check you’re on eligible cover and the provider of the program is recognised by HCF. If you’re unsure, call us on 13 13 34, or visit your local branch. 

To claim for a Health Management Program you’ll need to submit a claim form and provide supporting documents. Unless otherwise stated, all programs have a 2 month waiting period and are subject to cover eligibility and annual limits.

To help you achieve a healthy weight, you may be able to claim for a dietitian-led HCF-approved weight management program.

We may also pay towards some weight loss medications that are registered on the Australian Register of Therapeutic Goods (provided they’re used to treat the specific conditions listed for those drugs). The maximum you could claim is $50 for 1 month’s supply of approved weight loss medications in a 12 month period.

If your doctor or physiotherapist has recommended an exercise or gym program to treat a specific medical condition (like arthritis, hypertension, obesity, asthma, diabetes or osteoporosis) you may be able to claim towards the cost.

To claim, ask your doctor or physiotherapist to confirm your condition on an Exercise and Gym Benefits Form. A physiotherapist or exercise physiologist can complete the form if you’re claiming for their class. Remember to submit a new form for each program.

Recreational or competitive sports or activities aren’t covered.

You may be able to claim towards classes run by an HCF-recognised childbirth educator. The program must be designed to educate parents about pregnancy and childbirth, and be run by an AHPRA-registered nurse and midwife. Class structure could be face-to-face, such as those run in hospitals, or online like Birth Beat.

Standalone postnatal courses, yoga and birth classes, standalone father or grandparent classes aren’t covered.

You may be able to claim for swimming lessons run by swim schools that are ASSA members, AUSTSWIM (Gold and Silver level) or Swim Australia swim centres.

Call 13 13 34 to find an eligible centre.

Squad training or recreational swimming isn’t covered.

Eligible Australians aged 45 to 74 can do a free test at home every 2 years as part of the National Bowel Cancer Screening Program. People aged 45 to 49 can request their first bowel cancer screening kit to be mailed to them, while those aged 50 to 74 will continue to receive a kit in the mail every 2 years.

If you’re outside of these ages you may be able to claim if you submit a receipt confirming you’ve had the test.