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We Help You Maximise Your Benefits

Your Guide to Insurance at HoldfastBay Optometry


Understanding your insurance coverage is crucial for eye care, and we strive to make this process as straightforward and stress-free as possible. Our team is here to help you maximise your benefits so you can focus on what truly matters — maintaining optimal eye health and clear vision. Whether you're coming in for a routine examination, managing an eye condition, or considering contact lenses, we're committed to providing exceptional care.

Home » Medicare and Private Health Funds

Navigating Medicare and Private Health Funds

At HoldfastBay Optometry, we proudly accept all health funds, ensuring our patients can access top-tier eye care services. Our clinic will provide the support you need to easily navigate your health fund benefits.

Our knowledgeable staff is skilled in handling various health fund claims and is always ready to assist you. From understanding your coverage to processing your claims efficiently, we maximise your benefits without hassle.

Whether you have questions about what your health fund covers, need assistance with claim forms, or want advice on maximising your benefits, our team is here to help.

Does Medicare cover all eye examinations?

Medicare does not cover all eye examinations. More specific eye examinations, such as those for contact lenses, vision therapy, or dry eye, may incur additional costs.

What about private health funds?

Private health funds don’t normally cover eye examinations, but depending on your policy, they may cover up to 100% of the cost of frames, prescription lenses, or contact lenses.

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Understanding Your Medicare Coverage

Those with a Medicare card have access to essential eye health services. Here’s an outline of what Medicare covers:

Comprehensive Eye Examinations

Medicare facilitates access to comprehensive eye examinations, an essential aspect of maintaining eye health.

  • Individuals under 65 are eligible for one comprehensive eye examination every three years
  • If you're 65 or older, Medicare covers one comprehensive eye examination annually

Regardless of age or recency of a comprehensive eye examination, there is always a Medicare benefit that will cover those unexpected changes or concerns that need a review outside of those time frames.

Contact Lens Consultations

Medicare covers consultations for those considering contact lenses within a certain range of optical prescriptions.

Eye Exams for Specific Conditions

Medicare recognises the importance of regular monitoring for those with existing eye conditions. It supports more frequent eye examinations for conditions like glaucoma or macular degeneration.

  • Bupa
  • Medibank Private
  • HCF
  • AHM Health Insurance
  • CBHS Health Fund
  • Doctors' Health Fund
  • Defence Health
  • Teachers Health
  • NIB
  • Police Health
  • GMHBA
  • HBF
  • Frank Health Insurance
  • Australian Unity
  • CBHS Corporate Health
  • RT Health Fund
  • GU Health
  • Qantas Insurance
  • Phoenix Health Fund
  • HIF
  • Latrobe Health Services
  • Peoplecare
  • CUA Health Limited
  • Westfund
  • Transport Health
  • St. Lukes Health
  • TUH Health Fund
  • Nurses & Midwives Health
  • Navy Health
  • AAMI
  • Health Care Insurance
  • Health.com.au
  • RBHS
  • GMF Health Insurance
  • Health Partners
  • Mildura Health Fund
  • ACA Health Benefits Fund
  • Queensland Country Health Fund
  • AIA
  • Apia
  • NHA
  • My Own
  • CDH Benefits Fund
  • Budget Direct