BJS Insurance

FAQs

Do I need to complete all sections of the claim form ?

You must fully complete the following required sections of the claim form for all claims.

  • Player Details
  • Injury Details
  • Health Fund Membership
  • Injured Player’s Authorisation & Declaration
  • Club Official Declaration
  • Physician’s Statement (pages 3 and 4 of the claim form must be completed by physician)

If you are claiming for Loss of Income in addition to the sections listed above, Income & Employment Details – For Employees must be completed by your employer.

If you are self employed you must provide the details outlined under “Income & Employment Details – For Self-Employed persons”.

Will the Accident Support programme pay all my expenses from my injury?

This is a very broad question & it is recommended that you access the “Accident Support” Flyer referred to earlier in this document or obtain a copy from your Club.

What is not covered under “Non-Medicare Medical Expenses” or “Loss of Income” Benefits ?

Costs of consultations with doctors, surgeons, specialists, anaesthetists. Please note that this includes the Medicare Gap.

  • MRI scans.
  • Cost of hire or purchase of crutches, wheelchairs,( unless clearly recommended by the physician), preventative items/guards and pharmacy items etc.
  • Costs related to travel for treatment.
  • Gym or pool fees.
  • Podiatry costs.
  • Loss of Income due to “partial” inability to work.

Can I submit my unpaid Invoices to the Insurer ?

You must pay all invoices incurred from your health providers. This includes accounts for ambulance expenses. Also if you are in a Health Fund you must claim from your fund in the first instance. You may then submit paid receipts and/or your Health fund rebate statement to claim any other eligible costs.

Do I have to wait until all treatment is complete before submitting my claim ?

You can submit your fully completed claim form and receipts after paying your service provider. Additional receipts for treatment can be submitted at a later date as they are paid.

I am only claiming ambulance costs, what do I need to do ?

If you are in a Health Fund submit your ambulance account to your Health Fund. If you are not in a Health Fund and wish to claim under the Accident Support Program you should:-

Pay the ambulance account

Submit your receipt and claim form, ensuring that all the required sections listed above have been fully completed.

We cannot consider your claim unless all the required sections on the Claim form have been completed.

Can I go straight to my physiotherapist to treat my injury?

You must first consult a physician to obtain a diagnosis or advice. If the doctor recommends physiotherapy or other necessary treatment, a referral must be obtained .

The “Physician’s Statement” on the claim form can only be completed by a doctor, surgeon, or dentist ( in the case of dental injury).

Treatment obtained without a referral cannot be claimed under the Accident Support Program.