Recognition Criteria
Bupa has absolute discretion in granting recognition to any ancillary provider. Meeting the criteria below does not guarantee recognition. Bupa will exercise this discretion where required, on a case-by-case basis.
To attain Bupa recognition for the payment of benefits for the provision of hearing aids, you must be in private practice1 at the location in which the services will be provided and fulfil one of the following criteria outlined as options below:
| Option 1 | Option 2 | Option 3 |
|---|---|---|
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Applicants must be an Audiologist registered with Medicare Australia. Provider numbers for this category are allocated by Medicare Australia. Medicare Australia provides Bupa directly with details of provider numbers and relevant practice information. For recognition of new practices or alterations to addresses of current practices, Medicare Australia can be contacted on 132 150 or at www.medicareaustralia.gov.au/provider/ or |
Applicants must be an Audiologist or Audiometrist that holds a current Qualified Practitioner (“QP number”) for the Australian Government Hearing Services or |
Applicants must have:
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1. In addition to meeting one of the criteria above, each of the following requirements are mandatory:
- Australian Business Number (ABN)
- Public risk/liability insurance for an amount not less than $10,000,000 per claim covering liability owed to another person who suffers loss or damage by reason of the audiologist's or audiometrist's acts or omissions
- Product liability insurance for an amount not less than $5,000,000 per claim covering any damage or personal injury to any person, arising from any negligence or other defect in respect to any items acquired and dispensed by the audiologist or audiometrist
- Professional indemnity insurance to an amount not less than $1,000,000 per claim.
2. Applicants must hold provider recognition for each address where they deliver hearing aid services. Bupa issues unique provider numbers for each practice/clinic address, and the Bupa allocated provider number must appear on patient invoices.
- Providers who deliver face to face services and are members of HAASA or ACAud must report all practice addresses to their association, and the association will communicate the Bupa allocated provider number to you once it has been issued
- Providers who deliver face to face services and are not members of HAASA or ACAud must email their request for a provider number to providerenquiries@bupa.com.au, noting their QP number or Medicare Provider Number with a list of clinic locations
- Providers who deliver online services must complete an application form to apply for a Bupa allocated provider number as an online hearing aid provider.
3. Providers:
- must meet and continue to meet our recognition criteria
- must agree to Bupa Our Ancillary Provider Terms
- who are recognised with Bupa as online hearing aid providers must also agree to the Compulsory Additional Requirements for online hearing aid providers.
1Private Practice means a health care practice operating on an independent and self-supporting basis either as a sole trader, partnership, corporate or group practice but is not subsidised by any other party such as any type of publicly funded facility for the provision of accommodation, facilities or other services or practitioners. The provision of Treatment at a Public Hospital or any other type of publicly funded facility is not Treatment provided in Private Practice.