For extras claims, you can claim in-person at your healthcare provider, by using your ahm member card - but only if they have a HICAPS machine. If not, you can claim online via your account or through the ahm app.
For hospital claims, it'll depend on if you've received a bill from your specialist. If you have received a bill, you'll need to fill in a Medicare claim form and a two-way claim form to submit your claim to Medicare first. Medicare will then process your forms and send them to ahm to process.
If you've received a Medicare Statement of Benefits, you'll need to fill in an ahm claim form and send it to ahm along with the Statement of Benefits. You can do this online via your account or by sending both forms to Locked Bag 4, Wetherill Park NSW 2164.
"Great value policy, solid coverage and fairly priced. Easy to change policies in the internal AHM app as circumstances change. "
Anthony Shakinovsky
Finder crew member
Complaints info
The Private Health Insurance Ombudsman received a disproportionately high number of complaints about ahm's parent company, Medibank, in the last financial year.
Medibank has 27.1% of market share but accounted for 29.9% of all complaints. However, many of these complaints were in relation to the cyber attack in 2022. Of all claims investigated by the Ombudsman, Medibank accounted for only 19.2% - far less than its 27.1% market share.
"ahm is one of the cheapest insurers on the market for basic and mid-level hospital options. These cover treatments such as ear, nose and throat, joint reconstructions, chemotherapy and diabetes management. If you're older and have some health issues, such as cataracts or need a joint replacement, there are cheaper top-tier gold policies though. The same is true if you're looking for pregnancy cover (ahm's owners, Medibank offer a much more comprehensive option). As for its extras cover, its no waiting period option has literally saved me hundreds of dollars several times on dental, physio and optical."
Nicola Middlemiss is a contributing writer at Finder, with a special interest in personal finance and insurance. Formerly a business and finance journalist, Nicola has written thousands of articles helping Australians better understand insurance and grow their personal wealth. She has contributed to a wide range of publications, including Domain, the Educator, Financy, Fundraising and Philanthropy, Insurance Business, MoneyMag, Mortgage Professional, Yahoo Finance, Your Investment Property, and Wealth Professional. Nicola has a Tier 1 General Insurance (General Advice) certification and a Bachelor's degree from the University of Leeds. See full bio
Nicola's expertise
Nicola has written 237 Finder guides across topics including:
Personal finance
Personal insurance, including car, health, home, life, pet and travel insurance
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