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D.H.B. & Associates Pty Ltd
6/53 Kalang Road
Elanora Heights NSW 2101
Licensee - AFS No 241056
Tel: 02 9970 7577
Fax: 02 9970 7077
Mobile: 0414 413 100
PO Box 5174
Elanora Heights
NSW 2101
info@sportsnetaustralia.com
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Claims
For those sports that are clients of Sportsnet Australia, this page provides information on how to make a claim, and also allows you to download and print a claim form.
Simply click on the link at the bottom of this page, and the claim form will download and display in Adobe Acrobat Reader format (PDF).
This information must be completed, signed by club official and forwarded within 30 days of injury. DO NOT wait for all accounts/receipts before forwarding.
We may be unable to deal with your claim properly if you have not answered all questions fully.
IMPORTANT INFORMATION: PLEASE READ
IMPORTANT NOTE REGARDING CLAIMS FOR MEDICAL EXPENSES
We do not provide cover for any account that is fully or partially covered by Medicare. This means we do not cover expenses claimable from Medicare or the Medicare Gap. The reason for this is that the National Health Act 1953 does not permit us to do so. Please do not send us any account/receipt that is covered by Medicare or Medicare Statements. We do cover Non Medicare medical expenses. We will pay the percentage amount shown in the Policy schedule of charges for Private Hospital, Dental, Ambulance, Chiropractic treatment, Physiotherapy, or any similar provider of medical services provided always that such treatment is certified necessary by a legally qualified medical practitioner.
HOW TO CLAIM MEDICAL EXPENSES ONLY
When claiming for Non Medicare medical expenses you must have the Sports Injury Report Form fully completed. Medical treatment must be certified necessary by a legally qualified medical practitioner. This could be your treating doctor or dentist. The Attending Physician's Statement must be fully completed (without expense to the Insurer) prior to submitting a claim. Please note that medical cover is limited for 12 months from the date of the accident. For each and every claim an excess will apply as stated in the policy summary.
HOW TO CLAIM LOSS OF INCOME
When claiming for Loss of Income you must have the Sports Injury Report Form fully completed including the section to be completed by your Employer. If self employed you will need to attach proof of earnings such as a tax return. The Policy has an excess period(as stated in the policy summary), You must have your treating doctor complete the Attending Physician's Statement (without expense to the Insurer) prior to submitting a claim. Original medical certificates must be forwarded. We do not accept photocopies and the medical certificates must always be current. If your disability is continuing, please forward medical certificates every two weeks. Loss of income benefits will not be paid until all statements and documents are submitted.
PLEASE REMEMBER
If you have Private Health Insurance, you must submit details to your insurer prior to claiming from us.
1. Attach original receipts/accounts for the treatment you are claiming.
2. Excesses and percentages of cover apply under the Policy.
3. It is suggested that you check these details with your Club/Association representative prior to submitting a claim to us.
CLAIM FORM DOWNLOAD
NSW
Softball Claim Form
NSW Hockey
Australian Flying Disc Association
Regional Academies of Sport
Australian Ice Hockey Federation
Australian Rugby Golden Oldies
Australian Veteran Cycling Council Claim Form
Sports Underwriting Australia - Claim Form
All-Purpose Sports
Claim Form
Claim forms are in Adobe Acrobat format (PDF).
Click "print" from new the browser window after form has downloaded.
Click here if you require Adobe Acrobat Reader (free download).
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