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Personal Injury Claims

Important Information

SPORTSCOVER AUSTRALIA PTY LTD (Sportscover) is the administrator of the Personal Accident Policy (arranged by JLT Sport) for the Football Federation Victoria Insurance Programme. Sportscover administers all claims associated with this policy for 2009.

The Health Insurance Act (Cth) 1973 does not permit the Insurer to reimburse any costs for medical treatments that are registered with Medicare (this includes the Medicare Gap).

As Sportscover Australia Pty Ltd is a NON MEDICARE MEDICAL INSURER, they are prevented by government legislation from covering the MEDICARE GAP. This means that in most cases, a service that is performed by a registered Medical Practitioner will not be covered by the policy.

Some examples of expenses NOT claimable through this section include:

  1. The Gap between the registered Medical Practitioner’s fee and the amount you receive back from medicare for the following medical services: Doctors, Surgeons, Anaethetists, Pathologists & Radiologists. And;
  2. Other items where a Medicare refund (in any part) is recoverable.
Examples of Non-Medicare Medical items. Examples of items covered by Medicare.
Claimable as per the Policy Wording. We can not reimburse you for these costs.
  • Ambulance
  • Physiotherapist
  • Dental
  • Private Hospital Accommodation
  • Chiropractor
  • MRI Scans*
  • Doctor
  • Surgeon
  • Surgeon’s assistant
  • Anesthetist
  • X-rays
  • MRI scans*
  • Public Hospitals

* Some MRI machines are not registered with Medicare. Please check with your treating physician before lodging your claim.

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