Contact Enable on 1800362253 or email enable@health.nsw.gov.au

Frequently Asked Questions

Am I eligible to claim IPTAAS?

To claim, you must meet the following criteria:

  • Be a resident of NSW or Lord Howe Island and hold a Medicare card
  • Live more than 100km from the nearest treating specialist or your combined trips to and from the specialist exceed 200kms/week
  • Not be eligible for any other government travel assistance schemes
  • Not be claiming expenses under Workers Compensation
  • Not hold a gold Department of Veterans' Affairs (DVA) card – please refer to DVA for assistance.

What can I claim through IPTAAS?

You can claim a subsidy towards the following if you are eligible:

  • Private vehicle travel
  • Public transport (trains, buses, ferries and taxis)
  • Air travel (in special circumstances)
  • Accommodation
  • Financial assistance towards the cost of having an escort/ carer support you during your treatment.

Can I get a subsidy towards air travel to see my specialist?

You can get a subsidy if your air travel is approved. Before you fly, you are required to obtain a prior approval number from your local IPTAAS office. Your specialist or referring doctor can obtain this number by contacting the local IPTAAS office and confirming the reason you are not able to travel by other modes.

Failure to obtain pre approval may result in reimbursements at a lower rate.

What is a co-payment?

Patients and their escorts (if applicable) who are not pensioners or health care card holders may be required to make a contribution towards the cost of their travel and/or accommodation. This contribution is known as co-payment. Co-payments are $30 per return journey and are capped at 4 co-payments for appointment dates within a financial year period. A co-payment will only be deducted from claims with appointment dates before 1 October 2018.

Are booking fees subsidised through IPTAAS?

From Monday 1 October 2018, the cost of booking fees received when travelling by public transport or air will now be subsidised. This is in addition to the subsidised travel cost less the GST. GST will remain unable to be subsidised under the new policy change.

What are the IPTAAS subsides?

  • Travel for private vehicle is 22 cents per kilometre
  • Public transport full cost (including booking fees) reimbursed less the GST
  • Private stay $20 per night per person. Airbnb bookings are also reimbursed at this rate.

Not-For-Profit Accommodation

  • Accommodation for patient is $43 per night for the first 7 nights per financial year
  • Accommodation for patient and escort is $60 per night shared for the first 7 nights per financial year
  • Accommodation for patient is $65 per night for 8 nights plus per financial year
  • Accommodation for patient and escort is $85 per night shared for 8 nights plus per financial year

For-Profit Accommodation

  • Accommodation for patient is $43 per night for the first 7 nights per financial year
  • Accommodation for patient and escort $60 per night for the first 7 nights per financial year
  • Accommodation for patient is $80 for 8 to 14 nights per financial year
  • Accommodation for patient and escort $105 for 8 to 14 nights per financial year
  • Accommodation for patient is $105 for 15 nights plus per financial year
  • Accommodation for patient and escort is $120 for 15 nights plus per financial year

What's the difference between profit/not for profit accommodation?

For-profit accommodation providers do not have charitable status.

Not-for-profit accommodation is provided by organisations that are registered as a charity or government entity in the Australian Business Register, which can be searched using either the accommodation provider's name or ABN.

How do I apply for bulk billing?

Upon arrival at the accommodation facility, ask them to help you complete Part 1 of the claim form including their details on page 2 and send this to your local IPTAAS office for approval.

How do I claim?

There are several ways to claim:

  1. Claim online
  2. Complete the claim forms manually and post, email or fax your forms to your local IPTAAS office.

What forms do I need?

To submit a claim you will need the IPTAAS claim form. For easy use our claim forms have separate sections know as parts. There are three parts within the claim the form.

The IPTAAS forms Include:

  • Claim Form
  • Travel Diary
  • Doctor Referral Form
  • Advance Payment Form
  • Practitioner Application – Prosthetic and Orthotic

For your initial or first iisit to your ipecialist complete a claim form with the following section:

  • Part 1 – Patient and Escort Details
  • Part 2 – Travel and Accommodation details
  • Part 3 - Specialist and Treatments

For multiple trips within the same month to the same specialist complete a Travel Diary Form

For Bulk Billing complete the Claim Form with the following section:

  • Part 1 – Patient and Escort Details
  • 1.7 Bulk Bill Accommodation Details.
  • Doctor Referral Form (if it is the first visit to your specialist)

At the end of your stay, you will need to complete and submit:

  • Part 2 – Travel and Accommodation details
  • Part 3 - Specialist and Treatments

For Advanced Payments:

  • Complete the Advanced Payment Form and submit to your local IPTAAS office

When you return home:

Complete the Claim Form with the following section

  • Part 2 – Travel and Accommodation details
  • Part 3 - Specialist and Treatments.

How long will it take to process my claim?

The time it takes to process a claim varies but payment should be made within 30 days from the date we receive your claim, subject to the correct information and necessary documentation being received by IPTAAS.

However, if we need to do a follow up with yourself or your referring medical specialist this may delay your claim.

When do I need a Doctors Referral form?

If it is the first visit to a specialist or if your circumstances change, you are required to complete a Doctors Referral form.

How long is my Doctors referral form valid?

Your referral is valid for 24 months. If you visit a new specialist a new referral is required. If your circumstances change and you now require an escort a new Doctors Referral Form will need to be submitted if you did not previously request one.

This isn't the first visit to my specialist, when do I need to complete a new Doctor Referral Form?

No, as long as it within the 24 month period from your initial appointment date.

You will be required to submit a new Doctor’s referral form with the first claim you lodge 24 months after your first appointment with that specialist.

What is a travel diary and when can I use one?

A travel diary is used to record multiple return trips to the same specialist on a single form. A travel diary will help you keep track of your travel and accommodation records for each trip.

You can use a travel diary once you have submitted your first claim on an IPTAAS claim form.

How do I contact my local office?

If you call the toll free 1800-IPTAAS number you will be given an option of calling your local office.

  • Select Option 1 for the Hunter New England office
  • Select Option 2 for the Port Macquarie office
  • Select Option 3 for the Broken Hill office
  • Select Option 4 for all other areas
  • Select Option 5 for online claim support

Alternatively you can contact your local office in writing on:

Hunter New England – Tamworth
Fax: (02) 6766 4576
Email: HNELHD-IPTAAS@hnehealth.nsw.gov.au
Post: IPTAAS Coordinator
Locked Bag 9783, Tamworth NEMSC NSW 2348

Northern NSW, Mid North Coast – Port Macquarie
Fax: (02) 5524 2996
Email: TFH-IPTAAS@ncahs.health.nsw.gov.au
Post: IPTAAS Coordinator - PO Box 126, Port Macquarie NSW 2444

Far West – Broken Hill
Fax: (08) 8080 1695
Email: FWLHD-IPTAAS@health.nsw.gov.au
Post: IPTAAS Coordinator

Broken Hill Health Service - PO Box 457, Broken Hill NSW 2880

For all other areas
Fax: (02) 8797 6543
Email: IPTAAS@health.nsw.gov.au
Post: IPTAAS Coordinator - Locked Bag 5270 Parramatta NSW 2124

If I want to provide feedback, how do I do this?

Send feedback using our feedback form or alternatively, you can call our office to provide feedback.