Chronic Benefit and PMB Support

Getting the application ready

Ask the scheme which application and supporting information are needed. Keep copies of submitted documents and reference numbers. We can help coordinate the administrative process with the information supplied by you and your provider.

When medication is not approved

Ask for the reason in writing. Check whether the query concerns registration, the medicine list, the dispensing provider or missing clinical information. Ask your practitioner about any clinical motivation the scheme requires.

Know the conditions of the benefit

Chronic funding and PMB rules are not a promise that every treatment or medicine is covered without conditions. The scheme may apply provider networks, formularies and treatment protocols. Ask how these apply to the exact service in question.

How we support you

We explain the response in plain language, help identify the next administrative step and follow up the query. We do not diagnose, prescribe, change medication or guarantee approval. Consult your treating professional about treatment decisions.

Arrange a conversation

Tell us the type of help you need using the contact form. Ask us to explain the scope of support and any charges before agreeing to a service.