What an Extras policy actually pays
Funds set their hearing aid benefit one of two ways. A fixed limit pays up to a dollar figure regardless of what you spend: Medibank publishes up to $1,200, HBF up to $700, CBHS Health Fund up to $1,600. A percentage benefit pays a share of the invoice up to a cap: Bupa up to 80% within a $1,200 limit, nib 75% up to $1,200, GMHBA 60% within a shared $1,500 annual limit. The percentage matters as much as the cap, because an 80% benefit on a $1,000 hearing aid pays $800, not the full $1,200 limit.
Two further structures change the number materially. Loyalty tiers raise the benefit the longer you hold cover: HCF publishes up to $1,800 with membership loyalty, Teachers Health up to $1,800 for a pair with membership tenure. Combined limits pool hearing aids with other appliances: Defence Health's $1,500 sits inside a limit shared with blood glucose monitors and orthotics, so a recent claim on another appliance reduces what is left for hearing aids.
Four things to confirm with your fund before you buy
Published policy documents describe the product, not your membership. Your fund's call centre can confirm all four of these against your membership number in a single phone call, and the answers are what determine your actual out-of-pocket cost.
- Are hearing aids included on my level of cover? A hearing aid benefit sits on higher Extras tiers, not on base cover. Ask the fund to confirm your specific level of cover so you know whether hearing aids are included.
- What benefit do I have available right now? Ask for the remaining amount on your membership, not the policy's published maximum. Limits and previous claims sit on your membership record, so the remaining benefit can be lower than the published maximum.
- Have I served the waiting period? Ask the fund to confirm the date your hearing aid benefit became, or becomes, claimable. Most funds apply a 12-month waiting period, while Medibank applies 36 months, and upgrading Extras usually restarts the waiting period on the additional benefit.
- When did I last claim for hearing aids? Ask the fund to check the date of your last hearing aid claim. This sets your next eligible date under a 3-year cycle, or a 5-year cycle for Medibank and ahm, and benefits do not reset each January.
Claiming with TellyHear
Buying online does not change how you claim. Your fund reimburses you against an itemised tax invoice, so the process runs in three steps: confirm your available benefit with your fund, choose your hearing aids with Lachlan Smith, our Senior Clinical Audiologist, then submit the paperwork we send after purchase. That documentation lists the device, the manufacturer's item details and the amount paid, the detail funds ask for when assessing a hearing aid claim.
Two points worth knowing before you claim. Benefits are paid as a reimbursement, so you pay in full at purchase and claim afterwards. And a fund's hearing aid benefit is separate from the Australian Government Hearing Services Program. If you are eligible for that, you generally cannot claim the same device through both.
Every figure above is drawn from the published policy information in the fund directory and was checked in August 2026. Benefits change, and yours depends on your policy, membership type, state, years of membership and previous claims. Confirm your entitlement with your fund before purchasing.