Out of pocket expenses

If you had to pay or will pay for treatment of the harm you suffered, you may be able to claim out of pocket expenses.

You can claim out of pocket costs linked to the harm you suffered, for example, consultations with doctors, medication and medical aids. Find out what out of pocket expenses you can claim in the COVID-19 vaccine claims scheme policy on the Department of Health and Aged Care website.

You may also claim the cost for getting the COVID-19 vaccine claims scheme medical report you need to submit with your claim.

What proof you need

You need to provide the following documents with your claim:

  • a completed COVID-19 vaccine claims scheme expenses form
  • proof of past expenses you’ve had, for example, itemised invoices or itemised receipts
  • proof of expected future expenses for treatment, for example, itemised quotes or treatment plans
  • proof the expenses were linked to the harm you suffered
  • proof of any amounts you got or will get from third parties, for example, private health insurance rebates or Medicare rebates
  • a third party payment statement.

Don’t include any amounts you got or will get from third parties, like benefits from Medicare or private health insurance.

How you calculate out of pocket expenses

You need to calculate the losses you had or expect to have for past or future expenses relevant to the treatment of your harm. Remember to deduct any amounts you got or will get from third parties when you calculate the amount.

Page last updated: 1 October 2024.
QC 55958