Optical, orthoptic and optometry services
We’re here to help you get your life back on track after your transport accident. To help you with your injuries we will pay for orthoptic, ophthalmology and optometry consultations provided in Australia.
In the first 90 days after your accident, the TAC can help pay for this treatment without the need for you to contact us for approval first.
When you need to contact us for approval
You or your provider need to contact the TAC for approval of this treatment if:
- It is approaching or more than 90 days since your accident and we have not approved further treatment or services, or
- It has been more than 6 months since you’ve had any treatment or service paid for by the TAC.
When we can pay for optical, orthoptic and optometry services
In the first 90 days after your accident, if your doctor recommends that you need optical, orthoptic or optometry services because of your injuries, there's no need to contact us for approval first.
After the first 90 days, you will need TAC approval for more optical, orthoptic and optometry services.
We will pay you to visit your doctor so you can discuss your needs with them. As part of that visit, they can refer you to an orthoptist, ophthalmologist or optometrist.
When needed, we will work with your treating team to help them organise the eye treatments and support you need.
We may contact your eye specialist to discuss your progress or ask for an assessment to make sure that:
- You have access to the most appropriate treatment and support.
- You are getting proven, evidence-based treatment and not receiving treatment that isn't helping you recover.
- You are moving towards getting your life back on track or being able to live independently.
Treatment and services we can’t pay for
We can’t pay for services that:
What do these services do?
Optometrists are primary health care specialists trained to examine the eyes to detect defects in the vision, signs of injury, ocular diseases or abnormality and problems with general optical health.
Orthoptics is a primary health care discipline that specialises in the diagnosis and non-surgical management of eye disorders, particularly eye movement disorders.
Ophthalmology is a medical service that deals with the anatomy, physiology and diseases of the eye. An ophthalmologist is a specialist in medical and surgical eye problems.
For more information please refer to the following resources:
How treatments and services are paid for
We pay for your treatments:
We pay for your services in line with our responsibilities under the Transport Accident Act 1986.
How much we will pay
We will pay for your treatment and services according to our fee schedule. If your service provider charges more than the TAC rate, you may need to pay the difference.
For a list of TAC rates, see:
For accidents that happened before 14 February 2018, we can only pay for optometry and ophthalmology services once any required medical excess has been reached. Find out if the medical excess applies to you.
If you are a provider of eye services, please refer to our: