These guidelines should be read in conjunction with our General provider guidelines.
Who can provide optometric services?
You can provide services if you are registered under the Health Practitioner Regulation National Law (e.g. AHPRA) to practice in the optometry profession (other than as a student).
What we can pay for
Within the first 90 days of a client’s accident, we can help pay for optometric treatment and services without the need for you or the client to contact us for approval first. The treatment or service must be recommended by a health professional, related to the client’s accident injuries and delivered in line with the Clinical Framework.
If you intend to continue treating a TAC client beyond 90 days after their transport accident you will need to send us a request in writing or a copy of their treatment plan. We will review our client’s treatment to ensure it’s reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We will assess your request and let you and the client know our decision about what we can help pay for and for how long.
If our client has not received treatment in 6 months they will need to seek approval from us before we will pay for further treatment. Ask our client for a copy of their approval if you haven’t seen them in 6 months.
We can help pay for:
- Optometric consultations.
- Computerised perimetry.
- Spectacle glasses and contact lenses.
- One pair of basic non-prescription standard sunglasses, when required as a direct result of the transport accident.
- Replacement of prescription glasses that are damaged in a transport accident.
- Provision of basic equipment. Our approval is required for specialised equipment. Please read our Equipment guidelines and use the Equipment Prescription Form to submit written requests.
Other things to note
Certificates of Capacity
As part of your patient’s treatment, you can complete Certificates of Capacity to assess and certify your patient’s capacity for work.
For accidents that occurred prior to 14 February 2018 a medical excess may apply. Visit the medical excess page to see if it applies to your patient. If the medical excess applies you will need to invoice the client directly.
Patients with a severe injury
How much we can pay
We can pay for services in line with our Optometry fees.
If your fee is higher than our fee, you may choose to charge the client the difference in the form of a gap payment.
What we cannot pay for
We cannot pay for treatment or services provided by an optician. The cost of these services is included in the cost of the glasses.
For more information
Access our policy for Optical, orthoptic and optometry services.