OSHC Basics: What’s Covered and What’s Not

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OSHC >> OSHC Basics: What’s Covered and What’s Not

OSHC Basics: What’s Covered and What’s Not

Navigating health insurance as a student can feel like trying to read a textbook in another language—confusing, overwhelming, and not exactly fun. So we asked: what do students actually want to know about their OSHC (Overseas Student Health Cover)? Here's the lowdown, with some real-talk from our student crew.

Is STI Testing or Counselling Covered?

ft. Antonio & Li

Antonio

Li

Antonio had his first STI test after hearing a mate mention it during a group project. “I was kinda nervous—and confused if my insurance even covered it,” he admitted. Turns out, OSHC can cover STI testing and consultations, but there are a few catches.

What's Covered:

A GP visit to talk about sexual health - Usually covered.

STI tests (for chlamydia, gonorrhoea, HIV, etc.) - Sometimes—but only if your doctor thinks it's needed and it's on the MBS (Medicare Benefits Schedule).

The test itself — Usually 85% of the set government fee is covered. If the clinic charges more, you pay the difference (that's the gap fee).

Antonio's Tip:

“Go to clinics with direct billing—they send the bill straight to your insurer, and you might pay nothing or just a small fee.”

Melbourne Bonus:

The Melbourne Sexual Health Centre offers free walk-in STI testing, no Medicare or referral needed. Elsewhere in Victoria? Try 1800 My Options to find low-cost services.

Li's Note on Counselling:

Talking about sexual health can feel awkward, especially if you’re queer or from a culture where it’s taboo. A GP can refer you to a psychologist but only people with Medicare eligibility can use the GP’s Mental Health Care Plan for rebates. Some OSHC plans do cover counselling or psychology costs if you have that plan and use providers in their mental health network. But there may be limits and gap fees, so always check your OSHC policy first

How do I actually make a claim?

ft. Zara & Kaito

Zara

Kaito

Zara says it best:

Claiming sounded stressful, but once I figured out the app, it was kinda easy—like uploading a photo of my receipt and boom, done.

How Claims Work:

1

Pay for your appointment

2

Get a receipt and invoice

3

Log in to your OSHC provider's app or website

4

Upload the documents

5

Wait (usually 3–10 business days)

App Hacks:

Allianz: Use the MyHealth app
Bupa: Use the myBupa app or portal
nib: Use the nib App or online portal

💡 Tip: These apps make it easier to submit claims, find providers, and keep track of your OSHC benefits without piles of paperwork.

Kaito's Pro Tip:

Find clinics with direct billing, so you don't pay upfront at all. Always ask before booking.

Save These Documents:

Invoice with date, clinic name, and services
Proof of payment (receipt or bank statement)
Referral letter (if needed). This is not required to make an OSHC claim.
Statement of Service: Sometimes clinics give a breakdown of the services you received (like Medicare-style breakdown); it can help clarify costs but isn’t always needed for claims

Is Contraception Covered?

ft. Sally & Lina

Sally

Lina

Sally lives in a small regional town, and getting contraception discreetly was tricky. “I didn't want to ask too many questions at the pharmacy in case people I knew were around,” she shared.

Here's what OSHC usually covers:

GP/NP Appointment - Yes, it's typically covered when you go to talk about contraception.

The Contraceptive Itself:

If your contraception is listed on the PBS (Pharmaceutical Benefits Scheme), OSHC may cover part of the cost.

You’ll usually pay the PBS co-payment (about $31.60 per prescription item).
Your OSHC provider may reimburse part of that cost (often up to around $50 per item).
Most plans have a yearly medication limit of about $300 per person.

If it’s not on the PBS, you’ll likely pay the full price — though some insurers may offer partial reimbursement depending on your policy.

💡 Prescriptions for contraceptive pills are often written for a 3-month supply at a time.

Contraceptive TypeGP Visit?Product Covered?Notes
Pill (Combined/Prog)
Partially or not covered
Might pay a small gap
IUD (Hormonal)
Maybe
Insertion may cost extra
IUD (Copper)
Usually not covered
Implanon
Partially
Ask about bulk billing
Emergency Pill
OTC version not covered
Condoms
Not covered at all
Termination of Pregnancy (Medical / Surgical)
(Typically need a referral)
Maybe
Not covered at all

Yes, you usually need to see a GP/NP

No, you don’t need a GP/NP or it’s not covered

Maybe, Coverage depends on your insurer

💊 Did you know? The morning-after pill (emergency contraception) can be prescribed and dispensed directly by a community pharmacist—no GP visit needed.

📝 Plus, in Victoria, some pharmacists can now prescribe oral contraceptives for up to 24 months, but you’ll still need at least one consult with a GP or nurse practitioner to get started.”

Are Psychology or Specialist Visits Included?

ft. Li & Zara

Li

Zara

After a stressful semester, Li reached out for mental health support. “There's still stigma in my community, but honestly, getting help saved me.”

Mental Health:

For Australian citizens and Medicare-eligible students, a GP can write a Mental Health Care Plan (MHCP), which gives access to up to 10 subsidised psychology sessions per year.
Most international students on OSHC are not eligible for Medicare and therefore cannot use the MHCP. Instead, your OSHC may cover part of the cost for psychology or counselling sessions—but the number of sessions and the gap fee depends on your insurer and policy.
Always check your OSHC policy for details, as some insurers have preferred networks or caps on the number of sessions.
If your university has a health or counselling service, you may also be able to access free or low-cost psychology sessions there.

Costs:

OSHC usually reimburses around 85% of the MBS fee for psychology sessions (if eligible), but many psychologists charge more than the standard fee—meaning you’ll likely pay a gap fee.
Some clinics' bulk bill = zero cost to you!

Zara Adds:

“Sensory-friendly clinics or telehealth are lifesavers if you're neurodivergent.”

Other Specialists Covered:

Psychiatrists
Gynaecologists
Dermatologists, and more

Just remember—you'll need a GP referral first!

Quick Hack:

Your uni counselling service may offer free sessions or help with referrals to bulk-billing providers.

Are There Limits or Yearly Caps?

ft. Lina & Kaito

Lina

Kaito

Lina juggles studies and parenting - and every dollar counts. “I didn't realise there was a cap on my child's medicine until the pharmacy told me.”

Here's what's fully covered:

Emergency hospital care

Ambulance for emergencies

But other stuff? Caps apply.

Common Caps:

Medicine: Around $300–$500/year max (PBS-listed)
Mental Health: Up to 10 sessions with a care plan. If you’re on OSHC, you can’t use a Medicare care plan. OSHC might cover some psychology or counselling sessions, but how many you get depends on your insurer — so check your policy to be sure.
Specialists: OSHC covers 85% of the MBS fee

⏳ Waiting Periods:

Pregnancy care: Usually a 12-month wait
Pre-existing mental health conditions: May also have a wait time

Kaito's Tip:

“Check your OSHC limits by reading your policy summary in the app, or just call your insurer’s helpline—it’s often quicker and easier!”

Final Thoughts

No one hands you an “adulting” guide when you arrive in Australia—but understanding your health cover is a huge step in looking after yourself. Whether it's sorting contraception, talking to a psychologist, or just claiming back $50 from a GP visit—OSHC is there to support you. If in doubt? Ask your GP, check your insurer's app, or chat to your uni health service, or contact your OSHC provider directly. You're not alone in this.

Frequently Asked Questions

More Resources / Relevant Articles

Understanding OSHC: What Confuses Students Most

Making Sense of OSHC

When Services Are Free or Low-Cost Under OSHC

What’s free under OSHC

What Does This Mean?

GP

(General Practitioner)

Click to learn common health terms

What Does This Mean?

MHCP

(Mental Health Care Plan)

Click to learn common health terms

What Does This Mean?

Cap / Annual Limit

Click to learn common health terms

What Does This Mean?

Gap Fee / Out-of-Pocket Cost

Click to learn common health terms