GMHBA and FRANK – Changes to Optical Claiming

Important Update: Changes to GMHBA – FRANK Health Optical Item Number – frame only purchase from 1st September 2025.

  • GMHBA Limited members cannot claim frames without a prescription lens through electronic systems such as HealthPoint. To receive an eligible benefit, on a frame only purchase, the member must submit their itemised receipt(s), including evidence that prescription lenses have been fitted, directly to the fund manually.
  • The current item number O00110 – Frames will remain valid only until 31 August 2025. Item # O00110 – Frames will be replaced on 1 September 2025 with 5 new item numbers (see table below).
Current item number valid until 31 August 2025New item numbers to be used from 1 September 2025
O00110 – FramesO00225 – Single Vision Stock glasses (complete) O00228 – Single Vision Specially Worked Glasses O00315 – Bifocal Glasses (complete) O00415 -Trifocal Glasses (complete) O00515 – Progressive Glasses (complete)  

These five new codes relate to complete pairs. Going forward rather than using separate codes for frames and lenses members can claim for a pair of glasses using a single code that varies according to lens type.

Please ensure claims submitted from 1 September use the updated codes to avoid processing delays.

This information will also be sent to participating optical providers. For any further information, the GMHBA provider team can be contacted on 1300 301 437 or service@gmhba.com.au