NOTE: this is from 2009 and will be updated when we receive 2010 information from the Association.

Cover is provided for injuries caused by active participation in officially organised games, official practice and training sessions, and official functions. The Accident Support Program is designed to supplement loss of income and non-Medicare expenses and is part of the Football NSW Limited Risk Management strategy.

Reimbursement up to 85% of non-Medicare medical expenses (net of any recoveries from private health insurance) up to a limit of $5,000. Claimable expenses are Physiotherapy / Chiropractic / Osteopathy / Naturopathy / Massage / Acupuncture (all following Doctor referral) , Ambulance, Dental, Private Hospital (acco-mmodation / theatre fees/prosthesis), and Orthotics prescribed by a surgeon following surgery. Claims for pre-operative care (physio / chiro etc.) are limited to $350 per injury. An Excess of $50 applies to those not privately insured. Expenses incurred more than 1 year after injury are not covered.

FOOTBALL INJURY CLAIM PROCEDURE
The following procedure is to be completed by any insured person to submit a sport injury claim.

1. Report the injury immediately to your club's insurance officer, Download the Claim form / Physician's Statement Sheet from the link below. (Also available on www.footballnsw.com.au) These forms are to be fully completed and returned within 60 days of the injury.
2. If you are claiming Loss of Income Benefits, have your employer complete the relevant section on the reverse side of the claim form, regarding period of your incapacity and employment details. Failure to fully complete this section may jeopardise the claim and will cause unnecessary delays in processing. Self employed persons must complete employment details onto a Statutory Declaration, and supply any other requested information relevant to the claim. If you are registered as a Student at the time of injury you are not entitled to claim Loss of Income Benefits. On-going Loss of Income Benefits requires new medical certificates every 14 days.
3. The physician's statement is to be completed by your physician only (chiropractors and physiotherapists are not permitted to complete this form). All individuals must consult a doctor immediately after injury.
4. Have your club's insurance officer or secretary ( This e-mail address is being protected from spambots. You need JavaScript enabled to view it ) complete the club's section of the form ( who will get the association secretary to also sign it, which can hold things up) and return the claim form and physician's statement, together with any paid NON-MEDICARE receipts to this office within 60 days:--
   Address: QBE Insurance (Australia) Limited
   GPO Box 4108, Sydney 2001.
   MEDICARE ITEMS AND MEDICARE GAP* are not covered at all by this scheme due to restrictions under Federal legislation. Medicare Items include but are not limited to, accounts from doctors, surgeons, anaesthetists, x-ray, pathology etc Medicare Gap is the difference between the amount charged by a Medicare provider, and the amount refunded by Medicare. DO NOT FORWARD MEDICARE ACCOUNTS/RECEIPTS
5. If you are in a private Health fund receipts should be submitted to your fund firstly for reimbursement. Any amount not covered should be submitted to QBE together with your rebate statement for consideration. THIS INCLUDES AMBULANCE EXPENSES. NB The policy only responds to paid receipts (no exceptions). Please do not submit unpaid accounts. If there are no receipts available initially, please send the receipts in after the claim has been lodged. Following this procedure will ensure the maximum benefits and prompt response.

Expenses incurred more than 52 weeks after date of injury are not claimable

Files

Football Injury Policy

Football Injury Information Leaflet

Football Injury Claim Form

For further information please contact Football NSW Limited.

Joe Denina, Financial Controller Football NSW

E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Phone: 8814 4419

Or for Sports Injury claims enquiries you may contact direct the people at QBE dedicated to Football NSW claims: Julie Schreiber on 02 82759174 or John McLean on 02 82759192.

Here's some forms you may need (but we hope you don't):

Notice to contest send off of player

Notice to Appeal Judiciary Sentence 2010