All our forms and brochures are here in the one helpful location.
Forms
- Claim form (interactive)
- Claim form (print friendly version)
- Combining Cover
- Declaration of condition
- Orthodontic treatment plan
- Orthodontic claim form (interactive)
- Medicare claim
- Medicare two-way claim
- Student dependant registration
- Direct Debit Service Agreement
- Direct Debit request / change
- Rebate application
- Rebate Tier
- Membership suspension / cancellation
- Informed financial consent
- Third Party Authority Form
Cover descriptions
- Basic Plus Hospital - $500/$750 excess
- Bronze Plus Hospital - $500/$750 excess
- Silver Hospital $500/$750 excess
- Silver Plus Grow + Simple Extras - $500/$750 excess
- Silver Plus Grow + Mid Extras - $500/$750 excess
- Silver Plus Grow + High Extras - $500/$750 excess
- Silver Plus Grow + Premium Extras - $500/$750 excess
- Silver Plus Hospital $500/$750 excess
- Simple Extras
- Mid Extras
- High Extras
- Premium Extras
Closed products
- Public Hospital (Basic) *(closed)
- Basic Hospital - $500 excess (Basic Plus)* (closed)
- Mid Hospital - $500 excess (Basic Plus)* (closed)
- Premium Hospital - $250/$500 excess (Gold)* (closed)
- Premium Hospital - $150 excess (Gold)* (closed)
- Premium Hospital - No Excess (Gold) * (closed)
- Gold Hospital - $250/$500/$750 excess* (closed)
- Standard Extras* (closed)
- Value Extras* (closed)
- Comprehensive Extras* (closed)