Application Form

Health Care Insurance (HCI) Membership application form.

Government Rebate Application

Application to receive or change the Australian Government Rebate on Private Health Insurance as a reduced premium.

Clearance Certificate Request

You need only complete this section if you or somebody covered by your Health Care Insurance membership is transferring from another health fund. 

Payment Options

Complete this form to change your payment method.

Authorisation Form

Nominate someone to have the same rights and obligations as yourself to access information in relation to your policy. The authorised person may also change details and make claims on behalf of any person covered by your policy.

Change to Policy Form

Complete this form to change the type of policy you are covered by.

Overseas Suspension Form

If you are travelling overseas for more than 28 days, complete this form to suspend your membership.