HCi Forms

orange icon of pencil completing HCi forms, such as a claim form » HCiHCi Forms

Simply find the relevant HCi form, download it and return it to us (by email or within OMS)! You can provide some of these requests online rather than via a traditional paper-based form.

Joining or switching to HCi

Complete this application to become an HCi member

 Ask about joining

or Download application

Claim Form

Complete this form and email it to us with your receipts – easy!

Or log into OMS for fast, secure claiming.

Download claim form

Payment Options

Complete this form to change how you pay your premiums

Or log into OMS to update payment details immediately 

Download payments form

Dependant declaration

Complete this HCi form to add or confirm an eligible dependant

 

Download dependants declaration

Authorisation Form

Nominate someone to access your HCi policy. The authorised person may also change details and make claims on behalf of any person covered by your policy.

Download authorisation form

Change to Policy Form

Complete this form to change the type of HCi cover you have, people covered or update contact details

Download policy change form

Overseas Suspension Form

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

 

Download overseas suspension form

Financial Hardship Suspension

If you are experiencing financial hardship (specific criteria apply), complete this HCi form to suspend your membership.

 

Download suspension application

Clearance Certificate Request

Provide information if you or somebody covered by your HCi policy is transferring from another health fund

 

Download certificate request

Pre-existing Certificate

Provide information to clarify if somebody covered by your HCi policy has a pre-existing condition or illness

 

Download pre-existing confition form

Medical Eligibility Declaration

Declaration for a doctor or specialist to complete as confirmation of a medical condition to enable claims for certain medications, aids and appliances

 

Medically eligible declaration

Claims declaration

A declaration form so we can assess if a claim is eligible for HCi or compensation elsewhere

 

Download claims declaration

Government Rebate Application

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

 

Download rebate application