Contributor Application

Cover Contributor Contact Details Persons Covered Rebate Payments Confirm
Thank you for choosing to start your health cover us.
Our application wizard will now guide you through the process of applying for health cover

Before starting the application you will need to ensure that:

  • You have Adobe Reader installed on your computer. If you don’t have this application installed, please click here.
  • Your browser’s pop-up blocker is turned off.

The following information will be required:

  • The details of all persons to be covered
  • Your bank account details
  • The details of your previous fund (including start/cease dates) if applicable
  • Your nominated rebate tier (if you’d like to include a government rebate)
  • Your Medicare card - you'll need a current green or blue Medicare card (If you don't hold a green or blue Medicare card, please give us a call on 1800 148 626)

You can work out your rebate tier here Please ensure the details you enter are accurate.