This page has most of our forms and brochures. If you require a form that is not on this page, you can request forms and/or brochures to be sent to you by regular mail.
Just click below on the name of a form or brochure to download it.
Application Form Please note that waiting periods may apply (including those for pre-existing conditions) and some products have restrictions, excesses and limits. Please read our Brochure or Cover Descriptions below for full product information before joining.
Claim Form (interactive)
Claim form (print friendly)
Declaration of Condition Form
Medicare Claim Form
Medicare Two Way Claim Form
Dependant Registration Form
Student Dependant Registration Form
Direct Debit Request / Change Form
Rebate Application Form
Rebate Tier Change Form
onemedifund Brochure
Rates Schedule
Waiting Periods & Pre-Existing Ailment Information Booklet
Health options
Fact Sheet - Hospital
Fact Sheet - Pregnancy
Fact Sheet - IVF
Gold Hospital - No Excess
Gold Hospital - $250/$500 Excess
Extras products can only be purchased as a combination (with a hospital cover)
Extras
Economy Extras
Gold Hospital - No Excess & Extras
Gold Hospital - No Excess & Economy Extras
Gold Hospital - $250/$500 Excess & Extras
Gold Hospital - $250/$500 Excess & Economy Extras
© 2011 - 2021 National Health Benefits Australia Pty Ltd (trading as onemedifund). A registered private health insurer. ABN 67 122 255 396.