Forms & Brochures

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




Cover Descriptions

Hospital Cover

Gold Hospital - No Excess

Gold Hospital - $250/$500 Excess

Extras Cover 

Extras products can only be purchased as a combination (with a hospital cover)


Economy Extras

Combination Cover

Gold Hospital - No Excess & Extras

Gold Hospital - No Excess & Economy Extras

Gold Hospital - $250/$500 Excess & Extras

Gold Hospital - $250/$500 Excess & Economy Extras