Other Forms and brochures

  • Accident Report Form

    We will ask you to complete this form if you have received treatment that may be related to an accident, for example joint replacements, arthroscopies or hernia procedures. If you are making a claim for accident cover, a completed medical report may also be required.

    Download PDF 119kb

  • Change of Membership Details Form

    Download and complete this form to change your health insurance cover.

    Download PDF 223kb

  • Delegated Authority Form

    By completing this form, you can authorise another person to speak to Australian Unity about your membership on your behalf.

    Download PDF 125kb

  • Direct Debit & Direct Credit Request

    Complete this form to arrange for automatic payment from a nominated bank or building society account. Also use this form to arrange for your claims benefits to be credited directly into your nominated account, (excludes credit card accounts).

    Download PDF 225kb

  • Gap Cover Brochure

    This brochure provides information about Australian Unity Gap Cover and how it works.

    Download PDF 1633kb

  • Government Rebate Form

    Completing this form will allow you to pay lower health insurance contributions by allowing Australian Unity to claim the Government Rebate for you.

    Download PDF 569kb

  • Health Cover Selector

    Selecting a health cover that’s right for you doesn’t have to be complex and confusing. Just follow the simple colour-coded guide in our Health Cover Selector and choose a cover that suits you and your budget.

    Download PDF 285kb

  • Health Member Guide

    Inside this guide you’ll find lots of handy tips, including the best way to seek treatment, make claims and manage your cover. You’ll also find useful information on our range of Health Support Programs, which look to improve and sustain your health and wellbeing.

    Download PDF 596kb

  • Health Insurance Application form

    Complete a Health Cover Application form to begin your Health Insurance cover with Australian Unity. This application form must be read in conjunction with your fact sheet, which includes details of waiting periods, exclusions, restrictions, excesses and co-payments.

    Download PDF 247kb

  • Medical Report Form

    For any hospital claim, that might be related to a pre-existing condition, during this 12-month pre-existing condition waiting period, you should have a medical report completed by the first doctor you saw about the condition such as your GP or specialist.

    Download PDF 212kb

  • Overseas Suspension Brochure

    This brochure gives you information about how to suspend your membership temporarily if you are travelling overseas.

    Download PDF 647kb

  • Pre-existing ailments - information brochure for consumers

    Will the pre-existing ailment waiting period affect you? Produced by The Department of Health and Aged Care, this brochure provides you with a clear explanation of the pre-existing ailment waiting period, when it applies, and how health funds determine whether it applies.

    Download PDF 92kb

  • Student Dependant

    Use this guide to work out if your student dependant can be covered under your health cover.

    Download PDF 666kb

  • Transfer Certificate Request Form

    If you are transferring to Australian Unity and you are eligible for more than the default 30% rebate, this will be adjusted once we receive a Transfer Certificate from your previous health fund. To request your Transfer Certificate, please complete a Transfer Certificate Request and forward to Australian Unity within 14 days for processing.

    Download PDF 132kb

  • No Gap Dental Network

    Information about the No Gap Dental SNetwork.

    Download PDF 275kb

  • Special Consideration form

    Please use this form to request a special consideration of acceptance of late payment.

    Download PDF 499kb