Other Forms and brochures

  • Change of Membership Details Form

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

    Download PDF 629kb

  • 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 633kb

  • 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 564kb

  • 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 638kb

  • 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 631kb

  • 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 540kb

  • 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 836kb