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.
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Change of Membership Details Form
Download and complete this form to change your health insurance cover.
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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 152kb
Direct Debit & Direct Credit Request
Complete this form to arrange for automatic payment from a nominated bank or building society account, or from your credit card. Also use this form to arrange for your claims benefits to be credited directly into your nominated bank or building society account.
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Gap Cover Brochure
This brochure provides information about Australian Unity Gap Cover and how it works.
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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.
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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.
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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.
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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.
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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.
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Health Cover Suspension Form
This form gives you information about how to suspend your membership if you’re travelling overseas or experiencing financial hardship.
Download PDF 281kb
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.
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Use this guide to work out if your student dependant can be covered under your health cover.
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Transfer Certificate Request Form
If you are transferring to Australian Unity and you are eligible for more than the default government 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.
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No Gap Dental Network
Information about the No Gap Dental Network.
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Special Consideration Form
Please use this form to request a special consideration of acceptance of late payment.
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