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Our brochure - Broader Health Care Cover

More ways that Transport Health is looking after our members click here.

Application Form

The Application Form must be completed by all applicants and consists of the below pages. The forms below are supplied in Adobe Acrobat. If you don't have Adobe Acrobat, download your free copy using the link below.

The Application Form should be completed with your details and anyone else covered under the membership. Please ensure that all identification requirements accompany the application form.

The Federal Government Rebate on Private Health Insurance section should be completed should you wish to receive the rebate as reduced premium.

The Direct Credit Claims Section has never made claiming benefits easier. Our membership card allows members to claim at the time of treatment for most services where the provider participates in HICAPS (the electronic claims service). Alternatively by completing your bank account details in this section of the application form we can pay claims benefits directly into a nominated bank account, for our members there is no need to line up in banks waiting for cheques to clear.

The Credit Card Section detailed on the back of the application form should be completed if you wish to have your premiums deducted automatically from your bank account.

The Payroll Section should be completed if you wish to have premiums deducted by your employer and this is only available where your employer has an arrangement with Transport Health. Please check with the Fund prior to completing.

Clearance Certificate Request Section should be completed if you are transferring from another health fund. This will allow us to ensure your change is made quickly and all the necessary information is received.

Claim Form

Once completed, the form and a fully itemised receipt can be either presented at the office or mailed to Transport Health.

Transport Health Student Dependant Declaration

Full time students between the ages of 21 and 25 years must complete a Student Dependant Declaration to enable Transport Health to identify them as Student Dependants entitled to remain on the family membership. Submission of this Declaration automatically enters students into the draw for the Tertiary Student Bursaries, providing the membership is financial at time of draw

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