Join Now!
Simply download and fill out our Application Form and once completed the form and all required documents can be :
Mailed to: Transport Health - 487 Swan Street, Richmond, 3121
or
Faxed to: (03) 8420 1860
or
Emailed to: enquiries@transporthealth.com.au
The forms below are supplied in Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader, download your free copy using the link below.
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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. |
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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.
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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.
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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.
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If you require assistance in completing your form, please contact one of our customer service officers on telephone: (03) 8420 1888
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