Forms & Brochures

 

This page contains forms and brochures that are frequently used by our members.

Click below on the name of a form or brochure to download a copy. The size of the forms and brochures is shown in brackets next to name.

Alternatively you can click here to order forms and/or brochures to be sent to you by regular mail.

 Forms

Application Form

Claim Form [16kb]

Medicare Claim Form [17kb]

Medicare Two Way Claim Form [27kb]

Change Level of Cover [48kb]

Change Contact Details [30kb]

Person Registration / De-registration Form [70kb]

Student Dependant Registration Form [62kb]

Private Health Insurance Rebate Application Form [115kb]

Direct Debit Request / Change Form [29kb]

Easy Claim Registration Form [115kb]

 

 Brochures

Peoplecare Brochure - April 2008 to Current [1,030kb]

April 2008 Rates Schedule [148kb]

Pre-Existing Ailment Information Booklet [91kb]

Insure? Not sure? your quick guide to private health insurance

 

Travel Insurance

Click Here to view Travel Insurance brochures

Order Forms and Brochures

Click here to order forms and/or brochure to be sent to you by regular mail.

 

To download these forms and brochures you need the FREE 'Adobe Acrobat Reader' application and in some cases the LATEST VERSION . If you don't have it or do not have the latest version you can download a FREE copy from here:

 

If you have any questions please call us on FREECALL: 1800 808 690 during business hours or send us an e-mail

 




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Lysaght Peoplecare Limited. A registered private health insurer. ABN 95 087 648 753.
Lysaght Peoplecare Limited © 2008
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