Join Now

Join Now

Thanks for choosing Peoplecare!

We just need to grab a few important details from you.  It will only take a few minutes (promise!).

Make sure you have this info on hand:

  • The details of all people on your membership (including dates of birth)
  • Your bank account and/or credit card details
  • Medicare card number (if you hold a reciprocal Medicare card and are after hospital cover you’ll need to give us a buzz)

If you need help at any stage, just give us a buzz!

Do you want cover for:
single
couple
family
single parent family
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Which level of Hospital cover are you interested in?
basic
mid
premium
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Which level of excess do you want?
no excess
$250 excess
$500 excess
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basic
mid
high
premium
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What is the age of the oldest person to be covered?
under 65 years
65-69 years
70+ years
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How many children do you have?
0
1
2
3
4
5
6
7
8
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Which household income tier do you fall into?
$90,000 or less
Base Tier
$90,001 to $105,000
Tier 1
$105,001 to $140,000
Tier 2
$140,001 or more
Tier 3

The tier limits above are based on your annual income and takes into consideration the number of children you have.

To calculate your household income go to www.ato.gov.au/privatehealthinsurance or for more info about rebate tiers check out www.peoplecare.com.au/rebate

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Cover Start Date
* Cover Start Date:
 
My Contact Details
* Title:
 
* First Name:
 
* Surname:
Please enter your name as it appears on your medicare card
 
* Phone Number:
Please enter your best daytime contact number (home/work)
Please enter your mobile number
 
* E-mail:
 
* Home Address:
 
* City/Suburb:
 
* State:
 
* Postcode:
 

If you have a preference on how you would like to receive information about your membership you can let us know at any time through Online Member Services or by giving us a buzz.

Who's Covered
Person 1
* Name:
 
* Date of Birth:
(dd/mm/yyyy)
 
* Gender:
 
Person 2
Name:
(first name / surname)
 
Relationship to Person 1:
 
Date of Birth:
(dd/mm/yyyy)
 
Gender:
 
Person 3
Name:
(first name / surname)
 
Relationship to Person 1:
 
Date of Birth:
(dd/mm/yyyy)
 
Gender:
 
Person 4
Name:
(first name / surname)
 
Relationship to Person 1:
 
Date of Birth:
(dd/mm/yyyy)
 
Gender:
 
Person 5
Name:
(first name / surname)
 
Relationship to Person 1:
 
Date of Birth:
(dd/mm/yyyy)
 
Gender:
 
Person 6
Name:
(first name / surname)
 
Relationship to Person 1:
 
Date of Birth:
(dd/mm/yyyy)
 
Gender:
 
Person 7
Name:
(first name / surname)
 
Relationship to Person 1:
 
Date of Birth:
(dd/mm/yyyy)
 
Gender:
 
Person 8
Name:
(first name / surname)
 
Relationship to Person 1:
 
Date of Birth:
(dd/mm/yyyy)
 
Gender:
 
Person 9
Name:
(first name / surname)
 
Relationship to Person 1:
 
Date of Birth:
(dd/mm/yyyy)
 
Gender:
 
Person 10
Name:
(first name / surname)
 
Relationship to Person 1:
 
Date of Birth:
(dd/mm/yyyy)
 
Gender:
 
 
Add Person
You may add up to 10 people on your membership using this form.
Medicare
* Medicare Card Number:
 
First Name:
 
Second Name:
 
Surname:
 
My Cover Details
Membership Type:
Please select your membership type above.
 
Hospital Cover:
None
 
Extras Cover:
None
 
Premium:
Calculated based on your cover options.

Please note that these premiums do not include any Lifetime Health Cover loading that may apply.

 
Rebate Tier:
None
 
Health Fund Payment
* Payment Frequency:
 
* Payment Method:
 
* Account Name:
 
* BSB:
 
* Account number:
 
* Agreement:
I have read and agree to the Direct Debit Service Agreement.
 
Note: we'll deduct your first payment a few days after your health cover start date, as a pro rata amount.
Because of credit card security rules, we can't record your credit card details on this application. Sorry! If you'd like to pay by credit card, we'll give you a call to sort out the details.
 

It is important that you know your first payment will be slightly higher than your usual amount to bring your payments into line and to pay your membership in advance.

If you have a preference, you can let us know what day or date you would like your regular payments to be made by logging in to Online Member Services or by giving us a buzz.

Claims Payment
Same details as above
 
* Account Name:
 
* BSB:
 
* Account number:
 
Previous Health Fund
* Are you transferring from another fund?:
 

Switching to Peoplecare is easy and we can even cancel your cover with your old health fund for you. All we need is your permission. This will also provide us with your old health fund membership info called a Transfer Certificate.

We'll also make sure we recognise any eligible waiting periods and Lifetime Health Cover periods you've already served!

* Previous Fund Name:
 
Transfer Certificate Request:
I hereby authorise Peoplecare to terminate my membership and obtain a Transfer Certificate for membership.
 
* Member Number:
 

If you pay by direct debit with your old health fund, it's still a good idea for you to contact them to stop any future payments, just to be on the safe side.

How did you hear about us?
We'd love to know how you heard about us. (Choose one from the list below)
 
Family & Friends Name:
 
Referring Member Number:
 
Advertising:
 
Employer Name:
 
Online Website:
 
Other:
Please enter your sporting club or Credit Union name
 
Finish & Submit
 
I consent to the use and disclosure of my personal information in accordance with the Privacy Policy and Terms & Conditions.
The information entered in this application is true and correct.
I agree for Peoplecare to contact me if they need to capture more info for my new membership.
 
Oops! We found some issues validating your form.
Please check the error messages above and correct those items before submitting again.

The boring but necessary fine print

Please note that waiting periods may apply (including those for pre-existing conditions) and some products have exclusions, restrictions, excesses and limits. Please read our Brochure or Cover Description for your full product info.

If you have a Lifetime Health Cover Loading your rate may be different. If so, we’ll contact you shortly to let you know the correct rate for your cover.

You can change your rebate tier anytime at www.peoplecare.com.au/rebate.

All gifts and special offers are not available in conjunction with any other offer. Excludes Ambulance only, Extras only and OSHC cover.