HCi Forms

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Simply find the relevant HCi form, download it and return it to us! You can provide some of these requests online rather than via a traditional paper-based form.

Joining or switching to HCi

Complete this application to become an HCi member

 Join online

or Download application

Claim Form

Complete this form and email it to us with your receipts – easy!

Or download our app for fast claims.

Download claim form

Payment Options

Complete this form to change how you pay your premiums

 

Download payments form

Dependant declaration

Complete this form to add or confirm an eligible dependant

 

Download dependants declaration

Authorisation Form

Nominate someone to access your policy. The authorised person may also change details and make claims on behalf of any person covered by your policy.

Download authorisation form

Change to Policy Form

Complete this form to change the type of cover you have, people covered or update contact details

Download policy change form

Overseas Suspension Form

If you are travelling overseas for more than 28 days, complete this form to suspend your membership

 

Download overseas suspension form

Financial Hardship Suspension

If you are experiencing financial hardship (specific criteria apply), complete this form to suspend your membership.

 

Download suspension application

Clearance Certificate Request

Provide information if you or somebody covered by your HCi policy is transferring from another health fund

 

Download certificate request

Pre-existing Certificate

Provide information to clarify if somebody covered by your HCi policy has a pre-existing condition or illness

 

Download pre-existing confition form

Government Rebate Application

Application form to receive or change the Australian Government Rebate on Private Health Insurance as a reduced premium

 

Download rebate application

Physio smiling and helping a patient lying on the treatment bed - HCi extras helps with physio costs » HCi

Cover for dental, physio, psych and more

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Manage your HCi account online, at any time

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