Forms
- EFT banking This form allows member funds to directly deposit money into a hospital's nominated bank account.... Last updated:
- High cost drug request This form can be used when requesting payment for very high cost drugs that are not covered under... Last updated:
- High cost medical device request This form is used to request funding consideration for a medical device not listed on the Ministe... Last updated:
- Hospital claim form (HC21) The National Private Patient Hospital Claim form can be used for the claiming fund benefits for p... Last updated:
- Insulin pump replacement This form provides confirmation of details relating to a fund member's application for a replacem... Last updated:
- Speech processor replacement Use this form to ensure that all required information is provided to a health fund to enable a re... Last updated: