GMHBA Health Insurance | Simply Great Value Health Insurance

Click on the name of the form to download (pdf format)

Forms

• Application Form - All States (except Victoria)
• Application Form - Victoria
• Claim Form
• Notice of Cancellation Form
• Direct Debit Form (Financial Institution account)
• DDR Service Agreement
• Credit Card Authorisation Form (Autopay)
• Direct Credit
• Federal Government Rebate Form

Member Guides, Rates Charts and Standard Information Statements

• GMHBA Member Guide - Victorian residents
• GMHBA Member Guide - Non-Victorian residents
• Rates Chart - VIC
• Rates Chart - NSW/ACT
• Rates Chart - SA
• Rates Chart - QLD
• Rates Chart - NT
• Rates Chart - TAS
• Rates Chart - WA

To download your Standard Information Statement please visit www.privatehealth.gov.au

Other Information

• About Our Service (Sourced from PHIO)
• Fact Sheet on Doctors' Bills (Sourced from PHIO)
• Health Insurance Choice - July 2010 (Sourced from PHIO)
• Lifetime Health Cover - What you need to know (Sourced from Dep. of Health and Ageing)
• Private Patients' Hospital Charter (Sourced from PHIO)
• 10 Golden Rules of Health Insurance (Sourced from PHIO)
• Rights to Change (Sourced from PHIO)
• Waiting Periods (Sourced from PHIO)
• Customer Service Charter
• GMHBA's Privacy Policy

All downloadable documents are in PDF format which require Adobe Acrobat Reader or a similar PDF reader.