Forms & Brochures

Government Information

General Information

Benefit deposit request form

(62.99kb pdf)

Claim form

(93.84kb pdf)

Claims history release

(62.61kb pdf)

Complaints, compliments or suggestions

(63.93kb pdf)

Credit card authorisation and service agreement

(100.54kb pdf)

Direct debit request and service agreement

(92.06kb pdf)

Direct debit service agreement

(43.12kb pdf)

EasyHealth Newsletter 2020

(1.37mb pdf)

Request a call back

Thanks! We'll call you {{ values.Day }} between
{{ values.Time }}

Our Customer Care Consultants are happy to call you to discuss your private health insurance needs.
{{ errors.first('Name') }} {{ errors.first('Phone') }} {{ errors.first('Postcode') }}

Day {{ errors.first('Day') }}

Time {{ errors.first('Time') }}

An error has occurred

{{ message }}

Please try again in a moment.