Forms and guides

Product guides

These guides summarise what you can claim, how much you’ll get back, your annual limits and when you can start claiming.



Member guides

documentMember Guide(opens in a new tab)

The nitty gritty of all the important information you need to know about being an ahm member.

external-link-lightGoing to hospital(opens in a new tab)

Including ‘7 Questions to ask your specialists before you go to hospital’

external-link-lightInformed Financial Consent(opens in a new tab)

Everything that you need to know about your medical bills before going to hospital.


Forms

documentClaim form(opens in a new tab)

For any services that cannot be claimed online. You can also use this form to make medical gap claims.

documentHealth improvement benefits approval form(opens in a new tab)

Ask your doctor to complete this form to be eligible for exercise program benefits while participating in an ahm Health Management Program, or a recognised program offered by an ahm recognised provider.

documentAccident claim form(opens in a new tab)

Complete this form if you have received treatment or are going to receive treatment in hospital due to an accident and have held your Hospital cover for 2 months or less, or where you want to claim under Accident override (check your product guide).

documentRebate form(opens in a new tab)

To apply for the Australian Government Rebate on Private Health Insurance please complete and send us this form.

documentTransfer certificate request form(opens in a new tab)

Complete this form if you joined ahm health insurance and are switching health insurers.

documentThird party authorisation form(opens in a new tab)

Complete this form to allow another person (Authorised Person) to deal with ahm on your behalf.

documentPersonal information and claims consent form(opens in a new tab)

Complete this form to provide another person access to your claims and personal information.

documentInsulin pump replacement funding form(opens in a new tab)

Please ask your GP or Specialist to complete this form if you’ve received an insulin pump replacement outside of a hospital.

documentCochlear speech processor replacement funding form(opens in a new tab)

Please ask your GP or Specialist to complete this form if you’ve received a cochlear speech processor replacement outside of a hospital.

documentPayment form(opens in a new tab)

Complete this form if you want to set up or update direct debit payment details, change payment frequency or the bank details of the account we pay benefits into.

documentLifetime Health Cover loading exemption form(opens in a new tab)

Complete this form if you think you might be eligible for an exemption from the Lifetime Health Cover loading.

documentPre-existing condition form(opens in a new tab)

Ask your doctors to complete this form if you want to claim a medical procedure or surgery within the first 12 months of taking out cover or changing your cover to include a new or upgraded service, to confirm the procedure or surgery is not due to a pre-existing condition.


Medicare hospital claim forms

If you’ve received a bill from your doctor(s) or recognised provider(s) for any inpatient service, you’ll need to fill in a Medicare claim form and a Two-way claim form to submit your claim to Medicare first. Medicare will then process your forms and send them to us to process your claim.


Other docs

documentFund Rules(opens in a new tab)

When joining ahm health insurance you agree to adhere to fund rules We recommend that you read our fund rules together with the product guide and Member Guide relevant to your cover.

documentThe Private Health Insurance Code of Conduct(opens in a new tab)

This is our industry code which has been created to help you – it requires health insurers to give you clear information when dealing with you. All that we do and all that we offer complies with the Code.