Find the form you need from the list below, print it out and mail it to us. All of the forms are available in PDF format. To view the forms you will need Adobe Acrobat Reader.
Download a health insurance form
Claim form (PDF)
To make a claim on your health insurance.
Ambulance Claim form (PDF)
To make a claim on an ambulance service.
Federal Government Rebate form (PDF)
To receive the Federal Government Rebate as a reduced premium.
Change of Details form (PDF)
To change your name, address, contact details or your cover.
Health Direct Debit form (PDF)
To request an authority to direct debit your bank account or credit card.
Wellness Programs Approval form (PDF)
For policyholders with a level of Extras Cover that includes wellness programs.
Partner Authority/Application for Legal Authority (PDF)
To nominate another person to undertake policy transactions on your behalf.
Unemployment Cover form (PDF)
For Hospital Super Plus policyholders that have been involuntarily retrenched or made redundant from full-time employment.
All of these forms can be mailed to:
NRMA Health Insurance
GPO Box 5295
Brisbane QLD 4001
If you have a question, please call The Fund on 133 234.
Insurance Australia Limited ABN 11 000 016 722 trading as NRMA Insurance distributes NRMA Health Insurance. NRMA Health Insurance is provided to you by the insurer MBF Alliances Pty Ltd ABN 89 075 799 236. As the insurer, MBF Alliances Pty Ltd is referred to as the ‘Fund’.