PHI 62/22 attachments – 2023 Private health insurance premium application form and templates

These attachments to PHI circular 62/22 are the 2023 private health insurance premium application form and templates.

Downloads

Attachment A – 2023 Private health insurance premium application form

Attachment B – 2023 Private health insurance premium application templates

We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help.

Publication date:
Date last updated:
Publication type:
Form
Language:
English

Help us improve health.gov.au

If you would like a response please use the enquiries form instead.