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  • October 15, 2019
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Update:

Private Health Insurance Statement 2019

As we have come to the end of the financial year we are aware some Members may be wanting to view or download their current or historical private health insurance statements. 

You can do this via your self-service portal by hovering over the ‘Useful Tools’ menu and then selecting the ‘Tax Statement’ option.  From here you can select the financial year and the relevant tax statements will appear.  Clicking on ‘View’ will produce your tax statement in PDF format.  We have sent a data extract containing details from your 2018-19 private health insurance statement directly to the Australian Taxation Office (ATO). 

The ATO have confirmed they have updated the information received for those who are lodging online via my Tax or with a registered tax agent.  (Confirmed 8/7/2019)   If your details aren’t available with pre-filling you will be able to find all the details required for your tax return on your private health insurance statement.

We are here to help!  Please contact our friendly team on 1800 813 415 if you require any assistance logging into your Online Member Services portal or accessing your tax statement.

Website Terms and Conditions  |  Privacy  |  
  • APPLICANTS DETAILS Details about what you have to do.
  • CONTACT DETAILS Phone number and address details
  • PEOPLE COVERED Details of people covered by the policy
  • REBATE TIER Applicants should nominate a rebate tier based on their estimated income
  • CLAIMANT’S DECLARATION Indicate you have read and understood the declarations

AUSTRALIAN GOVERNMENT REBATE

Application to receive the Australian Government Rebate on Private Health Insurance as a reduced premium

All the people listed on the policy must be eligible to claim Medicare for you to receive the rebate as a reduced premium.

If at any stage you wish to nominate a new income tier or stop receiving the Australian Government Rebate as a reduced premium, you must notify your health fund as soon as possible.

Are you covered by this policy?

(If No) Applicants not covered by the policy cannot claim the Australian Government Rebate on Private Health Insurance (excluding child only policies) and employers and trustees of organisations cannot claim the Australian Government Rebate on Private Health Insurance on policies paid on behalf of employees.

Name of private health fund
Health Fund Membership Number
0

Permanent address

Postal address (if different to above)

Same as home

Provide details of all people covered by the policy (do not include yourself).

All people listed on the policy must be eligible to claim Medicare for you to receive the rebate as a reduced premium. If you are unsure whether you are eligible for Medicare, go to https://www.humanservices.gov.au/customer/services/medicare/medicare-card for more information.

Are all the people on the policy listed on a Medicare card or entitled to a Medicare Card?*

For more information

For more information about the Australian Government Rebate on Private Health Insurance, go to privatehealth.gov.au Questions about Medicare eligibility can be made at any Human Services’ Service Centre or by calling 132 011.

Note: Call charges apply – calls from mobile phones may be charged at a higher rate.

Applicants must nominate a rebate tier based on their estimated income for the financial year from the rebate tier below.

Tier Single Family

Privacy Notice

Your personal information is protected by law (including the Privacy Act 1988) and is collected by the Australian Government Department of Human Services for the assessment and administration of payments and services. This information is required to process your application or claim.

Your information may be used by the department, or given to other parties where you have agreed to that, or where it is required or authorised by law (including for the purpose of research or conducting investigations).

You can get more information about the way in which the department will manage your personal information, including their privacy policy, at www.humanservices.gov.au/privacy

Claimant’s declaration

I declare that:

  • the information I have provided in this form is complete and correct.
    • I understand that:
  • giving false or misleading information is a serious offence.

    • Please check this box to indicate you have read and understood the declarations.  
    Date of Declaration
    Cancel your rebate application?
    Submit Form
    © Queensland Country Health Fund Ltd | ABN 18 085 048 237