Medicare Claim form (MS014)
Use this form to claim Medicare benefits by mail or in person at a service centre. This can be for a paid or unpaid account.
Download and complete the Medicare Claim form.
We pay Medicare benefits directly into your nominated bank account. Please include your bank details on the form if we don't have them or if they need updating.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.
Page last updated: 4 February 2020