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.

Did you know you can claim Medicare benefits online? It’s the quickest way to get your benefit. You don’t need to mail us anything or visit a service centre. Find out how to submit your claim online.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 26 September 2023.
QC 19661