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.

You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.

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.

Page last updated: 26 September 2023.
QC 19661