Private Health Insurance Companies...

Allow Australian Health Advisory to help you select the best health insurance plan for your budget, age group, family situation and health needs. Please complete and submit the enquiry form below to obtain your free appraisal and cost comparison.

AHIA provides Private Health Insurance Quotes for Health Insurance for Singles, Health Insurance for Families and Corporate Health Insurance. If you require Private Health Cover Quotes or a better price from Private Health Insurance Companies, then we can arrange Company Private Health Insurance for your staff. We also provide Overseas Visitors Private Health Cover.

Yes, I am interested in obtaining more information about Health Insurance*:

	Hospital Only	Extras Only	Hospital and Extras

I / We are a*:

	Single	Couple	Family

1. I / we currently have private health insurance?*

	Yes	No Please go to Question 6.

2. If so which fund:

3. Current level of cover:

4. How much do you pay?

$ /

5. How much excess is payable if admitted to hospital?

6. Your Date of Birth (or age)*:

Partners Date of Birth (or age)

7. Select what is important*:

	Top Hospital
	Mid Level Hospital
	Basic Hospital
	Top Extras
	Mid Level Extras
	Basic or No Extras

8. Would you like to nominate a convenient time for us to discuss a health plan with you?

Name*:
Address:
Suburb:
State*:
Postcode*:
Email*:
Phone (W):
Phone (H)*:
Phone (M):
Best time to call*:

9. Comments / Other Information:
10. Employer/Organisation*:
Please enter these characters: *

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Name:*
Email:*
Phone:*
Question:*
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