Important Documents

We have grouped together the most commonly requested documents by category and provide the latest version of the document. If you require an older version, or a document you are searching for isn’t here, please send us an email and we will be pleased to provide it.

If you are a member of UniMed through your employer your Benefit Schedule can be obtained by emailing us.

General Policy Documents

Conditions of Membership

Moving Overseas FAQ

Claims Documents

List of Approved Surgical Procedures

List of Unapproved Healthcare Services

Claim form for reimbursement to a Member (blank)

Claim form for reimbursement to a Member (fillable)

Request for Prior Approval

Request for Prior Approval (fillable)

Confirmation of Surgery form

Confirmation of Surgery form (fillable)

Member Administration Documents

Direct Debit/Recurring Credit Card form

Continuation form

Application Form

UniMed Corporate Documents

Rules of Union Medical Benefits Society

Annual Report 2020

Annual Report 2019

Annual Report 2018

Annual Report 2017

Benefit Schedules

Hospital Select

UniCare Advantage

Health Positive

Benefit Schedules - Closed Plans

The following plans are no longer available to new members except where offered in an employer scheme:

Major Surgical Plan

UniCare Plus Plan

PrimaryCare Plan

UniCare Plus 80 Plan

Benefit Schedules - Plans Previously Offered by Another Insurer

Premier SurgicalCare

Premier HealthCare

SDA Affinity Medical/Ancillary Plan

SDA Corporate Medical/Ancillary Plan

HealthCare Basics/Surgical Care

Surgery Plus Plan

HealthCarePlus Documents

Primary Care Policy Document

Primary Care Extra Policy Document

#care4U Policy Document

Hospital Select Surgical Base Plan

HCP UniMed Conditions of Membership

HCP UniMed Direct Debit Credit Card Authority form

HCP UniMed Direct Debit Credit Card Authority form (fillable)

HCP UniMed Claim Form

HCP UniMed Claim Form (fillable)

HCP UniMed Bereavement Grant Claim Form

HCP UniMed Bereavement Grant Claim Form (fillable)

Your plan benefit schedule is not listed?

If you’re in an employer scheme you’ll need to contact us directly to get a copy of your benefit schedule.

Please contact us on 0800 600 666 or send an email to members@unimed.co.nz