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Tell Us About Yourself

Enter your details as the policyholder.

Person 1

Primary policyholder

Add Your Family To Your Policy

It is optional to add your family to your policy. Adding your family may come with a cost. You can see the estimated cost when you view the quotes generated in the next step.

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Review your selections

Complete payment authority

Enter your Direct Debit details for the bank account you would like to use. Please ensure you have reviewed your selections, the total amount, and the frequency of payments.

Authority to accept Direct Debits

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Not to operate as an assignmentor agreement. Authorisation code 0201319, Approved 0131 01/26.

Click the title to expand for full conditions.

From the acceptor to my bank:

I authorise you to debit my account with the amounts of direct debit instructions received from the initiator with the authorisation code specified on this authority and in accordance with this authority until further notice from me.

I agree that this authority is subject to:

  • my bank’s terms and conditions that relate to my account, and​
  • the terms and conditions below.​

Specific conditions relating to notices and disputes – Direct Debit

  1. I agree that the initiator must give me at least 10 days’ notice prior to each direct debit, provided that where the direct debit is in a series, the initiator is only required to provide 10 days’ notice prior to the first direct debit in the series.
  2. Changes to the amounts or dates of a series of direct debits require 30 days’ prior notice to me.
  3. I can also agree with the initiator to receive a same day notice for direct debits specifically requested by me.
  4. All notices must be in writing, but can be delivered electronically, if I have agreed that with the initiator.
  5. I can also ask you to reverse a direct debit up to 120 days after the direct debit if:​
    • I didn’t receive proper notice of the amount and date of the direct debit, or
    • I received notice but the amount or date of the direct debit is different from the amount or date on the notice.
  6. If you dishonour a direct debit but the initiator retries it within 5 business days of the original direct debit, I understand that the initiator doesn’t need to notify me again about that direct debit.

Declaration and authorisation

THIS DECLARATION IS VERY IMPORTANT. PLEASE ENSURE YOU READ IT CAREFULLY.

  1. I declare that all the information provided in this Application is true, correct and complete and that I have not omitted or misrepresented any information.
  2. I understand that I need to include in this Application all information requested, even if I have already shared this information with a representative of UniMed or with my Adviser.
  3. I understand that this Application is not a guarantee of cover and cover will not commence until the policy start date listed on the Membership Certificate issued by UniMed.​
  4. I understand that this Application and any policy issued is subject the UniMed Terms and Conditions or the Terms and Conditions contained within the Health Plan document, and to the UniMed Rules.​
  5. I authorise UniMed to obtain from any person or organisation any further information required to assess this Application or future claims, and I authorise those persons or organisations to disclose such information to UniMed. This may include, but is not limited to, obtaining details regarding previous medical history and previous health insurance.
  6. ​The personal and health information about you and those covered under your Health Plan is collected for the purpose of evaluating your Application.

If your Application is approved then this information will be used by us to help you access our products and services, including administering your policy and associated claims.​

Please refer to our Privacy Statement for more information about how your information will be used, our privacy practices, and your associated rights.

chevron_left Back: Welcome to UniMed | Barkers
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    Add your family

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    Review & Payment

Thank you for your request

An email has been sent to you confirming your request. Our team is working on it and will be in touch should we need any additional information to complete your application.

Please note that any changes to your plan will become effective from the date on the Membership Certificate provided to you by email. If you would like to change this effective date, please call us on 0800 600 600.