Application form
Application to join Mildura Health Fund
Download an Application form here
Going to Hospital
What you need to know
Download the Going to Hospital Brochure here
Orthodontic Members Guide
Mildura Health Fund's Orthodontic Members Guide
Download the Orthodontic Guide here
Benefit Approval form
Mildura Health Fund Benefit Approval form
Download an Benefit Approval form here
E1 Health Management Program Fact Sheet
E1 Health Management Program Fact Sheet
Download the Fact Sheet here
Medical Provider registration form
Provider registration form for medical providers only.
From Thursday 01 August 2019, the Australian Regional Health Group (ARHG) will handle all provider applications
on behalf of Mildura Health Fund. This means that from this date, ARHG member funds will not accept provider
registrations directly from medical providers.
If you have any enquiries in relation to the change to provider registrations, please contact ARHG on medicalproviders@arhg.com.au or visit www.arhg.com.au
To update provider information, please complete the provider registration form here
Medical Gap Schedule for Registered Providers
Providers can call 03 5021 7091 or email simpbilling@mildurahealthfund.com.au to receive our current schedule of
fees
General Treatment Provider Terms and Conditions
For Terms and Conditions for Mildura Health Fund Recognised Providers of General Treatment (Extras) Services
please click here
For Terms and Conditions for Mildura Health Fund (MHF) Recognised Optical Providers please click here
General Treatment Provider Terms and Conditions
For Terms and Conditions for Mildura Health Fund Recognised Providers of General Treatment (Extras) Services
please click here
For Terms and Conditions for Mildura Health Fund (MHF) Recognised Optical Providers please click here
Direct Debit Request (DDR) Service Agreement (SA)
Download the Direct Debit Request Service Agreement here