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Refer a Friend

A reward just for you

Thanks for choosing ahm as your health insurer and we trust that you are pleased with all we have to offer you. Now you can benefit further with our cash back offer, by letting your friends and family know that they can also enjoy the advantages of being with ahm!

If you refer a friend or relative and they join ahm, we’ll send you a cheque based on the type of cover they select:

  • $100 for a family policy
  • $50 for a single policy

See your rewards grow

Simply fill in the form below and we’ll send your friend or relative information on ahm. Once they join and start paying premiums, you'll receive your cash back reward. Refer as many people as you like - the more you refer, the more rewards you’ll receive!

You must complete fields marked with an *

 

Refer a Friend form
Please enter your friend or relative's details below:
Your friend or relative's name* (Mr/Mrs/Ms)
Address*
State*
Postcode*
They would like to be contacted via:
(a) Phone no ( Home )
(b) Phone no ( Work )
(c) Email
Date of birth* Day Month Year
Type of cover* (select one) Single Family
Their current health insurer
Please enter your details below:
Membership number*
Your name* (Mr/Mrs/Ms)
Address*
State*
Postcode*
I would like to be contacted via:
(a) Phone no ( Home )
(b) Phone no ( Work )
(c) Email
My friend/relative is interested in joining ahm as a new private health insurance member. Please send my membership reward when they join and pay one month's premium. My friend/relative agreed to have their personal information included on this form, to receive information from ahm about joining and for me to receive confirmation when they have joined.
By submitting this form, I accept the terms and conditions listed below for the Refer a Friend offer.
 

Conditions: This offer is valid from 1 March 2010 until 30 June 2010 to current and financial ahm policy holders of private health insurance (PHI) and to friends or relatives purchasing a new PHI policy with ahm. This offer will only be applicable if the referral was made using this form, the Refer a Friend brochure or if your friend or relative mentions the promotion and supplies your name and membership number when they call to enquire about joining. If more than one referral is received for the same person/ family, only the first received referral will be eligible for the reward. This offer does not apply retrospectively and is not available in conjunction with any other new PHI policy offer unless stated. Rewards will not be paid retrospectively. Offer is not available as either a referrer or a referee to: policy holders of Overseas Student Health Cover, Overseas Visitors Cover, Ambulance Cover or existing policy holders of ahm PHI changing or upgrading their policy.

Privacy Statement: Personal information provided by you on this form will be used to deliver the health insurance products and services you request. Failure to provide all of the required information may result in delays. The information we collect from you is confidential. We will only disclose this information to third parties who are contracted to the fund to provide services or health programs. These contracts ensure that third parties keep your information secure and confidential. You are entitled to access any of your personal information and to make corrections if needed. You can do this in writing or over the phone.