Refer a Friend

Get a friend to join ahm!

There are lots of health funds out there competing to enlist your friends and family as new members. And ahm is no different.

So in the spirit of healthy competition, if you refer a friend or relative to ahm and they then join, we’ll send you a cheque based on the type of cover they select:

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

We like to look at it as a win, win, win situation. We get new members, you get some extra spending money and someone close to you gets to belong to a smaller, friendlier health fund that really cares for its members.

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 pay one month’s 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
To be completed by your friend or relative:
I am interested in joining ahm as a new private health insurance member. I agree to have my personal information included on this form, to receive information and follow up from ahm about joining by post, email or via a phone call and for my referrer to receive confirmation if I join.
Name* (Mr/Mrs/Ms)
Address*
State*
Postcode*
Phone no ( Home )
Phone no ( Work )
Email
Date of birth*	Day Month Year
Type of cover* (select one)	Single Family
My current health insurer
Bonus! New joiners may be eligible for new joiner offers - visit www.ahm.com.au/offers or call 134 246 for more information.
To be completed by you (the referrer):
Membership number*
Your name* (Mr/Mrs/Ms)
Address*
State*
Postcode*
Phone no ( Home )
Phone no ( Work )
Email
By submitting this form, I accept the terms and conditions listed below for the Refer a Friend offer.

*Conditions of offer: This offer is valid until 31 December 2010 to current and financial ahm members of private health insurance (PHI) and to friends or relatives purchasing a new PHI policy with ahm as a new member to ahm. This offer only applies to referrals made using this form, the printed ahm Refer a Friend form or if the referee mentions the promotion and supplies the referrer’s name and membership number when they call ahm to join. This offer does not apply retrospectively, is not available in conjunction with any other new PHI policy offer unless stated and is not available where the referee joins ahm through a broker or agent (e.g. iSelect). Referral payment 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 referring themselves to a new separate PHI 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.