Review of a Medicare Decision form (HW051)

Use this form to ask for a review of a decision about your Medicare entitlements or debts including dental benefit, Pharmaceutical Benefit and related payments.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

This information was printed Sunday 26 May 2019 from https://www.humanservices.gov.au/individuals/forms/hw051 It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 7 May 2019