OSHC/OVHC Initial Screening

OSHC/OVHC Initial Screening
Welcome to the OSHC/OVHC Screening Questionnaire by Magnivate!

Please fill out this form to help us find the best insurance policy for your needs.
Name*

First NameLast Name
Other given name/s

Second NameMiddle name
Email*
example@example.com
Date of Birth*

DayMonthYear
Date
Mobile Number

Area CodePhone Number
What is your current visa in Australia?*
YesNo
If you answered yes on the previous question, what is the name of your insurance provider?
When is the expiry date of your current Policy? *

MonthDayYear
Date
OSHCOVHCI am not sure
Number of Adults*
Number of Children*
Preferred start date of Insurance?

MonthDayYear
Date
Type a question*

Cost & AffordabilityCoverage & BenefitsProvider Network & AccessibilityWaiting Periods & ExclusionsEase of Claims & Customer SupportReputation & ReviewsFlexibility & Additional Options
Should be Empty: