Please fill up the form below to enroll yourself in the National Healthcare Insurance Scheme. This form is meant for all public officers, union workers, parliamentarians, or members of any statutory board of Papua New Guinea aged over 16 years and below 65 years.
The personal data collected by PHA includes all personal data provided in this form, or in any document provided, or to be provided to us by you or your insured persons or from other sources, for the purpose of this insurance application or transaction. It includes all personal data for us to evaluate or administer this application or transaction. For example, if you are applying for an insurance policy, in addition to the personal data provided in the application form, the personal data will also include any subsequent information we collect on health or financial situation, or any information that is necessary for us to decide whether to insure and on what terms to insure, such as test results, medical examination results, and health records from medical practitioners or other insurance companies. You may not alter any of the wording in this ‘Personal Data Collection Statement’. Any attempt to do so will be of no effect.