Application forms
Application for out-of-hospital management of a PMB condition
Member Application - No underwriting
Member Application - Underwriting
Chronic Illness Benefit Application Form
Change of banking details for payment of claims application
Continuation form: Change in main member
HIV Care Programme application form
Information disclosure consent application
International claim application
Medical Savings Account exception
Newborn registration application
Out-of-hospital PMB appeal form
Request for additional cover for PMB CDL conditions
Request for Pre-exposure Prophylaxis form
Request for extended supply of medicine
Transfer from active to retiree status application
» Acrobat file (to download, right-click and select "save target as" or click to view online)
Benefit Guides
Bank details for manual payments
Chronic Illness Benefit medicine list (formulary)
Cover for pregnancy and childbirth
Guide to Prescribed Minimum Benefits
Guide to transplant claims submission process
HIV Antiretroviral (ARV) medicine list (formulary)
HIV Basket of care medicine list (formulary)
HIV Nutritional and mother-to-child prevention medicine list (formulary)
HIV Supportive medicine list (formulary)
Prescribed Minimum Benefit treatment baskets for CDL
The Screening and Prevention benefit
» Acrobat file (to download, right-click and select "save target as" or click to view online)