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Medshield Family Medical Aid Scheme South Africa - Medshield

WebChronic Illness Benefit application form ' ' 0 0 < < < < LHAOMP001 LA Health Medical Scheme, registration number 1145, is administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07. Discovery Health (Pty) Ltd is an authorised financial services provider. Page 1 of 9 €01.03.2024 WebPlease complete this form and return it to LifeSense. Thank you. Email to: [email protected] OR Fax to: 0860 80 49 60 REF. NO : CROSS REF. NO : MAIN MEMBER NAME: GENDER: MAIN MEMBER ID NUMBER: SURNAME : FIRST NAMES : DATE OF BIRTH: GENDER: MALE FEMALE PROVINCE: TICK WHICH APPLICABLE: … cyberdrive cost of vanity plates

Prescribed Minimum Benefits Council for Medical Schemes

http://www.medscheme.com/products-and-services/health-risk-management/pharmacy-benefit-management/chronic-medicine-management/ Web5. Application for chronic obstructive pulmonary disease (to be completed by doctor) If the patient meets the requirement shown below, chronic obstructive pulmonary … WebIncomplete forms will NOT be processed. – Sections 2–5 must be fully completed by the doctor to ensure efficient processing. – Fax, email or post the completed and signed application forms to: Fax (011) 353-0352 / 0076 • PO Box 260709, Excom, 2028 • Email: [email protected] MEMBER’S DETAILS cyberdrive cwh100