Application forms
Click on an application form's name to download or display a printable PDF of the form.
Applying to become a member form (with underwriting)
Applying to become a member form (without underwriting)
Application for registration of newborn baby
Application for out-of-hospital management of a PMB condition
Chronic Illness Benefit application form
HIVCare Programme application form
International Travel Benefit Claim form
Out-of-hospital PMB appeal form
Request for additional cover for PMB CDL conditions
Request for extended supply of medicine
Request for pre-exposure prophylaxis
Benefit guides
Bank details for manual payments
Chronic Illness Benefit medicine list (formulary)
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)