Please COMPLETE and SEND us the form below and we will email you the required premiums.
YES or NO
Do you want ONLY hospital cover?
YES or NO I want doctor, chemist, dentist and glasses.
How many adults?
Total number of years (from age 35) you have been a medical aid member
Your Partner's age
Total number of years (from age 35) your partner has been a medical aid member
How many children?
Your current medical aid and plan
How much can you spend a month?
Any chronic conditions?
What do you want from a medical scheme?
I confirm that I have read and understood the notes below and agree to further communications sent to me. Yes
We have a Facebook page as well ...
We will offer you the BEST HELP FOR FREE!
Council of Medical Schemes
Last update: Aug 25, 2020
Disclaimer and Medical Disclosure
Medical Aid Authority Peter Pyburn.South African rights reserved.