selfmed medical aid

Selfmed Medical Aid quote

Get quotes on a 2019 healthcare Plan.

COMPLETE and SEND us the form below and we will email you a quote.

Do you have to join your employer's medical plan?

YES or NO

Do you want ONLY hospital cover?

YES or NO I want doctor, chemist, dentist and glasses.

Your Name

Your Email

Your Telephone

Your City

How many adults?

Your age

Your Partner's age

How many children?

Your current medical aid and plan?

Total number of years (from age 35) you have been a medical aid member?

How much can you spend a month?

Any chronic conditions?

What do you want from a medical scheme?

Receive my informative letter on personal financial matters? Yes

I confirm that I have read and understood the notes below.Yes

This quote request does not constitute any legal obligation, either on your or Peter J Pyburn's behalf. It is a request to get some medical aid information, which is strictly confidential at all times and will be freely transmitted to the email address provided. Peter J Pyburn will not be responsible should the information be incorrectly transmitted or not reach the correct recipient.
Your email address will never be shared.
READ THE SCHEME'S BROCHURES FOR BENEFIT DESCRIPTIONS AND CONSULT THE SCHEME DIRECTLY FOR ANY UNDERWRITING CONCERNS.
I am an Affiliated Independent Financial Adviser and Medical Aid Broker.
AT ALL TIMES, THE SCHEME RULES WILL OVERRIDE ANYTHING PETER J PYBURN HAS SAID OR WRITTEN AND AS SUCH YOU AGREE WITH THE DISCLAIMER AS PRESENTED IN THE QUOTE/S YOU HAVE ACTED UPON.
Exclusions and sub-limits apply, see brochures.

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