Certificates
You can find your personalised documents here:
Editable application forms are now available for you to complete digitally. You can navigate through the form by pressing the down arrow. If you can't physically sign a form, you must sign it digitally. We accept digital signatures from these digital signature providers:
- SigniFlow
- DocuSign
- Quickly Sign
- Hellosign
- Santamflow
- Smart Advice signatures
- Adobe Sign with certificate
Appeal for out-of-hospital treatment over and above that provided by the Prescribed Minimum Benefits
Application for out-of-hospital management of a PMB condition
Application for registration of newborn baby
Application to join (with underwriting)
Chronic Illness Benefit application form
HIVCare Programme application form
Income verification for special dependants
International travel benefits claims
International travel benefits claims
Malcor TRA Funeral Cover Beneficiary Nomination Form
Permission to change banking details
Permission to make certain information available to a third party
Permission to make certain information available to a third party
Request for additional cover for PMB CDL conditions
Request for extended supply of medicine
Request for extended supply of medicine
Request for pre-exposure prophylaxis
Banking details for manual payments
Chronic Illness Benefit medicine list (formulary)
Guide to Prescribed Minimum Benefits
Guide to transplant claims submission
Guide to hospital Prescribed Minimum Benefits
HIV Antiretroviral (ARV) medicine list (formulary)
HIV Basket of Care medicine list (formulary)
HIV Nutritional and mother to child medicine list (formulary)
HIV Supportive medicine list (formulary)
Menopause Medicine list formulary
Oncology supportive medicine list (formulary)
Prescribed Minimum Benefit Treatment Baskets
Prescribed Minimum Benefit Nutritional Formulary Adults
Prescribed Minimum Benefit Nutritional Formulary Paediatrics
Prevention and reporting of fraud
Treatment Baskets for the Chronic Disease List (CDL) Conditions
