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Forms and Information Sheets


Forms
 Application for membership of Selfmed Medical Scheme
Selfmed Amendment Form
Selfmed Medical Scheme Option form
Employer Participation Agreement
Application form for PMB benefits


Information Sheets

MEDXXI
MED Elite
Selfsure
Selfmed 80%
Options Information Sheet

Documents for download are in Adobe Acrobat PDF format. If you do not have Acrobat Reader please download for free at:
www.adobe.com

More Information

Are you interested in joining Selfmed? Would you like one of our consultants to contact you with more information about our products or for an individual quote? If YES, please Click Here

Alternatively you can phone us on 0860-7353633 (SELFMED)
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Selfmed's Options start from R779

If you are a young, active and healthy individual, or have just started a small family, you may benefit from choosing a hospital plan.

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