Membership Form
The SAMWUMED application can be retrieved by clicking on the logo above. Please print this application form & contact one of our friendly agents so that we can assist you with its completion. Please have ready a copy of your ID document of yourself and your spouse if applicable, birth certificates of minors, pay slip/bank statements of principal member & proof of previous medical aid cover.
Membership Form
The BONITAS application can be retrieved by clicking on the logo above. Please print this application form & contact one of our friendly agents so that we can assist you with its completion. Please have ready a copy of your ID document of yourself and your spouse if applicable, birth certificates of minors, pay slip/bank statements of principal member & proof of previous medical aid cover.
Membership Form
The LA Health application can be retrieved by clicking on the logo above. Please print this application form & contact one of our friendly agents so that we can assist you with its completion. Please have ready a copy of your ID document of yourself and your spouse if applicable, birth certificates of minors, pay slip/bank statements of principal member & proof of previous medical aid cover.
Membership Form
The DISCOVERY application can be retrieved by clicking on the logo above. Please print this application form & contact one of our friendly agents so that we can assist you with its completion. Please have ready a copy of your ID document of yourself and your spouse if applicable, birth certificates of minors, pay slip/bank statements of principal member & proof of previous medical aid cover.
Membership Form
The MEDIHELP application can be retrieved by clicking on the logo above. Please print this application form & contact one of our friendly agents so that we can assist you with its completion. Please have ready a copy of your ID document of yourself and your spouse if applicable, birth certificates of minors, pay slip/bank statements of principal member & proof of previous medical aid cover.
Membership Form
The KEYHEALTH Local Government application can be retrieved by clicking on the logo above. Please print this application form & contact one of our friendly agents so that we can assist you with its completion. Please have ready a copy of your ID document of yourself and your spouse if applicable, birth certificates of minors, pay slip/bank statements of principal member & proof of previous medical aid cover.
Membership Form
The Keyhealth Private application can be retrieved by clicking on the logo above. Please print this application form & contact one of our friendly agents so that we can assist you with its completion. Please have ready a copy of your ID document of yourself and your spouse if applicable, birth certificates of minors, pay slip/bank statements of principal member & proof of previous medical aid cover.
Membership Form
The Stratum GAP COVER application can be retrieved by clicking on the logo above. Please print this application form & contact one of our friendly agents so that we can assist you with its completion. Please have ready a copy of your ID document of yourself and your spouse if applicable, birth certificates of minors, pay slip/bank statements of principal member & proof of previous medical aid cover.