<< /EvoPdf_kaokapomcagjkhllaaknnblkidpiigle 246 0 R /Font << /AP << h�b```�/���B cc`a���0Y�@�Ê���,��-�M=���h�`� �P]@����{��bU��YA�m�� �,�<1�0]`��\j�ߺT$�I��J���?��TzX7 ��tu�fd``���li�r�;�JOz��Z|����*Q��aR-��t�D5� g`���g�0 *7 267 0 obj /MK << 0000004803 00000 n /Widths [237 333 333 1000 1000 277 333 277 1000 556 >> Dear students if your application for PMB 2020 counseling is rejected. 0000012904 00000 n 0.5 0.5 9.0859 9.086 re /CS /DeviceRGB /MediaBox [0 0 595 842] /T (checklist_1_remedchronappliformc_outcoofthisapplimust-2) 151 0 R 152 0 R 153 0 R 154 0 R 0000007193 00000 n /Type /XObject /DisplayDocTitle false /BC [1 1 1] 139 0 obj <> endobj /Filter /FlateDecode [548] /P 256 0 R 0000009802 00000 n /PageMode /UseNone /Rect [190.7285 399.0957 296.3418 410.4902] SCHEME RULES PMB BENEFIT GUIDES FORMS GEMS EVENTS BOOKING ONLINE FORM MEMBER GUIDES NEWSLETTERS ... HIV/AIDS Disease Management Programme registration form: Application for continued medical assistance (Z583 form) Chronic medicine application form: Chronic medicine delivery amendment form: 1000 1000 1000 1000 610 975 722 722 722 722 >> /Subtype /Widget DHMPMB001 endstream endobj 144 0 obj <>/Subtype/Form/Type/XObject>>stream Registration of dependants 2020. /AP << x�c```f`� �� uD� ٪@,�b ���L}W�!R� ���+��1����f`Q� �@�V rc/��ć���P|��� -� �c�4#T\�MPU���^@��� �$4�``�(���-����� Pl./ tJ(� >> Administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07, an authorised financial services provider. /P 256 0 R >> 107 0 R 108 0 R 109 0 R 110 0 R /FirstChar 39 0000001938 00000 n endobj [350] /Subtype /Type1 1 G /Flags 32 endstream endobj 150 0 obj <>/Subtype/Form/Type/XObject>>stream >> /AP << endstream endobj 148 0 obj <>/Subtype/Form/Type/XObject>>stream stream /Type /Annot endstream endobj 153 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream • PMB’s are subject to pre-authorisation and in the case of emergencies the application must be received within 48 hours. /DA (/Verdana-Bold 7 Tf 0 0 0 rg) >> /Subtype /Widget /P 256 0 R �\z� /TU () /MK << /PageLayout /OneColumn /Text] /N 289 0 R >> /Ff 16777216 /Group << endobj << Medihelp forms. h�bbd```b``��L{��%�d�&=��_0 &σI0��>�,�g����&c�.1��R�$S[���$�M�]k�&���� ��� /N 281 0 R /E 178830 /ProcSet [/PDF /Length 169 Up to date forms are always available on www.discovery.co.za under Medical Aid > Find documents and your certificates. /FT /Tx endstream endobj 160 0 obj <>/Subtype/Form/Type/XObject>>stream 7 0 R 8 0 R 9 0 R 43 0 R /F 4 /F 4 /Verdana-Bold 249 0 R 0000008012 00000 n 34 0 R 35 0 R 36 0 R 37 0 R /Filter /FlateDecode 253 0 obj << 76 0 R 77 0 R 78 0 R 79 0 R << >> /Ff 16777216 << 256 0 obj >> >> /MaxLen 3 >> /MK << ; AfA Pre-ART Application Form: Application form for HIV+ patients who do not yet require ART. /F 4 endobj Page 1 of 7 €09.07.2020 PLEASE FAX FORM TO +27 10 597 4706, EMAIL: pmb@medshield.co.za MSD - FR - CRD - 005 v1 2019 - PMB Programme Application - 24/05/2019 Page 4 7. /DescendantFonts [271 0 R] /Ff 16777216 endobj >> >> Chronic Illness Benefit Application form 2020 ' ' 0 0 < < < < ' ' 0 0 < < < < Please note that this form expires on 31/03/2021. /F 4 278 0 R] >> /F 4 << /Q 0 /MaxWidth 0 1 G /AP << Quota Seats During Academic Year 2020-21 0000009986 00000 n xref s /V () /DA (/Verdana-Bold 7 Tf 0 0 0 rg) Chronic Illness Benefit application form 2020 7KLVDSSOLFDWLRQIRUPLVWRDSSO\IRUWKH&KURQLF,OOQHVV%HQHILWDQGLVRQO\YDOLGIRU < < < < 0 0 ' ' REMCIB001 Remedi Medical Aid Scheme. endstream 270 0 obj Providing personalized, attentive service, our team helps customers stay focused on providing exceptional person-centered care and delivering better business results through advanced technology solutions and clinical expertise. /StemV 80 /AvgWidth 277 /EvoPdf_eljbpaaclaofkicgabogmhlknllejalf 257 0 R /ToUnicode 279 0 R /AP << 0000007473 00000 n >> 0000002573 00000 n 0000009522 00000 n >> /Type /Annot 2020 Guide to Prescribed Minimum Benefits 2016 Guide to Prescribed Minimum Benefits - 2020 Guide to Prescribed Minimum Benefits 2019 APPLICATION FORM – CHRONIC MEDICINE BENEFIT 2019 Remedi … /Subtype /Widget << >> /ZaDb 274 0 R l ����s ��� Benefits for PMB will apply from the date on which these are approved and PMB services are first paid from the day-to-day benefits applicable to the relevant service. /T (phonenumber_7_remedchronappliformc_telep-2) You need to complete section 1 of this form. /TU () H�2�37�402VH�2P0P04�3�0�P�� /Type /Font Please FAX completed form to: 086 651 8009 Or mail to: PO Box 38632, Pinelands, 7430 Member telephone: 0860 004 367 Provider telephone: 0860 100 608 MEDICINE MANAGEMENT CHRONIC MEDICINE BENEFIT APPLICATION ONLY COMPLETE THIS FORM IF YOU ARE A FULLY REGISTERED MEMBER OF GEMS D D M M Y Y Y Y D M Y %PDF-1.4 /NeedAppearances true 0000010782 00000 n /FT /Btn /Ff 16777216 Application for special payments made from the PMSA. /F 4 0000002751 00000 n /Type /FontDescriptor /49db0ed0ece4285dd6d04c1c127ea7e6 239 0 R 269 0 obj /Text] 177 /CA (3) /381b21b2e4648d32ae9388afadb4e230 242 0 R /Q 0 Please complete this form for cover of out-of-hospital management of a Prescribed Minimum Benefit (PMB) condition. /MK << 556 500 722 500 500 500] %PDF-1.6 %���� Prescribed Minimum Benefits (PMBs) are a set of predefined conditions that form part of South Africa’s Medical Schemes Act.With PMBs, anyone who is part of a medical scheme, no matter what medical aid plan they’re on, can receive treatment for 270 hospital-based and 25 chronic conditions, and the price of these will be covered in full. Through the navigation of this application you will be able to keep track of your Personal Medical Savings Account details and balance. s 259 0 obj Up to date forms are always available on www.discovery.co.za under Medical Aid > Find documents and your certificates. << The Fund Rules are available at www.bonitas.co.za. >> endstream endobj 159 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream /Font << /Rect [431.5098 297.6797 552.1719 309.0742] 556 610 556 333 610 610 277 1000 556 277 Bariatric surgery application form. /Type /Annot /Subtype /TrueType 95 0 R 96 0 R 97 0 R 98 0 R 265 0 obj >> 266 0 R 267 0 R 268 0 R 277 0 R 275 0 obj /MK << /MK << 262 0 R 263 0 R 264 0 R 265 0 R /AP << /Linearized 1 endobj 666 1000 1000 1000 1000 1000 1000 1000 556 610 Registration of newborn baby 2020. �@���a�������� �o\ >> /ImageC /TU () /MaxLen 3 Chronic Medicine Application Form 2020-11-23 BMF-1401 V11.00 Bestmed Medical Scheme 2020 Bestmed Medical Scheme is an Authorised Financial Services Provider (FSP no. /Type /Font 72 0 R 73 0 R 74 0 R 75 0 R >> /Contents [280 0 R] /Type /OutputIntent �@������������ ��I /CenterWindow false /N << H�1D���)�Y7��(66‚`��X���')����Q٬]-s�R�T���y`@�*���̽�/�� �ͤuq�k�� �.�ݍU�Tg0�-�ĭ0V2�E^2��N� 0 ^?e 0000014266 00000 n 0000014040 00000 n 61 0 R 62 0 R 70 0 R 71 0 R Minimum Benefits (PMB) are a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. /Info 250 0 R /BaseFont /Arial-BoldMT >> endobj QD�~�bʵ�I����e��Fv�ZX����bq�p�[���h��]�u�O�����<0���|f�Gv� .ٌ.��X�����A��uǦ��G� �&� /CapHeight 716 0000008929 00000 n /H [4068 258] /BBox [0 0 20 20] endstream endobj 146 0 obj <>/Subtype/Form/Type/XObject>>stream << %���� 26 0 R 27 0 R 28 0 R 29 0 R 111 0 R 112 0 R 113 0 R 114 0 R [666 666 722 722 666 610 777 722 277] /Subtype /Type1 /LastChar 160 /FontDescriptor 292 0 R /Subtype /Widget Here are your most important forms for easy download: AfA Application form: Application form for HIV+ patients requiring ART. /XHeight 0 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 >> /Type /Annot /Subtype /Form 276 0 obj /TU () >> /Pages 237 0 R /BaseFont /ZapfDingbats 277 0 R 278 0 R 10 0 R 11 0 R endobj 268 0 obj [889] /Subtype /Form B1D�9Ŕڬ��V! /T (text_9_remedchronappliformc_membenumbe-1) • To avoid administrative delays, please ensure that all sections are completed in full and in the case of pre-authorisation a written quotation must accompany the fully completed PMB application form. 0000013812 00000 n /Encoding /Identity-H The latest version of the application form is available on www.discovery.co.za. /BBox [0 0 20 20] /Encoding /WinAnsiEncoding /AS /Off /DA (/Verdana-Bold 7 Tf 0 0 0 rg) >> 0000013132 00000 n 251 0 obj /82d38e75303d9839b42d6f0e4ef81773 241 0 R /BaseFont /XRUJUB+ArialMT [556] << /N 290 0 R The applicant is familiar with the information relating to the Protection of Personal Information (POPI) Act as displayed on www.fedhealth.co.za 8. How to complete this form: /ImageB 0000000017 00000 n Please familiarise . 10 0000005229 00000 n << >> Remedi SeniorCare is a leading pharmacy innovator servicing long-term care facilities and communities, as well as other adult-congregant living environments. /Name /XRUJUB+ArialMT /DR << /DA (/Verdana-Bold 7 Tf 0 0 0 rg) 271 0 obj 8 /MK << /DA (/Verdana-Bold 7 Tf 0 0 0 rg) 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 /V /Off ; AfA PrEP Application form: Application form for HIV- patients requiring PrEP. /Q 0 DHMAOM001 /Rect [401.4121 399.0957 446.8301 410.4902] /T (fullwidth_1_remedchronappliformc_nameandsurna-1) /MaxLen 9 /AP << 53 0 R 54 0 R 55 0 R 56 0 R Section 1 of this form support your application PMB condition digital membership,!, 3 and section 4 and include detailed documentation to support your for! 2020 counseling is rejected it to 011 539 2780 or email PMB_APP_FORMS @ bankmed.co.za fax! 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