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Benefit and Contribution Schedules

 Benefit and Contribution ScheduleView PDF  

Application Forms

 Application to become a member of Bankmed (with MQ)View PDF  
 Application to become an Employer ContactView PDF  
 Application to add dependantsView PDF  
 Application to register a newborn babyView PDF  
 Baby-and-MeView PDF  
 Declaration of medical scheme membershipView PDF  
 Health declarationView PDF  
 Advanced Illness Benefit & Compassionate Care Benefit application formView PDF  
 Chronic Illness Benefit (Essential and Basic Plans)View PDF  
 Chronic Illness Benefit (Core Saver, Traditional, Comprehensive and Plus Plans)View PDF  
 Chronic Medication Indemnity and Advance Supply Form (Core Saver, Traditional, Comprehensive and Plus Plans)View PDF  
 GP to specialist referral form View PDF  
 Hospital admission complaint form View PDF  
 Request for additional cover for PMB CDL conditions registered on the Chronic Illness Benefit (Essential and Basic Plans)View PDF  
 Request for additional cover for PMB CDL conditions registered on the Chronic Illness Benefit (Core Saver, Traditional, Comprehensive and Plus Plans)View PDF  
 Request for extended supply of medicationView PDF  
 Request for pre-exposure prophylaxis (PREP)View PDF  
 Prescribed Minimum Benefits Appeal View PDF  
 HIV Programme View PDF  
 Application for out-of-hospital management of a Prescribed Minimum Benefit conditionView PDF  
 Application for negative pressure wound therapyView PDF  
 Application for bariatric surgeryView PDF  
 International travel benefit claimsView PDF  
 Bankmed Add MinorView PDF  
 Bankmed Confirm AdoptionView PDF  
 Change of EmployerView PDF  
 Ex GratiaView PDF  
 Member or dependant resignationView PDF  
 Transfer from Active to Retiree StatusView PDF  
 Plan selection formView PDF  
 Settlement agreementView PDF  
 Pre-assessment requestView PDF  
 Request to change banking detailsView PDF  
 Application for special payments made from the Medical Savings AccountView PDF  
 Reverse payment of a valid claim (non SARB members)View PDF  
 Reverse payment of a valid claim View PDF  

Benefit Guides

 Cover for pregnancy and childbirthView PDF  
 Advanced Illness BenefitView PDF  
 Compassionate CareView PDF  
 Emergency servicesView PDF  
 Wellness and Preventative Care BenefitsView PDF  
 Dental formulary (Basic Plan)View PDF  
 Acute medicine list (Basic Plan)View PDF  
 Optical benefit (Core Saver and Plus Plans)View PDF  
 Optical benefit (Essential and Basic Plans)View PDF  
 Banking details for EmployersView PDF  
 HIV ProgrammeView PDF  
 HIV Supportive medicine list (formulary)View PDF  
 HIV Basket of care medicine list (formulary)View PDF  
 HIV Antiretroviral medicine list (formulary)View PDF  
 HIV Nutritional and mother-to-child medicine list (formulary)View PDF  
 Chronic Illness Benefit CDL formularyView PDF  
 Medicine Advisory ServicesView PDF  
 Prescribed Minimum Benefit treatment basketsView PDF  
 Guide to Prescribed Minimum Benefits for In-hospital treatmentView PDF  
 Guide to Prescribed Minimum BenefitsView PDF  
 Guide to Transplant ClaimsView PDF  
 Managed Care Oncology ProrgammeView PDF  
 Oncology supportive medicine list (formulary)View PDF  
 Letter about International ClaimsView PDF  

Medications

 Chronic Illness Benefit CDL formularyView PDF  
 HIV Supportive medicine list (formulary)View PDF  
 Acute medicine list (Basic Plan)View PDF  
 Dental formulary (Basic Plan)View PDF  
 HIV Antiretroviral medicine list (formulary)View PDF  
 HIV Antiretroviral medication formularyView PDF  
 HIV Nutritional and mother-to-child medicine list (formulary)View PDF