CONTACT US: 061 287 6000 | enquiries@methealth.com.na








Member Application Forms
Please select form from below dropdown options
(forms mark with * are interactive and can only be completed with the Edge browser or Adobe Acrobat, not Firefox)



  AHB Claim (Additional Hospital Benefit)
  Application for Membership 2022
  Application for Membership 2023
  Debit Order Form
  EFT Application Form
  Ex-Gratia Application Form
  Hospital Pre-Authorization
  Lost / Additional Card 2023
  Member Record Amendment Form
  Option Change Form 2022
  Option Change Form 2023
  Travel & Accommodation Reimbursement
  Travel Insurance Policy Wording



  e-Hosp (Hospital Pre-Authorization) Application Form
  e-Med (Member) Application Form



  ARVs On-going Treatment
  Membership Application Form
  Post Exposure Prophylaxis (PEP)
  Pre Exposure Prophylaxis (PrEP)



  AHB Claim (Additional Hospital Benefit) *
  Application for chronic medication benefit
  Application for Membership 2022
  Debit Order
  EFT (Electronic Fund Transfers) *
  Ex-Gratia Application Form *
  Health Smartcard Lost / Additional Card Application
  Member Record Amendment 2022
  Option Change 2022
  Pre Notification for Hospitalization *
  Travel & Accommodation Reimbursement
  Travel Insurance Policy Wording



  Application for Chronic Medication
  Declaration Form
  Declaration Form for Follow-Up Hospital Visit
  Deviation Form
  Electronic Payment Request
  Member Claim Form
  PSEMAS Application for Travel & Accommodation Reimbursement
  PSEMAS Hospital Pre-Authorization