Methealth | Member Application Forms

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