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 2021
  Debit Order Form 2021
  EFT Application Form 2021
  Ex-Gratia Application Form 2021
  Health Smartcard Lost / Additional Card Application 2021
  Hospital Pre-Authorization 2021
  Member Record Amendment Form 2021
  Option Change Form 2021
  Pre Notification for Hospitalization 2020 *
  Travel & Accommodation Reimbursement 2020
  Travel Insurance Policy Wording



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



  Membership Application Form



  AHB Claim (Additional Hospital Benefit) *
  Application for chronic medication benefit 2021
  Application for Membership 2021
  Debit Order 2021
  Debit Order Form *
  EFT (Electronic Fund Transfers) *
  Ex-Gratia Application Form 2019 *
  Health Smartcard Lost / Additional Card Application 2019
  Member Record Amendment 2021
  Option Change 2021
  Pre Notification for Hospitalization *
  Travel & Accommodation Reimbursement 2020
  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