
Brochures 2021
Comprehensive plan guide
Contributions table
Core plan guide
Executive plan guide
Introducing the enhanced Vitality Money Programme
Keycare plan guide
Plan comparison
Priority plan guide
Saver plan guide
Smart plan guide
Tytohome Faqs
Vitality sales brochureDay surgery network list
Flexicare brochure
Flexicare dental network list
Flexicare GP network list
Flexicare optometry network list
Flexicare pharmacy network list
Flexicare plus summary of services and benefits
Hospital network list
Keycare GP network list
Major joints network list
Vitality Purple activations journey
Brochures 2020
Classic Core
Classic Delta Comprehensive
Classic Delta Core
Classic Delta Saver
Classic Priority
Classic Saver
Classic Smart
Coastal Core
Coastal Saver
Comprehensive Series Guide
Core Series Guide
Delta Comprehensive
Essential Comprehensive
Essential Core
Essential Delta Core
Essential Delta Saver
Essential Priority
Essential Saver
Essential Smart
Executive Plan Guide
Executive
KeyCare Core
KeyCare Plus
KeyCare Series Guide
KeyCare Start
KeyCare Funeral Plan
Priority Series Guide
Saver Series Guide
Smart Series Guide
Chronic Illness Benefit Medicine List
Forms 2021
Applying to become a member
Applying to join DHMS when moving from another medical scheme
Applying to join the DHMS as part of an employer group
Add dependant application form
Advanced illness benefit application form
Affidavit addition of a minor dependant
Affidavit to confirm adoption proceeding for addition of minor dependant
Allied therapeutic and psychology extender benefit application form
Application to join Vitality Purple
Registration of newborn baby
Application to change main member
Application to transfer an existing member to an employer group
Application for additional allied therapeutic and psychology benefits
Application for out of hospital management of PMB condition
Application to join Vitality
Applying to become a member
Applying to join DHMS when moving from another medical scheme
Applying to join the DHMS as part of an employer group (KC-UW)
Applying to join the DHMS as part of an employer group
Bariatric surgery application form
Chronic Illness Benefit (CIB) application form
Declaration of medical scheme membership
Disputes investigation form
Employer application form
External medical items extender application form
Flexicare confirmation of employer debit order banking details form
Flexicare permission to change banking details form for claims purposes
Health declaration form
HIVcare programme application form
International travel benefit claim form
Keycare application for chronic renal dialysis
Keycare application form
Keycare income verification existing members
Keycare income verification for new members
Lymphoedema application form
Mamma Print application form for breast cancer pilot programme
Oncotype Dx test application form
Overseas treatment benefit
Overseas treatment benefit claim form
PMB appeals form
Priority downgrade form
Request for additional cover chronic illness benefit
Request for additional cover for Covid-19 testing.pdf
Request for additional PMB cover for HIV
Request for extended supply of medicine
Request for Pre-exposure Prophylaxis
The non-functional and/or reconstructive treatment and surgery pilot application form
Forms 2020
Applying to join when moving from another medical scheme
Applying to join as part of an employer group
Employer Application
KeyCare Beneficiary Nomination Form
KeyCare Funeral Plan Claim Form
Application for special payments from the MSA
Ex Gratia Application Form
Permission to make certain information available to a third party
Settlement agreement for an amount owing to DHMS
Transfer to individual capacity form
Allied therapeutic and- psychology extender benefit application form
Advanced illness benefit application form
Application for additional allied therapeutic and psychology benefits
Application for out of hospital management of PMB condition
CIB application form
HIV care programme application form
International travel benefit claim form
KeyCare application for chronic renal dialysis
Overseas treatment benefit claim form
Overseas treatment benefit
PMB appeals form
Request for additional cover chronic illness benefit
Request for additional PMB cover for HIV
Request for extended supply of medicine
Request for pre-exposure prophylaxis
Add dependant application form
Affidavit addition of a minor dependant
App to change main member continuation form
App to transfer an existing member to an employer group
Application for registration of newborn baby
Applying to become a member
Applying to join when moving from another medical scheme
Applying to join as part of an employer group Keycare essential
Applying to join as part of an employer group
Becoming an employer contact
Declaration of medical scheme membership
Disputes investigation form
Employer application to join
Health declaration form
KeyCare application form
KeyCare GP to Specialist referral
KeyCare income verification existing members
KeyCare income verification for new members
KeyCare specialist referral form
Priority downgrade form
Pre-assessment request