Image

Brochures 2021

Brochures 2020

Brochures 2019

Brochures 2019

Forms 2021

Forms 2020

Membership Applications
Applying to become a member
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

Forms 2019

Forms 2018

Contact Details

14/2 Midas Ave, Olympus, Pretoria East, 0043

  • dummy086 010 3179

  • dummy(012) 991 0446

  • dummy086 552 3917

  • dummy info@cmac.co.za

CMAC is an Authorised Financial Services Provider (FSP 17112)
Accredited by the Council of Medical Schemes (ORG 35)

© Copyright CMAC 2020. Design & Development by ATHENA ADVERTISING

Search