Application Forms

All application forms are in PDF format and require Acrobat Reader.
     Download here.

Please PRINT OUT the form, complete and return to:
BESTmed, PO Box 2297, Pretoria, 0001.

Phone: (012) 339 9800,
Fax:     (012) 323 4106
E-mail: service@bestmed.co.za

Form Downloads

for queries E-mail: service@bestmed.co.za

Applications for Membership

Application for Individual Membership | Aansoek om Individuele Lidskap
  Email: membership@bestmed.co.za
Changes in Member Status | Veranderings in lidstatus
Application for Corporate Membership | Aansoek om Korporatiewe Lidskap
Application for Admittance as a Participating Employer

Student Applications

Student Applications

Change of Banking Details

Permission to change Banking Details

Choice Forms

Individual Choice Form / Individuele Keusevorm
Corporate Choice Form / Korporatiewe Keusevorm

Chronic Medicine Forms

Application Form for benefits for Prescribed Minimum Benefits (PMB)
(Not CDL conditions)

PMB application forms are available only on request directly from BESTmed. Please contact 086 000 2378 or alternatively send a request via fax to (012) 339 9944 or e-mail to medicine@sanlamhealth.co.za.

Chronic Application Form
Chroniese Aansoekvorme

HIV/Aids Application Form

Formulary

Total Care Gap Cover

Application Form

For further information, please phone the following number: 012 339 9826