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  • Ambledown Claim Form

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Member Date Signed Name and Surname of the Principal Insured Member Broker Details Broker Name & Contact details BEFORE ANY CLAIM CAN BE SETTLED, COPIES OF THE FOLLOWING DOCUMENTATION RELATING TO THIS PARTICULAR CLAIM/S ARE REQUIRED: 1. Hospital Accounts 2. Doctors Accounts 3. Medical Aid Statement (Failure to provide all applicable documentation to this claim form will cause undue delay in the processing thereof.)DECLARATION Page 2 of 2.

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The Ambledown Gap Cover Series is an Insurance Product that provides cover for you and your immediate family for the shortfall (Gap) resulting from any Medical Practitioner charging above the Medical Aid Tariff for authorised in-hospital surgical procedures and specified out of hospital procedures.

How and when do I submit a claim? A claim form can be obtained from your broker or our website. It must be completed in full and emailed to claims@ambledown.co.za with all supporting documentation within 6 months of the first day of treatment / hospitalisation.

Who is the insurer/underwriter of my Gap Cover Policy? The Ambledown Gap Cover Range is underwritten by Constantia Insurance Company Limited.

Best comprehensive gap cover Zestlife Universal Gap Cover provides comprehensive medical shortfall benefits at an affordable price. Claims are paid up to an overall annual limit of R182,700 per insured. GP and specialist consultations, in and out of hospital, are covered at up to 500% of the medical scheme tariff.

If you have any questions, we will gladly assist. You can contact us on 0861 262 533.

How do I submit a claim? Contact our Customer Care Centre on 0860 633 929, email customercare@medway.co.za or send us a WhatsApp message. Based on the information you provide, you will be emailed the appropriate forms along with detailed requirements.

How and when do I submit a claim? A claim form can be obtained from your broker or our website. It must be completed in full and emailed to claims@ambledown.co.za with all supporting documentation within 6 months of the first day of treatment / hospitalisation.

Gap cover is a short-term insurance product designed to provide extra protection for those who already have medical aid. It covers the deficit between your medical scheme's tariff (MST) and the actual rates charged by private healthcare professionals.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232