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E note: You may change your plan on-line at www.polmed.co.za. (You will need to log on as a member with your PIN to access this facility.) Alternatively, this form is available for printing from our website. Please complete all four sections on this form. Please Note: E Should you not return your Plan Selection Form by 31 December 2009, you will remain on the same plan. E Should you decide to remain on the same plan, you are still required to complete this form and return to the addr.

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How to fill out the Polmed Forms online

Filling out the Polmed Forms online is an important process for members wishing to change their Benefit Plan during the annual selection period. This guide will walk you through each section of the form to ensure a smooth and efficient completion of your application.

Follow the steps to fill out the Polmed Forms effectively

  1. Press the ‘Get Form’ button to retrieve the document and open it in your preferred editing application.
  2. In the first section labeled 'Principal member’s contact details', provide your membership number, Persal number, rank, surname, initials, and complete your postal and physical addresses. Ensure to include all phone numbers and your email address as well as ID number.
  3. Proceed to the second section titled 'Next of kin’s contact details'. Fill in the surname and initials of your next of kin along with their postal address, cell number, email address, and your relationship to them, e.g., mother or partner.
  4. In the third section, 'Preferred means of communication', indicate how you wish to be contacted by ticking the relevant options such as post, SMS, or email.
  5. Finally, in the 'Choice of plan' section, select either the Higher Plan or Lower Plan by marking the appropriate box with an 'X'. Sign and date the form appropriately.
  6. Once you have completed all sections of the form, save any changes made, and you can either download, print, or share it according to your needs.

Take action today and complete your Polmed Forms online for an effortless enrollment experience.

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You or your treating doctor can call POLMED to obtain pre-authorisation for your chronic medication. Note: Notify the courier pharmacies directly about any address updates to avoid delays in the delivery of your medication. Ensure your doctor prescribes items on the medication formulary to avoid a 20% co-payment.

polmedauths@medscheme.co.za Polmed has an agreement with the Administrator whereby we monitor their level of service offered to members.

You may change your plan online at .polmed.co.za. You simply need to log in to the Member Zone to access this facility. PLEASE NOTE: This form should only be completed should you wish to change your plan.

If you paid for a service directly and want to request a member refund, you need to submit your proof of payment (receipt or bank deposit slip) together with the service provider's account that displays a zero balance for the claim. Obtain a detailed account/statement from the service provider.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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