Get Hiv Pmb Application Form - Naspers Medical Scheme

Completing the HIV PMB application form for the Naspers Medical Scheme online can be streamlined with the right guidance. This comprehensive guide will direct you through each section of the form to ensure a smooth application process.

Follow the steps to accurately complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with section 1 by entering the main member's details, including their title, initials, surname, ID number, membership number, date of birth, postal address, telephone numbers, cellphone number, fax number, and email address.
3. Proceed to section 2, which requires information about the patient. Again, include the title, initials, surname, ID number, membership number, date of birth, postal address, contact information, and relationship to the main member.
4. Continue to section 3, where the treating doctor must provide details regarding treatment requests. This includes applications for medical management, medicine, radiology, or pathology with specific conditions and codes.
5. In section 4, the doctor must complete their details, including their BHF practice number, fax number, signature, and date.
6. Once all sections are filled out, ensure to review the form for accuracy and completeness. After completion, save the changes, and prepare to submit the form.
7. Submit the completed and signed form along with any supporting documentation via fax to 011 539 3151 or email to HIV_Diseasemanagement@discovery.co.za, or by post to Naspers Medical Fund, PO Box 536, Rivonia, 2146.

We encourage you to complete your HIV PMB application form online today to access your benefits.