Membership applications / registrations

Below is a list of documents available under: Membership applications / registrations. To download a document simply click on the Document name.

Aid for Aids (AFA) Programme

The Aid for AIDS Programme is available to all members, at no additional cost. All interaction between the members and the AFA Programme is kept strictly confidential in order to reassure the member that his/her status will remain confidential. The AFA Programme provides comprehensive benefits for the treatment of HIV/AIDS.

 

Click on the link below to download the Aid for Aids Application Form.

Download: Aid for Aids (AFA) Programme (Size: 132 KB)

Declaration of medical information

Click on the link below to download the declaration of health information form.  This form has to be completed by a Doctor.

Download: Declaration of medical information (Size: 81 KB)

Dependant Registration

Click on the link below to download the Dependant Registration form.  This forms requires the following documentation to be attached: Proof of legal adoption / foster care (if applicable), Marriage certificate when registering a spouse, ID / Passport of spouse / partner, Copy of birth certificate of children (if applicable), Proof of previous medical aid fund (if applicable), and a Doctor’s certificate.

Download: Dependant Registration (Size: 128 KB)

Employer Group Membership Application

The Employer Group application form allows companies to apply for employer group membership. To apply for membership, click on the link below and download the application form. Before the application form can be submitted back to NHP please ensure that all required documentation has been included.

Ex-Gratia due to financial hardship

Click on the link below to download the Ex-Gratia application form. You must complete all sections of this form. The Ex-Gratia Committee will not consider incomplete applications.

The Medical Advisory Board may make Ex-Gratia Awards only if the said Board of Trustees, in its absolute discretion, is satisfied that the member would suffer undue financial hardship.

All claims in excess of the benefit limits must be submitted prior to the Ex-Gratia Committee, making its decision.

Download: Ex-Gratia due to financial hardship (Size: 97 KB)

Hospital Pre-authorisation Form

Click on the link below to download the Hospital Pre-authorisation form.

Download: Hospital Pre-authorisation Form (Size: 47 KB)

Individual Membership Application

The Individual membership application form allows members to apply for any of the available NHP options. To apply for membership, click on the link below and download the application form. Before the application form can be submitted back to NHP you must ensure that all required documentation has been included.

Download: Individual Membership Application (Size: 194 KB)

Newborn Registration Form

Click on the link below to download the Newborn registration form.

Download: Newborn Registration Form (Size: 55 KB)
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