Application forms

Applying to become a member of Remedi (with underwriting)

Applying to become a member of Remedi (without underwriting)

Application to add dependant

Application to register an additional adult dependant

Advanced Illness Benefit application form

Application for claims incurred outside of South Africa

Application for registration of newborn baby

Application for special payments made from the PMSA

Application for out of hospital management of a PMB condition

Application for additional out-of-hospital treatment over and above that provided by the Prescribed Minimum Benefits

Chronic Illness Benefit application form

Consent form to allow disclosure of information to a third party

Continuation form

Exgratia application form

Health Declaration form

HIVCare Programme application form

Member withdrawal application form

Option change form

Permission to change banking details

Pre-assessment request

Request for additional cover for COVID-19 testing

Request for additional cover for PMB Chronic Disease List application form

Request for additional cover from the HIV Prescribed Minimum Benefits Baskets of care

Transfer from active member to retiree status

Request for an extended supply of medicine

Request for pre exposure prophylaxis

Request for treatment of a maintenance or physical nature

Remedi Standard Option

Remedi Standard Option Pathology request form

Benefit guides

Your cover for Designated Service Providers (DSPs) and providers who are not DSPs

Remedi Exclusion List for Additional Chronic Conditions

Remedi Trauma Recovery Extender Benefit

Cover for Diabetes and the Diabetes Cardiometabolic Care Programme one-pager

Remedi Advanced Illness Benefit

Remedi Banking details for manual payments

Remedi Chronic illness benefit medicine list (Formulary)

Chronic Illness Benefit medicine list (Provisional Formulary) 2024

Remedi COVID-19 Recovery Booklet

Remedi Dental and oral benefit

Remedi employer guide

Remedi Guide to transplant claims submission 

Remedi Guide to Prescribed Minimum Benefits In-hospital 

Remedi HIV ARV formulary

Remedi HIV Basket of Care

Remedi HIV nutritional and mother to child prevention formulary

Remedi HIV supportive medicine formulary

Remedi HIVCare programme

Remedi Menopause medicine list formulary

Remedi Mental Health Care

Remedi Mental Health Journey

Remedi Motor Vehicle Accident

Remedi Oncology programme

Remedi Oncology supportive medicine list formulary

Remedi Optical benefit

Remedi Overseas treatment benefit

Remedi prescribed minimum benefit treatment guide

Remedi prescribed minimum benefit basket

Remedi Screening and Prevention benefit

Remedi Spinal Care Programme

Remedi Standard Acute Formulary

Remedi dental medicine formulary

Remedi rules for membership

Remedi underwriting policies and protocol

Remedi Your level of pregnancy and childbirth cover

Remedi WHO benefit guide

Remedi WHO PMB basket