Membership maintenance forms
Request to Appoint a Financial Adviser -Gap Cover
For Information and application form to appoint a Financial Adviser , please click on the link.
Addition of Dependant Application
For information of addition of dependant application , please click on: 2020 2021
Application for Reinstatement
For access to information on application for reinstatement , please click on link.
Change of Membership from Dependant to Principle Member
For access to Change of Membership form from dependant to Principle member , please click on link.
Change of Principle Member
For access to Change of Principle Member forms , please click on link
Changes to Membership Details
To access the Changes to Membership details forms, please click on the link.
Declaration of Health for International Travel
To access the Declaration of Health for International travel form please click on link.
Request to Change HealthSaver
In order to request changes to a HealthSaver or HealthSaver premiums , please click on: 2020 2021
Termination of Membership Form
To access the Termination of Membership Form please click on the link.
Extracts from Clinical Records - PMA Reports
To access the Extracts from Clinical Records - PMA Reports , please click link.
Request for Pulmonary Function by Doctor
To access Request for Pulmonary Function by Doctor , please see link.
Retest of Blood Pressure by Doctor
To access the Retest of Blood Pressure by Doctor please click on link.
How do schemes work?
The first important point to note is that the medical scheme belongs to you, the member.All medic...
Membership
Momentum Medical Scheme offers unsurpassed value for money by combining flexibility with comprehe...