Brochures /Guides

GapCover Claim Application

To access the GapCover Claim Application please click on this link.  

GapCover Application - Compulsory Group

To access the GapCover Application - Compulsory Group please click on this link.  

GapCover Application - Voluntary Group

To access the GapCover Application - Voluntary Group please click on this link.  

GapCover Application - Millennial

To access the GapCover Application – Millennial please click on this link.  

GapCover Application - Intermediary

To access the GapCover Application – Intermediary please click on this link.  

Consent Form

For information on the Consent Form , please click on the link.

GapCover Application - Company

To access the GapCover Application – Company please click on this link.  

GapCover Application - 64 years & older

To access the GapCover Application - 64 years & older please click on this link.  

HealthSaver Deed of Suretyship

For HealthSaver deed of suretyship please click on link.

GapCover Application

To access the GapCover Application please click on this link.  

Application for Multiply - Individual

To access the Application for Multiply – Individual please click on this link.

Application for Complementary Products - Employer

To access the Application for Complementary Products – Employer please click on this link.

Option Selection Form

For information on Option selections and option changes forms , please click on link.  

Application for Complementary Products - Individual

To access the Application for Complementary Products – Individual please click on this link.

Option Selection Form - Including Declaration of Income

For information pertaining to Option Selection Form and / or Declaration of Income, please click ...

Application for HealthWaiver

To access the Application for HealthWaiver please click on this link.

Declaration of Health

To access the Declaration of Health form please click on this link.

Declaration of Medical Schemes

To access the Declaration of Medical Schemes form please click on this link.

Application for HealthSaver

To access the HealthSaver application please click on this link.

Chest Pain Questionnaire

To access the Chest Pain Questionnaire , please click on link.

Confidential Medical Report by Doctor

To access the Confidential Medical Report by Doctor , please click on link.

Confidential Medical Report by Doctor

To access the Confidential Medical Report by Doctor , please click on link.

Diabetes Questionnaire

To access the Diabetes Questionnaire , please click on link.

Examination by Pathologist or Lab

To access the Examination by Pathologist or Lab , please click on link.

Gastro-Intestinal Questionnaire

To access the Gastro-Intestinal Questionnaire , please click on link.

Gastro-Intestinal Questionnaire

To access the Gastro-Intestinal Questionnaire , please click on link.

Neck and Back Pain Questionnaire

To access the Neck and Back Pain Questionnaire , please click on link.

Neck and Back Pain Questionnaire

To access the Neck and Back Pain Questionnaire , please click on link.

Nervous Disorder Questionnaire

To access the Nervous Disorder Questionnaire , please click on link.

Extracts from Clinical Records - PMA Reports

To access the Extracts from Clinical Records - PMA Reports  , please click link.

Contact Momentum Medical Scheme

For local emergencies



Available 24 hours a day, 7 days a week, 365 days a year.

For international emergencies



Available 24 hours a day, 7 days a week, 365 days a year.

Client service, claims and authorisations






Business hours are Monday to Friday from 07:30 to 17:00. Saturdays from 08:00 to 12:00. Closed on Sundays and public holidays.