Health4Me Member Forms

Get the most up to date Health4Me Forms by clicking on the links below.

Health4Me: Hospital and Maternity Cash-back Form

Get the most up to date Application Forms, click here to access the Hospital and Maternity Cash-b...

Health4Me: Funeral Claim Form

Get the most up to date Application Form, click here to access the Funeral Claim Form.

Health4Me: Post-exposure Prophylaxis (PEP) Application Form

Get the most up to date Application Form, click here to access the Post-exposure Prophylaxis (PEP...

Health4Me: Chronic Benefit Application Forms

Get the most up to date Application Form, click here to access the Chronic Benefit Application Form.

Contact Momentum Medical Scheme

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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.