Discovery Pmb Form 2025 – This application form is to apply for additional cover for prescribed minimum benefit (pmb) chronic disease list (cdl) conditions registered on the chronic illness benefit (cib) and is only valid for 2025. Chronic illness benefit application form 2025. It requires patient and healthcare professional details, diagnosis, treatment plan, and consent for processing personal information. Application to join la health medical scheme.

Discovery health (pty) ltd is an authorised financial services provider. Please note that this form expires on 31/03/2026. It requires patient and healthcare professional details, diagnosis, treatment plan, consent and signature. Registration number 1430 is administered by discovery health (pty) ltd, registration number 1997/013480/07.

Discovery Pmb Form 2025

Discovery Pmb Form 2025

Up to date forms are available on www.yourremedi.co.za remaom001 remedi medical aid scheme. Prescribed minimum benefit condition 2025 please note that this form expires on 31/03/2026. 1 discovery place, sandton, 2196.

Page 1 of 3 €01.01.2025 Plan guide on www.discovery.co.za to see how you are covered. It must be completed by the member and the healthcare professional and submitted electronically or by email to discovery health.

What you must do fill in the form in black ink and print clearly or complete the form digitally.

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