NEED A HELPING HAND?

Ask for support.

If you or someone you love has medical aid but is facing costs it does not cover, an operation, a specialist consultation, or simply does not know where to turn, tell us about it. Sometimes we can help with the cost; sometimes the help is guidance. Every request is read by a person and handled in confidence.

01 About you

The person filling in this form, so that we know who to contact.

Full name

ID number

Phone or WhatsApp

Email address (optional)

Town and region

Who is this request for?

For myself For someone else

02 What help is needed

Choose the one that fits best. If you are not sure, choose guidance and we will talk it through with you.

Medical aid excess or co-payment An operation or procedure A specialist consultation Guidance and advice Something else

03 The treatment

Details from the medical aid and the doctor.

Medical aid scheme and plan

Membership number (optional)

Diagnosis or condition

Treatment or help required, and where

Amount needed (the excess or co-payment)

When is payment due? (optional)

04 The situation

Tell us, in your own words, why a helping hand is needed.

05 Supporting documents

PDF, JPG, PNG or Word documents. Up to 5 files and 10 MB in total.

Drop your documents here or tap to choose files: ID documents, the medical aid card or statement, and the doctor’s letter or quote