discovery health medical aid

DISCOVERY HEALTH MEDICAL AID 2017 QUOTE.
How much Discovery Health will cost.

Please complete this form and send to me. Get all the DISCOVERY HEALTH MEDICAL AID plan options, rates and information you need.

FULL PLAN DETAILS: DISCOVERY HEALTH MEDICAL AID

Check these PLAN BENEFIT VIDEOS: (they offer a brief benefit explanation of each plan).


DO YOU HAVE TO JOIN YOUR EMPLOYER'S MEDICAL AID?
YES or NO

ONLY HOSPITAL COVER?
YES or NO WANT DOCTOR, DENTIST, CHEMIST, GLASSES AS WELL.

NAME

EMAIL

TELEPHONE

CITY

How many ADULTS Your AGE Partner's AGE

How many CHILDREN

Your CURRENT MEDICAL AID AND PLAN?

TOTAL YEARS IN YOUR LIFE YOU HAVE BEEN A MEDICAL AID MEMBER?
AND YOUR PARTNER?

How much can you AFFORD EACH MONTH?

Any CHRONIC CONDITIONS?

WHAT DO YOU WANT FROM A MEDICAL AID?

Are you interested in VITALITY subsidised gym membership, movie tickets, travel etc? YES NO

Receive my informative letter on personal financial matters? Yes

JOIN DISCOVERY HEALTH APPLICATION

Please note:

I confirm that I have read and understood the notes above.Yes

Exclusions and sub - limits apply, see brochures.

helpINVESTIGATE OTHER MEDICAL AIDS!

income protectionlife insurance quotepeter pyburn brokerpeter pyburn
emailpyburn@peterpyburn.co.za


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Disclaimer Disclosure

2017