gems medical aid

GEMS MEDICAL AID QUOTE.
ONLY FOR GOVERNMENT EMPLOYEES!


Get a quote on all the GEMS Medical Aid plan options.
Send us the form below and we will email you a quote. Please complete all questions.

DO YOU HAVE TO JOIN YOUR EMPLOYER'S MEDICAL AID?

YES or NO

ONLY HOSPITAL COVER?

YES or NO I want doctor, chemist, dentist and glasses as well.

NAME

EMAIL

TEL

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

HOW MUCH CAN YOU AFFORD EACH MONTH

ANY CHRONIC CONDITIONS

WHAT DO YOU WANT FROM A MEDICAL AID

Receive my informative letter on personal financial matters? Yes

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

Please note:

GEMS helpINVESTIGATE OTHER MEDICAL AIDS!

income protectionlife insurance quote peter pyburn brokerpeter pyburnemailpyburn@peterpyburn.co.za


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