Online Application

Are you a South African Citizen?*
- Yes
- No
Membership*
- New application
- Renew my membership
Please select search criteria*
- Membership Number
- Passport Number
* Please provide your passport number as at the time of your initial application.
Membership / Passport Number*

Cover Period
Please note that this application can only be processed if the period of study is longer than 6 months.
Date of Commencement*
Date Format: YYYY dash MM dash DD
End Date
Date Format: YYYY dash MM dash DD
End Date*
Date Format: YYYY dash MM dash DD
Num Of Months
Contributions
Reference

Bank Account Details for Claims Reimbursement (if applicable)
Regretably only South African Bank accounts may be used for this purpose.
Name of Account Holder
Account Number
Type of Account
- Current
- Savings
- Transmission
Name of Bank
Name of Bank
Branch Code
Branch Name

Complete the Application Form (Medical History)

Please indicate and provide details of whether you have received any medical treatment, including acute conditions,
During the last twelve months
- Yes
- No
Please indicate details of treatment.
Or anticipate receiving within the next twelve months
- Yes
- No
Please indicate details of treatment.
Or have any pre-existing medical conditions
- Yes
- No
Please indicate details of treatment.
Are you pregnant or suspect that you may be pregnant?
- Yes
- No
Name
Details of condition
Date of treatment
Date Format: YYYY dash MM dash DD
Degree of recovery

What Will Happen Next
1. After you’ve submitted your application your internet browser will take you to our secure payment gateway.
2. Once you’ve made the payment the page will need to process your payment which might take several minutes to complete.
3. It is very important to not navigate away from the page after you have made your payment.
4. Once the payment has been processed your internet browser will take you back to the StudetPlan website concluding your application.
Phone
This field is for validation purposes and should be left unchanged.

CompCare Medical Scheme is administered by Universal Healthcare Administrators (Pty) Ltd.

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