Forms

Click on an application form's name to download or display a printable PDF of the form.

Application forms

For new members - joining the scheme 2024

  Application to join LA Health Medical Scheme

  Application to join LA Health Medical Scheme - with underwriting

For current members - adding or changing members

  Application to add dependant

  Application for registration of a newborn baby

  Continuation form (changing the main member)

For new members - joining the scheme 2023

  Application to join LA Health Medical Scheme

  Application to join LA Health Medical Scheme - with underwriting

For current members - adding or changing members

  Application to add dependant

  Application for registration of a newborn baby

  Continuation form (changing the main member)

For current members - managing benefits

  Additional Health Benefits application form

  Advanced Illness Benefit application form

  Application for out-of-hospital management of a Prescribed Minimum Benefit condition

  Application for additional out-of-hospital treatment over and above PMB

  Broker appointment form

  Chronic Illness Benefit Application form

  Chronic Illness Benefit - Request for extended supply of medicine

  HIVCare Programme application form

  HIV Prescribed Minimum Benefit appeal form

  KeyPlus application for chronic dialysis

  Prescribed Minimum Benefits (PMB) Chronic Disease List (CDL) appeal form

  Request for pre-exposure prophylaxis

  Reverse claims form

For current members - managing membership

  Application to transfer an existing member to another employer group or another branch of the existing employer group

  External Medical Items Extender Benefit application Form

  International Travel Benefit Form

  Member Withdrawal Form

  Option Change Form

  Partnership Declaration Form

  Permission to change banking details

  Permission to make certain information available to a third party

  Pre-Assessment Request form

  Settlement agreement form

  Special payments from Medical Savings Account

  Transfer from active to retiree status

Benefit guides

Advanced Illness Benefit

Banking details for manual payments

Chronic Illness Benefit CDL medicine list

Chronic_Illness Benefit medicine list Formulary

Compassionate Care Benefit

COVID-19 Recovery Booklet

Dental Benefit

Emergency services

Endoscopy services

Guide to Prescribed Minimum Benefits

Guide to prescribed minimum benefits for in-hospital treatment

Guide to transplant claims submissions

HIV Antiretroviral (ARV) medicine list

HIV Basket of Care 

HIV Nutritional and mother-to-child medicine list (formulary)

HIV supportive medicine list (formulary)

HIVCare programme

LA KeyPlus Acute medicine list (formulary)

LA KeyPlus Dental medicine list (formulary)

Maternity Benefit

Menopause medicine list (formulary)

Mental Health

Motor Vehicle Accident

Oncology Innovation Benefit

Optical Benefit

Prescribed minimum benefit WHO basket

Screening and Preventative Care Benefit

Spinal care

Trauma Recovery Extender Benefit

WELLTH Fund

WHO global outbreak benefit

Welcome to LA Health's site for Financial advisers

LA Health offers affordable cover for medical expenses as the Scheme of choice of Local Government employees

A wide choice of comprehensive healthcare benefits to suit everyone's needs

LA Health accommodates and attracts young and older members and our benefits are excellent when compared to others that are on offer to Local Government employees. All our benefit Options offer unlimited in-hospital benefits (subject to clinical management protocols and, in some instances, at network providers), comprehensive chronic illness benefits and ones for cancer, maternal health, preventative care and HIV and AIDS. These support the millennium development goals for health.

Affordability of our products with overall financial care and control

Over the last number of years, we have been able to manage the financial wellbeing of the Scheme in such a way as to ensure contribution increases were low and within a narrow band around the rate of inflation. This gives our members the comfort they need when considering the affordability of the Scheme for their needs.

At the same time LA Health has increased its benefit limits or enhanced benefits year on year.

Practicing excellent corporate governance

The Board of Trustees has adopted the King III governance principles and is working towards providing combined assurance in future reports. A yearly review is performed to determine that the performance of the Board of Trustees remains aligned to these good governance principles.

Delivering the best possible service to members

Discovery Health, the Scheme's administrator, is constantly recognised in top brands surveys such as those conducted by the Sunday Times and the Financial Institute of Advisories as the undisputed leader in its category in South Africa. Discovery Health's administration processes have also been certified ISO 9001 (International Organisation for standardisation) compliant - which bears testimony to the quality of the organisation's service capability.

Enhancing wellness of our members in the workplace

LA Health members have access to a world class wellness and lifestyle programmes. Using data for more than 1.5 million enrolled persons worldwide, studies have shown that members, who are actively participating in the programme's wellness aspects, go to hospital less, spend less when in hospital and when sick and spend less on chronic medicine.

This site will keep you updated with all the latest information about LA Health and the Healthcare Industry. You will find information on:

  • Benefit changes or updates to marketing material
  • Upcoming events in your area
  • Marketing material and be able to download the latest application forms
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