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Name
Phone
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Get covered now

Pay one instalment upfront, get the procedure you need, pay
the remainder over 3-6 months, pay one transaction fee - 0% interest
charged.

Personal details

First name(s)
Surname
ID number
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Email
Phone
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Procedure details

A quotation from your doctor will be needed.

Medical procedure
Doctor's name

Repayment details

Cost of procedure

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