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PSEMAS EFT APPLICATION FORM PRACTICE NUMBER NAME OF ACCOUNT HOLDER ACCOUNT NO. BANK/BUILDING SOCIETY BRANCH TYPE OF ACCOUNT 8-DIGIT BRANCH CODE Signature/s of account holder/s Fax 061 - 287 6018.
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Ensure that you have all the necessary information ready, such as your personal details, medical history, and any supporting documents or receipts.
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Take your time to carefully read and understand each section of the form. Make sure to provide accurate and complete information.
03
Fill in the required fields, such as your name, address, contact information, and insurance details. Pay attention to any specific instructions provided.
04
Provide detailed information about your medical condition or treatment, including dates, names of healthcare providers, and any medications or procedures involved.
05
Attach any necessary supporting documents, such as medical reports, prescriptions, or invoices. Make sure to organize these documents properly and label them accordingly.
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Who needs psemas forms?

01
Individuals who are eligible for the PSEMAS (Public Service Employees Medical Aid Scheme) would need to fill out psemas forms. This typically includes government employees and their dependents.
02
PSEMAS forms are required for individuals seeking medical coverage and benefits provided by the scheme.
03
It is important to note that the specific eligibility criteria and requirements for PSEMAS may vary depending on the country or region in which it applies.
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PSEMAS, or the Public Service Employees Medical Aid Scheme, is a medical aid application specifically designed for public service employees in Namibia, providing them with health coverage.
Public service employees and their eligible dependents are required to file the PSEMAS medical aid application to gain access to the benefits offered by the scheme.
To fill out the PSEMAS medical aid application, applicants must complete the designated application form, providing required personal and employment information, and submit it to their HR department or the relevant authorities.
The purpose of the PSEMAS medical aid application is to enroll public service employees into the medical aid scheme and ensure they have access to necessary healthcare services.
The application must report information such as personal details (name, ID number), employment information (job title, department), and details of dependents, along with any relevant medical history.
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