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KeyHealth Transfer Form

This electronic form constitutes an electronic application to KeyHealth Medical Scheme through FinSide Financial Solutions.

 

By completing this form, you will be able to join KeyHealth between January and April 2026, without any underwriting. This will apply to the principal membership, as well as the inclusion of dependants currently active on the Sizwe Hosmed membership.

 

Please ensure that you have selected the correct benefit option. To review options and comparisons, click HERE.

 

As part of this application, you are required to submit your Sizwe Hosmed termination form, either by uploading it at the end of this form or by emailing it to medical@finside.co.za.

 

It is also important to note that you would have to stop your Sizwe Hosmed debit order directly with your bank.

 

Before submitting the form, please ensure to upload the required supporting documents:


1. Valid identification documents for yourself and all dependants to be registered on the membership. Accepted documents include a South African ID, driver’s licence, valid passport, or birth certificate, and must be uploaded at the end of this form.

2. Your Sizwe Hosmed termination letter


If you have any questions, please view the comprehensive FAQ section for answers on the most Frequently Asked Questions: FAQ Updates or get in touch with our team: Info & Contact

Form for Completion

Member Detail

Multi-line address

Dependant Details

If you have no dependants, just indicate N/A in the dependant sections below

Dependant 1

Dependant 2

Dependant 3

Banking Details

Medical Scheme Confirmation

Have you terminated your previous medical scheme cover?
Select your KeyHealth membership date of activation:
My chosen KeyHealth Medical Scheme option:
Essence
Origin
Equilibrium
Silver
Gold
Platinum

Note that only one option per family can be selected

Accepted documents include a South African ID, driver’s licence, valid passport, or birth certificate

Electronic Application Disclaimer & Declaration

By submitting this KeyHealth Membership Application electronic form, I acknowledge and understand that this submission constitutes a formal application to join KeyHealth Medical Scheme and I will assume full responsibility for the monthly payment of contributions. I further acknowledge that submitting this form constitutes an electronic signature and confirms my acceptance of the terms and conditions applicable to membership of KeyHealth Medical Scheme.

 

I confirm that this application is submitted as my own voluntary choice to join KeyHealth Medical Scheme and that I have selected my preferred benefit option. I acknowledge that I understand the option selected, including the benefits, rules, and limitations associated with that option.

 

I confirm that all information provided in this application is true, correct, and complete to the best of my knowledge, and that I authorise the submission of this application based on the details provided.

 

I acknowledge that KeyHealth Medical Scheme and FinSide Financial Solutions, including any affiliated entities, shall not be held liable for any errors, omissions, or delays arising from incomplete, incorrect, or inaccurate information submitted by me in this application.

 

I further confirm that I have submitted the required termination of cover with my current medical scheme, where applicable and that I am responsible for cancelling the Sizwe Hosmed debit order with my bank.

 

I understand and agree that KeyHealth Medical Scheme and FinSide Financial Advisors reserve the right to request additional information, supporting documentation, or verification at any stage in order to assess or process this application.

Disclaimer acceptance
Yes
FinSide

Authorised Financial Service Provider (FSP Number 7308)

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© 2025 Finside. FinSide Financial Solutions (Pty) Ltd is an authorised and licenced financial services provider (FSP Number 7308).

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