Changing your health cover
Changing dependants
You may add or remove dependants at any time during the year. New spouses and newborn babies added within 90 days (Discovery) and 30 days (Bestmed, Bonitas and SizweHosmed) of the event can join without underwriting (no waiting periods) whereas other new dependants may receive underwriting.
Special dependants e.g., parents may only be added if they are financially dependent on the main member and subject to the medical scheme rules and your employer policy.
Please use the forms tab to obtain the correct form.
Submit all forms to sappihealth@alexforbes.com
Changing an option and/or scheme
Bestmed, Bonitas and SizweHosmed allow option changes during the year, within 30 days of a life changing event/diagnosis (e.g., cancer diagnosis, divorce) Schemes rules will always apply. Discovery allows specified downgrades during the year. It is important to note that moving to a lower plan may result in an amount owing to the Scheme if you have spent more from your Personal/Medical Savings Account than the amount contributed at the time of the downgrade.
All other upgrades and downgrades and scheme changes are only allowed at the end of each year effective 1 January of the following year. See the Year End Option Changes Card
Chronic medicine and disease management
If you have been diagnosed with a chronic condition e.g., hypertension, diabetes or an illness (e.g., oncology, kidney failure), you will need to register this on your medical scheme. Medical schemes require you to complete a process to ensure registration on the programmes. It is advisable to obtain a membership number and then submit your application for chronic and disease registration.
Children becoming adults
Bestmed and Bonitas will charge child dependant rates until age 24. Thereafter adult rates will apply.
Sizwe will charge child dependant rates until age 25 if proof of studies is submitted.
If the child is not studying, adult contribution rates will be charged in the month following the 21st birthday.
Discovery will charge adult contribution rates from the 1st of the month following the 21st birthday.
Sappi will not provide company subsidy to a child dependant who is charged adult rates by the scheme.
Changing your personal details
It is advisable to change your address, contact and bank details directly with your medical scheme. Only changes that have a financial impact on your monthly contribution need to be made through Alexforbes or your employer
Employer policy
Sappi’s policy outlines the company’s rules about changing your scheme, option, dependants and more.
Sappi does not provide company subsidy to any extended family member like parents, adult children or partners who do not qualify in terms of living arrangements