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CONFIRMATION OF MEMBERSHIP

We are pleased to welcome you to the CompCare Wellness Medical Scheme. CompCare Wellness is a Registered Medical Scheme and
qualifies as an approved Medical Scheme option for International students as required by the Department of Home Affairs.

Date: 8th March 2017 Join Date: 2017/05/01

Name: TIKKESWAR End Date: 2020/05/01

Surname: BEEKEE Membership Number: 4765464

ID/Passport No: 1560099 Contribution: R 11 880.00

Student Number: Period of Months: 36

Institution Name: 43 AIR SCHOOL

Please note the following:

1. This cover will not be cancelled for any reason unless we are requested to do so by the Institution at which you are studying.

2. Please ensure that you consult your selected contracted Universal Network Doctor for all your medical requirements. Two out-of-area
visits per beneficiary will be covered per annum. The member is required to pay the out-of-area provider in cash and claim back.
Two out of area visits per beneficiary per annum to a maximum of R 955.00 per event (i.e. for the GP consultation and all related costs).

3. If your contracted Doctor refers you to a Hospital or a Specialist, please ensure that you contact us on 0860 111 090 for an authorisation.
If you are referred without an authorisation, the account will not be paid.

4. In the rare case that you receive an account from a Doctor, please complete the required claim form, send it to us with a copy of the
account and receipt, and we will reimburse your costs at the agreed tariff subject to benefits available.

5. Should you wish to change your selected Doctor, please contact us 0861 222 777 at least 30 days in advance of the change.

6. A 12 month exclusion applies to pregnancy and related claims if applicable.

7. Any medical tests needed for the purpose of obtaining your Visa will not be covered by the Scheme.

We sincerely hope that your membership of the Scheme will be long and mutually beneficial. Please contact us by phone on 0861 222 777,
fax: 086 645 4727 or e-mail: student@universal.co.za, should you have any query.

Further information can be obtained via the internet at www.studentplan.co.za

Yours sincerely,

CompCare Wellness Medical Scheme

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