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Quote for Fully Comprehensive Cover

Quote for Fully Comprehensive Cover Form:
Medical Aid Assist has qualified medical aid consultants that can assist you in deciding on Fully Comprehensive Cover that will best suit you and your family’s needs. 
This is a no obligation FREE Quote
Please complete the form below and let us know what options you are interested in and we will call you back.
[contact-form subject=”Fully Comprehensive Cover Medical Aid Quote” to=”forms@carelinegroup.co.za”] [contact-field label=”Full Name and Surname:” type=”name” required=”true” /] [contact-field label=”Email:” type=”email” required=”true” /] [contact-field label=”Cellphone Number:” type=”text” required=”true” /] [contact-field label=”Landline Number:” type=”text” required=”true” /] [contact-field label=”Town / City:” type=”text” required=”true” /]
Please let us know what options you’re interested in: 
[contact-field label=”Select Preferred Medical Aid Option” type=”select” options=”Not Sure,Medihelp, Dimension Prime 3,Medihelp, Dimension Elite,Fedhealth, Maxima Standard NET,Fedhealth, Maxima Standard ,Fedhealth, Maxima Exec,Fedhealth, Maxima Plus,Compcare, Dynamix,Compcare, Pinnacle,Discovery, Priority,Discovery, Comprehensive Classic Plan,Discovery, Comprehensive Classic Delta Plan,Discovery, Executive ,Resolution, Prestige,Liberty Health, Platinum Complete,Liberty Health, Titan,Liberty Health, Prestige,Pharos Medical Plan, Paladin Comprehensive,Pharos Medical Plan, Rainbow Comprehensive,Medshield, 80% Plan,Medshield, MediBonus,Spectramed, Azure,Spectramed, Cobalt,Bonitas, BonComprehensive,Bonitas, Standard,Momentum, Extender Option (Any/Any),Momentum, Extender Option (Any/Associated),Momentum, Extender Option (Any/State),Momentum,Extender Option (Associated/Any),Momentum, Extender Option (Associated/Associated),Momentum,Extender Option (Associated/State),Momentum, Summit Option” /] [contact-field label=”Select Second Medical Aid Option” type=”select” options=”Not Sure,Medihelp, Dimension Prime 3,Medihelp, Dimension Elite,Fedhealth, Maxima Standard NET,Fedhealth, Maxima Standard ,Fedhealth, Maxima Exec,Fedhealth, Maxima Plus,Compcare, Dynamix,Compcare, Pinnacle,Discovery, Priority,Discovery, Comprehensive Classic Plan,Discovery, Comprehensive Classic Delta Plan,Discovery, Executive ,Resolution, Prestige,Liberty Health, Platinum Complete,Liberty Health, Titan,Liberty Health, Prestige,Pharos Medical Plan, Paladin Comprehensive,Pharos Medical Plan, Rainbow Comprehensive,Medshield, 80% Plan,Medshield, MediBonus,Spectramed, Azure,Spectramed, Cobalt,Bonitas, BonComprehensive,Bonitas, Standard,Momentum, Extender Option (Any/Any),Momentum, Extender Option (Any/Associated),Momentum, Extender Option (Any/State),Momentum,Extender Option (Associated/Any),Momentum, Extender Option (Associated/Associated),Momentum,Extender Option (Associated/State),Momentum, Summit Option” /] [contact-field label=”Select Third Medical Aid Option” type=”select” options=”Not Sure,Medihelp, Dimension Prime 3,Medihelp, Dimension Elite,Fedhealth, Maxima Standard NET,Fedhealth, Maxima Standard ,Fedhealth, Maxima Exec,Fedhealth, Maxima Plus,Compcare, Dynamix,Compcare, Pinnacle,Discovery, Priority,Discovery, Comprehensive Classic Plan,Discovery, Comprehensive Classic Delta Plan,Discovery, Executive ,Resolution, Prestige,Liberty Health, Platinum Complete,Liberty Health, Titan,Liberty Health, Prestige,Pharos Medical Plan, Paladin Comprehensive,Pharos Medical Plan, Rainbow Comprehensive,Medshield, 80% Plan,Medshield, MediBonus,Spectramed, Azure,Spectramed, Cobalt,Bonitas, BonComprehensive,Bonitas, Standard,Momentum, Extender Option (Any/Any),Momentum, Extender Option (Any/Associated),Momentum, Extender Option (Any/State),Momentum,Extender Option (Associated/Any),Momentum, Extender Option (Associated/Associated),Momentum,Extender Option (Associated/State),Momentum, Summit Option” /] [contact-field label=”How did you find us?” type=”select” options=”Google,Flyer,Inetrnet,Referral,Forum,Newsletter,Other” /] [/contact-form]