CompCare Header Form (1) CompCare header Are you an existing member?(Required) Yes No Kindly note if you are an existing member you will be redirected to the appropriate form.Kindly complete the form below.Name(Required) Surname(Required) Email Address(Required) Mobile(Required)Household Income(Required)Please selectR0 - R10000R10001 - R13499R13500 - R14999R15001 - R20000R20001 - R25000R25001 - R30000R30001 - R35000R35001 - R40000R40001 - R45000R45001 - R50000R50001 +Age(Required)Province(Required)Select ProvinceEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorth WestNorthern CapeWestern CapeBy providing your details and clicking “submit,” you consent to the transfer of your information to CompCare Medical Scheme. This information will be used to contact you via email or telephone to provide additional details and facilitate any resulting transactions.EmailThis field is for validation purposes and should be left unchanged.
