{:fr}MEDCAMER Health Insurance Subscription Form{:}{:en}MEDCAMER Health Insurance Subscription Form{:} - MEDCAMER - Médecins du Cameroun{:en}MEDCAMER

Please find the health coverage offers described below.

MEDCAMER suggests ASSUR SANTE GOLD coverage which seems to have the most advantages in terms of cost/benefit ratio. Please read the conditions of the offer carefully before completing a subscription request below.

CLICK HERE TO INSURE A FAMILY MEMBER.

COMPLETE THE FORM BELOW FOR YOURSELF. THANK YOU

YOUR PAYMENT MEANS

Please make your payment before submitting the form. THANKS.

Please make a payment using one of the methods below, then you may attach your receipt to this form before submission. Many thanks.

WORLD REMIT (FAO Treasurer Dr Vanessa Kouatchouang, Douala, Cameroon).
ORANGE MONEY (+237 693 710 856)
MTN MONEY (+237 671 242 660)
PAYPAL (coming soon)
CARD PAYMENT (coming soon)

FORMULAIRE DE SOUSCRIPTION A L'ASSURANCE MALADIE MEDCAMER

Formulaire de Souscription a l’Assurance Maladie MEDCAMER Offerte par l’Association des Medecins du Cameroun Couverte par ATLANTIQUE ASSURANCES

Name *

First

Last

Email *

Phone *

Votre telephone WhatsApp de préférence.

MON STATUT de Membre *

Je suis membre a jour de MEDCAMER
Je NE SUIS PAS membre a jour de MEDCAMER

Cette offre n’est valable que pour les membres a jours. cliquer ici pour vous inscrire GRATUITEMENT. Offre valable jusqu’au 31 Janvier 2021.

CHOISISSEZ VOTRE COUVERTURE ci-dessous. Bien vouloir lire le detail de la couverture avant de faire votre choix *

Assurance Sante MEDIUM (-40%) CFA 43 200
Assurance Sante PREMIUM (-40%) CFA 57 000
Assurance Santé GOLD (-40%) CFA 69 000

Please choose your Insurance Cover. Please ensure you are familiar with each offer as described overleaf before making your choice. Thank you

Bien vouloir attacher votre REÇU DE PAIEMENT des frais d'assurance. Votre couverture commence apres que vous aillez reçu le mail de confirmation du paiement reçu

Please attach your payment receipt. Please note your cover only start after you receive the email confirming our reception of your payment. Many thanks

Bien vouloir attacher votre CERTIFICAT D'INSCRIPTION A MEDCAMER

Please attach your MEDCAMER membership certificate.

NOMBRES DE MEMBRES DE FAMILLE A AJOUTER

Valeur sélectionnée : 1

Please indicate how many members of your family you would like to insure.

Je comfirme avoir lu et approuve les conditions d'adhesion a l'assurance maladie

Je confirme /I confirm

I confirm that I have read the terms and condition of this insurance cover and I am happy to abide by them.