Tutorial
Medical Benefits Scheme: Expired-Card Renewal
Appointment Application Form
Enter your Medical Benefits Number
Verify/Enter your name and details
Choose your desired appointment date and time
Enter your contact details below
How would you like to be reminded?
--- Send reminder* ---
via e-mail 2 days prior
via telephone 2 days prior
Will anything on the card need to be changed?
--- Choose an option* ---
No Changes
Name Needs Changing
Photo Needs Changing
Name and Photo Need Changing
Submit the following documents for quicker processing (OPTIONAL)
Upload any two (2) of the following:
Bio. Page of Passport / Birth Certificate / Social Security Card
Driver's License
Voter's ID
Upload your Proof of Address (OPTIONAL):
Proof of Address
If you are changing your name, upload one (1) of the following:
Marriage/Divorce Certificate
Deed Poll
Let us know any comments or questions you have
Schedule My Appointment
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Medical Benefits Scheme
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