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Umoyo Health Care Insurance provides accessible, inclusive coverage for all Malawians, offering tailored solutions to meet diverse healthcare needs

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+265 995 408 466

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P.O. Box 1772, Blantyre. UHCI, Off Zalewa Road, Blantyre

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UHCI New Application Form

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UHCI Application Form

You are a few steps away from signing up to one of our medical covers. Please fill in the form below for us to facilitate your application.

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Next Steps: Sync an Email Add-On

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A. Principal Client Personal Data

Applicant's Name*
Applicant's Date of Birth*
DD slash MM slash YYYY
This can be your Post Office box or location address.

B. Policy Type and Payment Method

Monthly starting premiums (MK): Blue at 10000, Blue Plus at 15000, Bronze at 30000, Silver at 40000, Gold at 50000 and Platinum at 60,000
Dependent(s)
Include dependents to your cover. Tap the plus icon next to the relationship field to add another dependent.
Full Name
Date Of Birth
Gender
Relationship
 

C. Medical Information

In the past 1 year have you or your dependents ever been diagnosed, treated or given medical advice by a health worker (all that apply)
This field is for validation purposes and should be left unchanged.

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Umoyo Health Care Insurance provides accessible, inclusive coverage for all Malawians, offering tailored solutions to meet diverse healthcare needs.

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P.O. Box 1772, Blantyre. UHCI, Off Zalewa Road, Blantyre

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