{"id":356,"date":"2025-03-09T17:33:08","date_gmt":"2025-03-09T17:33:08","guid":{"rendered":"https:\/\/www.mcs.co.mz\/teste\/en\/?page_id=356"},"modified":"2025-03-09T17:36:02","modified_gmt":"2025-03-09T17:36:02","slug":"seguro-de-saude","status":"publish","type":"page","link":"https:\/\/www.mcs.co.mz\/teste\/en\/seguro-de-saude\/","title":{"rendered":"Form Seguro de Sa\u00fade"},"content":{"rendered":"<div class=\"forminator-ui forminator-custom-form forminator-custom-form-337 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-337\" data-uid=\"69f1ea42ce6b3\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-337\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-337 forminator-design--default  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"337\"\r\n\t\t\t\t\r\n\t\t\t\tdata-design=\"default\"\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\tdata-grid=\"open\"\r\n\t\t\t\tenctype=\"multipart\/form-data\"\r\n\t\t\t\t\r\n\t\t\t\tstyle=\"display: none;\"\r\n\t\t\t\t\r\n\t\t\t\tdata-uid=\"69f1ea42ce6b3\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Reimbursement Request - Medical Expenses<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Health card number\" id=\"forminator-field-name-1_69f1ea42ce6b3\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><select  id=\"forminator-form-337__field--select-1_69f1ea42ce6b3\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Health insurance\" data-search=\"false\" data-search-placeholder=\"Health insurance\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-337__field--select-1_69f1ea42ce6b3-label\"><option value=\"\"  >Health insurance<\/option><option value=\"one\"  data-calculation=\"0\">Plano Moz<\/option><option value=\"two\"  data-calculation=\"0\">\u00c1frica + \u00cdndia<\/option><option value=\"Global\"  data-calculation=\"0\">Global<\/option><option value=\"Taylor-Maide\"  data-calculation=\"0\">Taylor Maide<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"Name of Beneficiary\" id=\"forminator-field-name-2_69f1ea42ce6b3\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"text\" name=\"address-1-street_address\" placeholder=\"Address\" id=\"forminator-field-address-1-street_address_69f1ea42ce6b3\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Beneficiary&#039;s e-mail\" id=\"forminator-field-email-1_69f1ea42ce6b3\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-69f1ea42ce6b3-label\"><span id=\"forminator-radiogroup-69f1ea42ce6b3-label\" class=\"forminator-label\">Currency <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69f1ea42ce6b3\" class=\"forminator-radio forminator-radio-inline\" title=\"MT\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69f1ea42ce6b3\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">MT<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69f1ea42ce6b3\" class=\"forminator-radio forminator-radio-inline\" title=\"USD\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69f1ea42ce6b3\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">USD<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-69f1ea42ce6b3\" class=\"forminator-radio forminator-radio-inline\" title=\"\u20ac\"><input type=\"radio\" name=\"radio-1\" value=\"\u20ac\" id=\"forminator-field-radio-1-3-69f1ea42ce6b3\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u20ac<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69f1ea42ce6b3\" id=\"forminator-field-number-1_69f1ea42ce6b3-label\" class=\"forminator-label\">Hospitalization <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"N.\u00ba of days\" id=\"forminator-field-number-1_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"500\" \/><\/div><\/div><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_69f1ea42ce6b3\" id=\"forminator-field-number-2_69f1ea42ce6b3-label\" class=\"forminator-label\">Hospitalization fee <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-2\" value=\"\" placeholder=\"Cost\" id=\"forminator-field-number-2_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"1000000000\" \/><\/div><\/div><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_69f1ea42ce6b3\" id=\"forminator-field-number-3_69f1ea42ce6b3-label\" class=\"forminator-label\">Consultations <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-3\" value=\"\" placeholder=\"Cost\" id=\"forminator-field-number-3_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"1000000000\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-4\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-4_69f1ea42ce6b3\" id=\"forminator-field-number-4_69f1ea42ce6b3-label\" class=\"forminator-label\">Exams <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-4\" value=\"\" placeholder=\"Cost\" id=\"forminator-field-number-4_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"1000000000\" \/><\/div><\/div><div id=\"number-5\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-5_69f1ea42ce6b3\" id=\"forminator-field-number-5_69f1ea42ce6b3-label\" class=\"forminator-label\">Treatments <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-5\" value=\"\" placeholder=\"Cost\" id=\"forminator-field-number-5_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"1000000000\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-6\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-6_69f1ea42ce6b3\" id=\"forminator-field-number-6_69f1ea42ce6b3-label\" class=\"forminator-label\">Medicines <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-6\" value=\"\" placeholder=\"Cost\" id=\"forminator-field-number-6_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"1000000000\" \/><\/div><\/div><div id=\"number-7\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-7_69f1ea42ce6b3\" id=\"forminator-field-number-7_69f1ea42ce6b3-label\" class=\"forminator-label\">Orthotics <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-7\" value=\"\" placeholder=\"Cost\" id=\"forminator-field-number-7_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"1000000000\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-8\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-8_69f1ea42ce6b3\" id=\"forminator-field-number-8_69f1ea42ce6b3-label\" class=\"forminator-label\">Prostheses <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-8\" value=\"\" placeholder=\"Cost\" id=\"forminator-field-number-8_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"1000000000\" \/><\/div><\/div><div id=\"number-9\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-9_69f1ea42ce6b3\" id=\"forminator-field-number-9_69f1ea42ce6b3-label\" class=\"forminator-label\">Stomatology <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-9\" value=\"\" placeholder=\"Cost\" id=\"forminator-field-number-9_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"1000000000\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-10\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-10_69f1ea42ce6b3\" id=\"forminator-field-number-10_69f1ea42ce6b3-label\" class=\"forminator-label\">Other <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-10\" value=\"\" placeholder=\"Cost\" id=\"forminator-field-number-10_69f1ea42ce6b3\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"1000000000\" \/><\/div><\/div><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_69f1ea42ce6b3\" id=\"forminator-field-upload-1_69f1ea42ce6b3-label\" class=\"forminator-label\">Attach invoices\/receipts\/proofs <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_69f1ea42ce6b3\"><input 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value=\"forminator_submit_form_custom-forms\"><\/form>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-formularios.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-356","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.mcs.co.mz\/teste\/en\/wp-json\/wp\/v2\/pages\/356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mcs.co.mz\/teste\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mcs.co.mz\/teste\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mcs.co.mz\/teste\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mcs.co.mz\/teste\/en\/wp-json\/wp\/v2\/comments?post=356"}],"version-history":[{"count":4,"href":"https:\/\/www.mcs.co.mz\/teste\/en\/wp-json\/wp\/v2\/pages\/356\/revisions"}],"predecessor-version":[{"id":364,"href":"https:\/\/www.mcs.co.mz\/teste\/en\/wp-json\/wp\/v2\/pages\/356\/revisions\/364"}],"wp:attachment":[{"href":"https:\/\/www.mcs.co.mz\/teste\/en\/wp-json\/wp\/v2\/media?parent=356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}