Momentum - Custom Option
The Momentum Custom Option hospital plan offers cover for unlimited hospitalization at a provider of your choice. Major medical benefits require a co-payment of R1 300, except for maternity confinements, car accidents and emergency treatments. This is a flexible option that allows members to add savings through the health saver.
In Hospital Benefits
| Overall Annual Limit |
Unlimited at 100% (Momentum's Rate) |
|---|---|
| Provider |
Associated hospitals / Any hospital (depends on plan - see contributions) |
| GP's & Specialists |
R1 640 co-payment per admission applies, specialised procedures covered Oncology: R300 000 per beneficiary (80% after) Organ recipient: Unlimited Dialysis: Unlimited Internal Prosthesis: R50 200 with sub limits |
| Chronic |
26 PMBs |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
Members may add the Health Saver if they want Savings (optional) |
|---|---|
| Pooled Day to Day Benefit |
Not applicable |
| Threshhold / Safety Net |
Not applicable |
| Self-Payment Gap Before Threshold |
Not applicable |
| Above Threshold Limits |
Not applicable |
| Maternity Care |
12 antenatal visits, 2 scans, 2 Pediatrician visits in the 1st year |
Contributions
| Contributions |
ASSOCIATED HOSPITAL PROVIDERS & CHRONIC AT STATE Member: R1 706 Adult: R1 291 Per Child: R605
ASSOCIATED PROVIDERS Member: R2 194 Adult: R1 912 Per Child: R855
ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER Member: R2 423 Adult: R1 912 Per Child: R855 ANY PROVIDER
ANY HOSPITAL CHRONIC AT ASSOCIATED Member: R2 601 Adult: R2 032 Per Child: R945
ANY HOSPITAL CHRONIC AT STATE Member: R2 173 Adult: R1 577 Per Child: R766
|
|---|