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 740 co-payment per admission applies, specialised procedures covered Oncology: R300 000 per beneficiary (80% after) Organ recipient: Unlimited Dialysis: Unlimited Internal Prosthesis: R56 000 per beneficiary per event for all other internal prostheses (stents, knee, hip and shoulder replacements, permanent pace makers, etc.). Maximum of 2 events per year. |
| 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, Doula benefit - 2 visits per pregnancy; 2 Paediatrician visits in the 1st year Must register for benefits |
Contributions
| Contributions |
ASSOCIATED HOSPITAL PROVIDERS & CHRONIC AT STATE Member: R2 149 Adult: R1 626 Per Child: R762
ASSOCIATED PROVIDERS Member: R2 770 Adult: R2 148 Per Child: R979
ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER Member: R3 089 Adult: R2 437 Per Child: R1 089 ANY PROVIDER Member: R3 685 Adult: R2 957 Per Child: R1 315
ANY HOSPITAL CHRONIC AT ASSOCIATED Member: R3 284 Adult: R2 566 Per Child: R1 194
ANY HOSPITAL CHRONIC AT STATE Member: R2 737 Adult: R2 066 Per Child: R1 003
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