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 500 co-payment per admission applies, specialised procedures covered |
| 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 642 Adult: R1 242 Per Child: R582
ASSOCIATED PROVIDERS Member: R2 106 Adult: R1 633 Per Child: R744
ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER Member: R2 319 Adult: R1 830 Per Child: R818 ANY PROVIDER
ANY HOSPITAL CHRONIC AT ASSOCIATED Member: R2 496 Adult: R1 950 Per Child: R907
ANY HOSPITAL CHRONIC AT STATE Member: R2 090 Adult: R1 577 Per Child: R766
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