Momentum - Evolve Option Medical Aid Plan

Momentum - Evolve Option

Cost-effective medical aid with unlimited private hospital cover at network hospitals, day-to-day costs covered from your savings and chronic benefits provided by State facilities.

In Hospital Benefits

Overall Annual Limit

Unlimited at 100% (Momentum's Rate)

Provider

Evolve Network of Hospitals

GP's & Specialists

R1 570 co-payment per admission applies, specialised procedures covered Oncology: R200 000 per beneficiary (80% after)

Organ recipient: PMBs at state facility

Dialysis: PMBs at state facility

Internal Prosthesis: R33 200 with sub limits

Chronic

26 PMBs at state facility

Out of Hospital Benefits

Saving / Day to Day / OHEB

Members may add the Health Saver if they want

Savings (Optional) R100 Minimum

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

No Annual Limit applies

Contributions

Contributions

Member: R1 294

Adult: R1 294

Per Child: R1 294

 

 

 

 

 

 

 

 


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Finding it difficult to make sense of all this? Not to worry, you can:

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