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 740 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: R40 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. Planned procedures are covered in State facility only. |
| Chronic |
26 PMBs at state facility |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
2 Virtual GP consultations, Health assessment, 1 dental check: 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 |
12 Antenatal visits, 2 scans, Doula benefit - 2 visits per pregnancy; 2 Paediatrician visits in the 1st year Must register for benefit |
Contributions
| Contributions |
Member: R1 687 Adult: R1 687 Per Child: R1 687
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