Momentum - Extender Option Medical Aid Plan

Momentum - Extender Option

This plan offers unlimited private hospitalization in conjunction with extensive chronic cover and day-to-day benefits at a provider of your choice.

In Hospital Benefits

Overall Annual Limit

Unlimited at 200% (Momentum's Rate)

Provider

Associated hospital or any hospital (choice of providers available determines premium)

GP's & Specialists

Hospital accounts covered at negotiated rate,
Specialised procedures covered
Oncology R500 000 per beneficiary (80% after)
Organ Transplants: unlimited for recipient
Dialysis unlimited
Internal Prosthesis has limits per procedure

Chronic

62 conditions, limits apply for non PMB's of R9 800

Out of Hospital Benefits

Saving / Day to Day / OHEB

Savings according to provider choice
Fixed at 25% of contribution:

 

ASSOCIATED HOSPITAL PROVIDERS & CHRONIC AT STATE

Member: R13 740

Spouse: R10 416

Per Child: R4 044

 

ASSOCIATED PROVIDERS

Member: R15 720

Spouse: R12 648

Per Child: R4 524

 

ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER

Member: R17 052

Spouse: R13 740

Per Child: R4 824

 

ANY PROVIDER

Member: R19 392

Spouse: R15 612

Per Child: R5 568

 

ANY PROVIDER & ASSOCIATED CHRONIC

Member: R17 436

Spouse: R14 052

Per Child: R5 016

 

ANY PROVIDER & CHRONIC AT STATE

Member: R15 744

Spouse: R12 924

Per Child: R4 632

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R20 800
Adult: R18 000
Child: R6200

Self-Payment Gap Before Threshold

Yes

Above Threshold Limits

Various limits apply per benefit before and after threshold

Maternity Care

12 antenatal visits, 2 scans, 2 Pediatrician visits in the 1st year Must register for benefit

Contributions

Contributions

ASSOCIATED HOSPITAL PROVIDERS & CHRONIC AT STATE
Member: R4 580
Adult: R3 473
Per Child: R1 347

 

ASSOCIATED PROVIDERS
Member: R5 240
Adult: R4 217
Per Child: R1 507

 

ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER
Member: R5 684
Adult: R4 579
Per Child: R1 608

 

ANY PROVIDER
Member: R6 464
Adult: R5 205
Per Child: R1 855

 

ANY PROVIDER & ASSOCIATED CHRONIC
Member: R5 813
Adult: R4 683
Per Child: R1 673

 

ANY PROVIDER & CHRONIC AT STATE
Member: R5 249
Adult: R4 309
Per Child: R1 543

 

 

 


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