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 PMBs of R10 300

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: R15 096

Spouse: R11 448

Per Child: R4 440 

 

ASSOCIATED PROVIDERS

Member: R17 184

Spouse: R13 836

Per Child: R4 944  

 

ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER

Member: R18 732

Spouse: R15 084

Per Child: R5 304  

 

ANY PROVIDER

Member: R21 300

Spouse: R17 160

Per Child: R6 108 

 

ANY PROVIDER & ASSOCIATED CHRONIC

Member: R19 068

Spouse: R15 360 

Per Child: R5 484   

 

ANY PROVIDER & CHRONIC AT STATE

Member: R17 136

Spouse: R14 076

Per Child: R5 040   

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R22 900

Adult: R20 000

Child: R6 600

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: R5 033

Adult: R3 817

Per Child: R1 480

 

ASSOCIATED PROVIDERS

Member: R5 729

Adult: R4 612

Per Child: R1 648

 

ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER

Member: R6 244

Adult: R5 029

Per Child: R1 767

 

ANY PROVIDER

Member: R7 101

Adult: R5 719

Per Child: R2 037

 

ANY PROVIDER & ASSOCIATED CHRONIC

Member: R6 357

Adult: R5 120

Per Child: R1 829

 

ANY PROVIDER & CHRONIC AT STATE

Member: R5 713

Adult: R4 691

Per Child: R1 679

 

 

 


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