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: R83 800 per beneficiary per event for all other internal prostheses (stents, knee, hip and shoulder replacements, permanent pace makers, etc.) with a maximum of 2 events per year. |
| Chronic |
62 conditions, limits apply for non PMBs of R 12 400 |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
ASSOCIATED HOSPITAL PROVIDERS & CHRONIC AT STATE Member: R19 764 Spouse: R14 988 Per Child: R5 808
ASSOCIATED PROVIDERS Member: R22 608 Spouse: R18 204 Per Child: R6 504
ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER Member: R24 948 Spouse: R20 088 Per Child: R7 056
ANY PROVIDER Member: R28 368 Spouse: R22 848 Per Child: R8 136
ANY PROVIDER & ASSOCIATED CHRONIC Member: R25 092 Spouse: R20 208 Per Child: R7 224
ANY PROVIDER & CHRONIC AT STATE Member: R22 452 Spouse: R18 432 Per Child: R6 588 |
|---|---|
| Pooled Day to Day Benefit |
Not applicable |
| Threshhold / Safety Net |
Member: R30 400 Adult: R26 400 Child: R8 700 |
| 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, Doula benefit - 2 visits per pregnancy; 2 Paediatrician visits in the 1st year,Urinalysis (13 tests), Haemaglobin estimation (2 tests), 1 Pathology Test Must register for benefit |
Contributions
| Contributions |
ASSOCIATED HOSPITAL PROVIDERS & CHRONIC AT STATE Member: R6 589 Adult: R4 997 Per Child: R1 937
ASSOCIATED PROVIDERS Member: R7 537 Adult: R6 067 Per Child: R2 168
ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER Member: R8 315 Adult: R6 697 Per Child: R2 353 ANY PROVIDER Member: R9 456 Adult: R7 616 Per Child: R2 712
ANY PROVIDER & ASSOCIATED CHRONIC Member: R8 365 Adult: R6 737 Per Child: R2 407
ANY PROVIDER & CHRONIC AT STATE Member: R7 485 Adult: R6 144 Per Child: R2 197
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