Momentum - Incentive Option
The Momentum Incentive Option provides unlimited private hospitalization and average day-to-day cover. You can choose providers and a savings of 10% of contributions is allocated for day-to-day expenses.
In Hospital Benefits
| Overall Annual Limit |
Unlimited at 200% (Momentum's Rate) |
|---|---|
| Provider |
Associated hospitals / Any hospital (depends on plan - see contributions) |
| GP's & Specialists |
Hospital accounts covered at negotiated rate, Specialised procedures covered Oncology: R400 000 per beneficiary (80% after) Organ Transplants: unlimited for recipient Dialysis: unlimited Internal Prosthesis: R55 000 with sub limits |
| Chronic |
26 PMB's and 6 non-PMB's with a limit of R11 100 |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
ASSOCIATED HOSPITAL PROVIDERS & CHRONIC AT STATE Member: R2 664 Spouse: R2 112 Per Child: R1 020
ASSOCIATED PROVIDERS Member: R3 732 Spouse: R2 976 Per Child: R1 416
ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER Member: R4 140 Spouse: R3 324 Per Child: R1 548
ANY PROVIDER Member: R4 680 Spouse: R3 804 Per Child: R1 824
ANY PROVIDER & ASSOCIATED CHRONIC Member: R4 068 Spouse: R3 264 Per Child: R1 596
ANY PROVIDER & CHRONIC AT STATE Member: R3 312 Spouse: R2 616 Per Child: R1 308 |
|---|---|
| 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, Urinalysis (13 tests), Haemaglobin estimation (2 tests), 1 Pathology Test Must register for benefit |
Contributions
| Contributions |
ASSOCIATED HOSPITAL PROVIDERS & CHRONIC AT STATE Member: R2 224 Adult: R1 756 Per Child: R853
ASSOCIATED PROVIDERS
ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER ANY PROVIDER
ANY PROVIDER & ASSOCIATED CHRONIC
ANY PROVIDER & CHRONIC AT STATE
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