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: R61 000 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 |
26 PMB's and 6 non-PMB's with a limit of R 12 400 |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
ASSOCIATED HOSPITAL PROVIDERS & CHRONIC AT STATE Member: R3 348 Spouse: R2 652 Per Child: R1 284
ASSOCIATED PROVIDERS Member: R4 716 Spouse: R3 756 Per Child: R1 788
ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER Member: R5 280 Spouse: R4 248 Per Child: R1 968
ANY PROVIDER Member: R5 964 Spouse: R4 848 Per Child: R2 328
ANY PROVIDER & ASSOCIATED CHRONIC Member: R5 136 Spouse: R4 116 Per Child: R2 016
ANY PROVIDER & CHRONIC AT STATE Member: R4 164 Spouse: R3 276 Per Child: R1 644 |
|---|---|
| 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 794 Adult: R2 206 Per Child: R1 072
ASSOCIATED PROVIDERS Member: R3 932 Adult: R3 128 Per Child: R1 493
ASSOCIATED HOSPITAL PROVIDERS & ANY CHRONIC PROVIDER Member: R4 397 Adult: R3 538 Per Child: R1 642 ANY PROVIDER Member: R4 970 Adult: R4 039 Per Child: R1 938
ANY PROVIDER & ASSOCIATED CHRONIC Member: R4 279 Adult: R3 431 Per Child: R1 681
ANY PROVIDER & CHRONIC AT STATE Member: R3 471 Adult: R2 734 Per Child: R1 373
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