Momentum other benefits: 2017

Click here to compare Other benefits across all schemes, or use the menu bar above for more options. Momentum home page.

Ingwe options

Custom options

Momentum Custom (Any provider for chronic) 2017: Other Benefits
In brief: 100% scheme rate for specialists. Chronic benefits at any provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,059 R1,653 R735
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
  • No benefit
2. Dialysis:
  • Unlimited
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R7.66 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:

View this plan | Sign up for this plan

Momentum Custom Associate (and any provider for chronic) 2017: Other Benefits
In brief: 100% scheme rate for specialists. Network hospitals. Chronic benefits at any provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,742 R1,374 R614
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
  • No benefit
2. Dialysis:
  • Unlimited
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R7.66 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:

View this plan | Sign up for this plan

Momentum Custom (Network for chronic) 2017: Other Benefits
In brief: 100% scheme rate for specialists. Chronic benefits at Network provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,899 R1,483 R689
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
  • No benefit
2. Dialysis:
  • Unlimited, at Network chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R7.66 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:

View this plan | Sign up for this plan

Momentum Custom Associate (and Network provider for chronic) 2017: Other Benefits
In brief: 100% scheme rate for specialists. Network hospitals. Chronic benefits at Network provider. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,573 R1,219 R556
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
  • No benefit
2. Dialysis:
  • Unlimited, at Network chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R7.66 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:

View this plan | Sign up for this plan

Momentum Custom (State for chronic) 2017: Other Benefits
In brief: 100% scheme rate for specialists. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,610 R1,215 R590
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
  • No benefit
2. Dialysis:
  • Unlimited, at State chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R7.66 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:

View this plan | Sign up for this plan

Momentum Custom Associate (and State provider for chronic) 2017: Other Benefits
In brief: 100% scheme rate for specialists. State hospitals. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,266 R957 R448
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
  • No benefit
2. Dialysis:
  • Unlimited, at State chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R7.66 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:

View this plan | Sign up for this plan

Incentive options

Momentum Incentive (Any provider for chronic) 2017: Other Benefits
In brief: 100% scheme rate for specialists. Chronic benefits at any provider. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,794 R2,270 R389
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R3,288 R3,288 R2,724

Compare with these plans:

1.1. Hearing Aids:
  • Paid from day-to-day benefit
1.2. Wheelchairs:
  • Paid from day-to-day benefit
2. Dialysis:
  • Unlimited, at any chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R144,500 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Incentive Network hospital (and any provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Network hospitals. Chronic benefits at any provider. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,529 R2,034 R826
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R3,035 R3,035 R2,441

Compare with these plans:

1.1. Hearing Aids:
  • Paid from day-to-day benefit
1.2. Wheelchairs:
  • Paid from day-to-day benefit
2. Dialysis:
  • Unlimited, at any chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R144,500 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Incentive (Network provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Chronic benefits at Network provider. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,506 R2,010 R1,089
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R3,007 R3,007 R2,412

Compare with these plans:

1.1. Hearing Aids:
  • Paid from day-to-day benefit
1.2. Wheelchairs:
  • Paid from day-to-day benefit
2. Dialysis:
  • Unlimited, at Network chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R144,500 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Incentive Network hospital (and Network provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Network hospitals. Chronic benefits at Network provider. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,323 R1,848 R949
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R2,788 R2,788 R2,218

Compare with these plans:

1.1. Hearing Aids:
  • Paid from day-to-day benefit
1.2. Wheelchairs:
  • Paid from day-to-day benefit
2. Dialysis:
  • Unlimited, at Network chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R144,500 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Incentive (State provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R2,088 R1,646 R984
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R2,506 R2,506 R1,975

Compare with these plans:

1.1. Hearing Aids:
  • Paid from day-to-day benefit
1.2. Wheelchairs:
  • Paid from day-to-day benefit
2. Dialysis:
  • Unlimited, at State chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R144,500 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Incentive Network hospital (and State provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Network hospitals. Chronic benefits at State facilities. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
  • Out-of-hospital: No benefit
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,700 R1,333 R883
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R2,040 R2,040 R1,600

Compare with these plans:

1.1. Hearing Aids:
  • Paid from day-to-day benefit
1.2. Wheelchairs:
  • Paid from day-to-day benefit
2. Dialysis:
  • Unlimited, at State chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R144,500 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Extender options

Momentum Extender (Any provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Chronic benefits from any provider. Comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
1. General Appliances:
  • In-hospital: R5,950 per family
  • Out-of-hospital: paid from day-to-day benefit, R21,000 per family
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R5,308 R4,235 R1,665
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Main: Adult: Child:
(S) Savings: R15,924 R12,705 R4,995
(SP) Self Payment: R1,176 R2,095 R105
Threshold (S+SP): R17,100 R14,800 R5,100
Above Threshold: No limit No limit No limit

Compare with these plans:

1.1. Hearing Aids:
  • R6,380, subject to "General Appliances" limit
1.2. Wheelchairs:
  • See "General Appliances" limit
2. Dialysis:
  • Unlimited, at any chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8.22 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R157,000 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Extender Network hospital (and any provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Network hospitals. Chronic benefits from any provider. Comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
1. General Appliances:
  • In-hospital: R5,950 per family
  • Out-of-hospital: paid from day-to-day benefit, R21,000 per family
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R4,671 R3,728 R1,465
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Main: Adult: Child:
(S) Savings: R14,013 R11,184 R4,395
(SP) Self Payment: R3,087 R3,616 R705
Threshold (S+SP): R17,100 R14,800 R5,100
Above Threshold: No limit No limit No limit

Compare with these plans:

1.1. Hearing Aids:
  • R6,380, subject to "General Appliances" limit
1.2. Wheelchairs:
  • See "General Appliances" limit
2. Dialysis:
  • Unlimited, at any chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8.22 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R157,000 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Extender (Network provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Chronic benefits from Network provider. Comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
1. General Appliances:
  • In-hospital: R5,950 per family
  • Out-of-hospital: paid from day-to-day benefit, R21,000 per family
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R4,776 R3,813 R1,495
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Main: Adult: Child:
(S) Savings: R14,328 R11,439 R4,485
(SP) Self Payment: R2,772 R3,361 R615
Threshold (S+SP): R17,100 R14,800 R5,100
Above Threshold: No limit No limit No limit

Compare with these plans:

1.1. Hearing Aids:
  • R6,380, subject to "General Appliances" limit
1.2. Wheelchairs:
  • See "General Appliances" limit
2. Dialysis:
  • Unlimited, at Network chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8.22 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R157,000 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Extender Network hospital (and Network provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Network hospitals. Chronic benefits from Network provider. Comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
1. General Appliances:
  • In-hospital: R5,950 per family
  • Out-of-hospital: paid from day-to-day benefit, R21,000 per family
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R4,304 R3,433 R1,352
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Main: Adult: Child:
(S) Savings: R12,912 R10,299 R4,056
(SP) Self Payment: R4,188 R4,501 R1,044
Threshold (S+SP): R17,100 R14,800 R5,100
Above Threshold: No limit No limit No limit

Compare with these plans:

1.1. Hearing Aids:
  • R6,380, subject to "General Appliances" limit
1.2. Wheelchairs:
  • See "General Appliances" limit
2. Dialysis:
  • Unlimited, at Network chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8.22 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R157,000 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Extender (State provider for chronic) 2017: Other Benefits
In brief: 00% scheme rate. Chronic benefits from State provider. Comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
1. General Appliances:
  • In-hospital: R5,950 per family
  • Out-of-hospital: paid from day-to-day benefit, R21,000 per family
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R4,309 R3,507 R1,323
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Main: Adult: Child:
(S) Savings: R12,927 R10,521 R3,969
(SP) Self Payment: R4,173 R4,279 R1,131
Threshold (S+SP): R17,100 R14,800 R5,100
Above Threshold: No limit No limit No limit

Compare with these plans:

1.1. Hearing Aids:
  • R6,380, subject to "General Appliances" limit
1.2. Wheelchairs:
  • See "General Appliances" limit
2. Dialysis:
  • Unlimited, at State chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8.22 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R157,000 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Momentum Extender Network hospital (and State provider for chronic) 2017: Other Benefits
In brief: 200% scheme rate for specialists. Network hospitals. Chronic benefits from State provider. Comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
1. General Appliances:
  • In-hospital: R5,950 per family
  • Out-of-hospital: paid from day-to-day benefit, R21,000 per family
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R3,732 R2,805 R1,149
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Main: Adult: Child:
(S) Savings: R11,196 R8,415 R3,447
(SP) Self Payment: R5,904 R6,385 R1,653
Threshold (S+SP): R17,100 R14,800 R5,100
Above Threshold: No limit No limit No limit

Compare with these plans:

1.1. Hearing Aids:
  • R6,380, subject to "General Appliances" limit
1.2. Wheelchairs:
  • See "General Appliances" limit
2. Dialysis:
  • Unlimited, at State chronic provider
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R8.22 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R157,000 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan

Other plans

Momentum Access 2017: Other Benefits
In brief: 100% scheme rate for specialists. Network hospitals. Scheme pays out-of-hospital claims for: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,630 per family
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R1,842 R1,842 R552
Children: Pay for all children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R0- R0- R0-

Compare with these plans:

1.1. Hearing Aids:
  • No benefit
1.2. Wheelchairs:
  • No benefit
2. Dialysis:
  • PMBs only, at state facilities
3. HIV:
  • Anti-retroviral treatment: R30,200 per family
  • HIV related admissions: R32,600 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R3.38 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:

View this plan | Sign up for this plan

Momentum Summit 2017: Other Benefits
In brief: 300% scheme rate. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
1. General Appliances:
  • In-hospital: R5,950 per family
  • Out-of-hospital: paid from day-to-day benefit, limited to R25,900 per family
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Main: Adult: Child:
Total Cost: R7,637 R6,108 R1,754
Children: Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Main: Adult: Child:
(S) Savings: R22,300 R22,300 R22,300

Compare with these plans:

1.1. Hearing Aids:
  • R15,100, subject to "General Appliances" limit
1.2. Wheelchairs:
  • See "General Appliances" limit
2. Dialysis:
  • Unlimited
3. HIV:
  • HIV related admissions: R62,500 per family
  • Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols
4. Emergency Transport: Netcare 911
5. International Coverage:
  • R9.01 million international emergency cover
  • R1,470 co-payment applies for each outpatient claim
6. Other:
  • Cochlear implants: R157,000 per person
  • Trauma: Scheme covers some day-to-day benefits following certain traumatic events

View this plan | Sign up for this plan


Medical Aid Bible helps South Africans choose the best medical aid plan for their needs. Quickly view the benefits on any open plan, and compare any two plans with a simple click.
.