Momentum in-hospital benefits: 2017

By Staff Writer -

Click here to compare in-hospital 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: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Gastroscopies, nail surgery, cystoscopies, colonoscopies, sigmoidoscopies, removing of extensive skin lesions: R500 co-payment if done in day-clinic
  • Otherwise, R1,200 co-payment for most admissions other than for maternity, motor accident and emergency treatment
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Custom Associate (and any provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Gastroscopies, nail surgery, cystoscopies, colonoscopies, sigmoidoscopies, removing of extensive skin lesions: R500 co-payment if done in day-clinic
  • Otherwise, R1,200 co-payment for most admissions other than for maternity, motor accident and emergency treatment
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Custom (Network for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Gastroscopies, nail surgery, cystoscopies, colonoscopies, sigmoidoscopies, removing of extensive skin lesions: R500 co-payment if done in day-clinic
  • Otherwise, R1,200 co-payment for most admissions other than for maternity, motor accident and emergency treatment
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Custom Associate (and Network provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Gastroscopies, nail surgery, cystoscopies, colonoscopies, sigmoidoscopies, removing of extensive skin lesions: R500 co-payment if done in day-clinic
  • Otherwise, R1,200 co-payment for most admissions other than for maternity, motor accident and emergency treatment
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Custom (State for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Gastroscopies, nail surgery, cystoscopies, colonoscopies, sigmoidoscopies, removing of extensive skin lesions: R500 co-payment if done in day-clinic
  • Otherwise, R1,200 co-payment for most admissions other than for maternity, motor accident and emergency treatment
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Custom Associate (and State provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Gastroscopies, nail surgery, cystoscopies, colonoscopies, sigmoidoscopies, removing of extensive skin lesions: R500 co-payment if done in day-clinic
  • Otherwise, R1,200 co-payment for most admissions other than for maternity, motor accident and emergency treatment
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Incentive options

Momentum Incentive (Any provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Incentive Network hospital (and any provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Incentive (Network provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Incentive Network hospital (and Network provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Incentive (State provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Momentum Incentive Network hospital (and State provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R44,400 per family. paid by scheme.

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Extender options

Momentum Extender (Any provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R45,400 per family. paid by scheme.

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Momentum Extender Network hospital (and any provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R45,400 per family. paid by scheme.

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Momentum Extender (Network provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R45,400 per family. paid by scheme.

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Momentum Extender Network hospital (and Network provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R45,400 per family. paid by scheme.

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Momentum Extender (State provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R45,400 per family. paid by scheme.

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Momentum Extender Network hospital (and State provider for chronic) 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Some in-hospital procedures: R1,200 co-payment applies
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R45,400 per family. paid by scheme.

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Other plans

Momentum Access 2017: In-hospital 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. Payout Rate:
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-

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2. Hospital Choice:
  • Network hospitals
3. Specialised Radiology:
  • PMBs only, at state facilities
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • PMBs only, at state facilities
6. Co-payments: n/a
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R43,500 per family. paid by scheme.

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Momentum Summit 2017: In-hospital 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. Payout Rate:
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:
2. Hospital Choice:
  • Unlimited
3. Specialised Radiology:
  • Unlimited with a R2,030 co-payment
4. Supplementary Services: (Physio, etc)
5. Transplants:
  • Recipient: Unlimited
  • Donor R17,600 cadaver costs and R35,700 for live donor costs. Only covered if recipient is a member of the scheme
6. Co-payments:
  • Specialised radiology: R2,030 co-payment
7. Alternatives to hospitals:
  • Medical rehabilitation, private nursing, hospice and step-down facilities: R45,400 per family. paid by scheme.

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