Momentum other benefits: 2017

Oct 24, 2016

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Custom Associate (and any provider for chronic) 2017

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:

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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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Custom (Any provider for chronic) 2017

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:

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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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Custom Associate (and Network provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Custom (Network for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Custom Associate (and State provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Custom (State for chronic) 2017

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:

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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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Incentive Network hospital (and any provider for chronic) 2017

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

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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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Incentive (Any provider for chronic) 2017

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

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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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Incentive Network hospital (and Network provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Incentive (Network provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Incentive Network hospital (and State provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Incentive (State provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Extender Network hospital (and any provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Extender (Any provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Extender Network hospital (and Network provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Extender (Network provider for chronic) 2017

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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Extender Network hospital (and State provider for chronic) 2017

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

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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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Extender (State provider for chronic) 2017

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

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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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Custom (Any provider for chronic) 2017

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:

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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

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
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:

Momentum Extender (Any provider for chronic) 2017

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

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