momentum medical aid

Momentum Health Medical Aid

By offering value through choice, Momentum Health makes world-class healthcare affordable through on-going innovation and comprehensive complementary products. Momentum Health is a comprehensive medical aid, covering the full spectrum of healthcare needs with options for:

medical aid PRIMARY CARE

    The Base and Access Options offer primary care benefits to members who need affordable access to entry-level cover. They are based on a network of providers - Momentum Health has negotiated set rates with various hospitals and specific providers for chronic benefits and certain day-to-day benefits (such as medicine, GP visits, conservative dentistry, basic radiology and basic pathology).
medical aid NEW GENERATION
    The Custom, Incentive and Extender Options offer fee-for-service benefits, where you can choose your healthcare providers for hospitalisation, chronic and day-today benefits. You control your healthcare expenses, and can receive a direct discount, depending on which provider you choose.

medical aid TRADITIONAL

    The Summit Option is a traditional option that offers in- and out-of-hospital benefits payable by the scheme. No Savings and provides amounts per treatment. Ideal for members who need unlimited private hospitalisation, comprehensive chronic benefits and extensive day-to-day cover (certain sub-limits apply).

Benefits offered:

  • Reduced monthly contributions if you are prepared to use certain providers!
    Enjoy discounts for selecting to use doctors, hospitals and pharmacies on Momentum's Associated list of preferred providers

  • No overall annual in-hospital limit for most plans!

  • Hospital accounts and related costs incurred in hospital (from admission to discharge) are covered!

  • 50 Specialised procedures (which can be performed in a doctor's room, registered day clinic or out-patient facility), are paid!

  • 7-days' take-home medication on discharge from hospital.

  • In- and out-of-hospital MRI and CT scans (co-payments apply) are paid!

  • Unlimited Chronic cover (according to the Chronic Disease List) for chronic conditions and serious ailments that need ongoing intervention!

  • Allocated "saving" funds are used to pay out of hospital costs, with some plans offering a safety net if funds are used!

  • International cover while traveling abroad on the Custom, Incentive, Extender and Summit Options - R5 m for hospital emergencies per beneficiary per 90-day journey (including R10 000 for dentistry, R10 000 for optometry and R500 000 terrorism cover). A R1 000 co-payment applies to all out-patient claims.

  • The Heath Platform. Unique benefit available to all members, FREE! It encourages health awareness, enhances quality of life and gives peace of mind. It helps you to detect illnesses early and saves you money. Subject to pre-notification you have:

    • Baby immunisations - all compulsory vaccinations required by the Department of Health are paid for from the Health Platform for children up to the age of 6 years.
    • Early detection tests - procedures such as pap smears, mammograms, DEXA scans, prostate tests, cholesterol tests and blood sugar tests. Medical examinations based on the member's age are also included.
    • Dental examinations - all members of the family are entitled to one dental examination per year.
    • Maternity programme - up to 12 antenatal visits, 2 pregnancy scans, as well as 2 paediatric visits in the child's first year.
    • Disease management programmes - conditions such as Diabetes, Hypertension, HIV/Aids, Oncology, Chronic Renal Failure, and Organ transplants can be effectively managed through various programmes that have been put in place to assist members with these conditions.

This is a valuable benefit that could save the average family up to R15,000 per year! And if you have a baby, up to R 20,000!

Complementary products supporting the benefit structure:

  • Multiply - offers you the tools, information and incentives to improve or maintain your overall wellbeing over the long term. Helping you reach your physical and financial goals to offering you great discounts at a wide range of providers, and rewarding you for your commitment to wellness, the programme keeps you motivated every step of the way.

  • MobiCard - with an innovative digital member card loaded on your cellphone,you will always have immediate access to your medical aid details!

  • Health Saver - allows you to make provision for additional medical expenses you may incur. You can choose an affordable monthly amount that suits your individual needs and funds may be used to pay for any healthcare-related expenses.

  • Compliance Incentive™ programme - actively assists you in preventing illness by detecting them as early as possible. You can earn HealthReturns of up to R1 800 per adult per year!

  • Health Funder - is a savings vehicle that assists you to make dedicated provision for your post-retirement healthcare costs via a retirement annuity or investment plan.

  • Health Waiver - offers peace of mind that medical cover will be continued in the event of death, functional impairment or critical illness of the principal member and/or spouse.

  • Expacare - planning to work abroad for extended periods? This benefit entitles you to private healthcare anywhere in the world.

Momentum Health Associated Specialists - Use these specialists and your claim is always covered in full and you receive the best medical care possible.

Associated hospitals are Momentum network hospitals that you may choose from when electing either the Custom, Incentive or Extender Options. They include all Life Health Care and selected Medi-Clinic hospitals. If you use a non-associated hospital, a co-payment of 30% on all claims, except in the case of emergencies will be due by you.

Save Thru Spend
This is a rewards programme which offers reimbursements from a wide range of partners into your selected savings product. You can turn ordinary expenses into extraordinary savings, simply by spending on the everyday goods and services you normally would!

OPTIONAL EXTRA This medical aid DOES NOT pay in-hospital claims at private rates on all options.

It is recommended you consider the TOP UP PLAN to prevent any shortfall of claims.


Does your Medical Aid LIMIT benefits?

So, now can you really say that Momentum Health Medical Aid is not worth investigating?

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Do yourself and your loved ones a favour - CALL ME NOW!

Or complete the NO OBLIGATION MOMENTUM HEALTH MEDICAL AID ENQUIRY FORM NOW!

Or go here for a MOMENTUM HEALTH MEDICAL AID APPLICATION

PS. If you work for a company, pass this onto your HR department. I'm am sure that Momentum Health medical scheme can save your company substantial money. And won't that look good for you!


Don't leave your concern here. Call me for advice - no obligation!

Investigate the Momentum Health Medical Aid.

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©Peter Pyburn 2010 Momentum Health Medical Aid