Hippo Partners - Momentum Health

Momentum Health

Momentum Health, one of the 5 largest open medical schemes in South Africa provides cover for approximately 210 000 people.

It offers a choice of 23 options and premiums for a single member range from R349 to R6043. Members have the choice of lowering their contribution rate by selecting one of the Custom, Incentive or Extender options that makes use of a network of hospitals and / or chronic medicine providers. The Incentive range is the most popular range.

A good maternity programme as well as a preventative care benefit is offered through the Health Platform Benefit.

Multiply, Momentum Health’s loyalty programme rewards members for good health behavior and practices as well as offering discounted gym membership, travel, movie tickets and other benefits. Momentum Health also offers the HealthSaver plan which members can use to pay for medical expenses that are not covered by their health care option. Members also have the potential of earning back up to R5 400 in health returns.

Options:

Summit

Summit is a fully comprehensive option suitable for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 300%. Co-payments are applied to specialized radiology and / or scopes.

Day to day costs are subject to defined limits.

Extender Range

The Extender range provides all round general cover and is suitable for young families and individuals. It offers unlimited hospital cover, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of in-hospital procedures.

Day to day claims are paid from savings, a self payment gap and then from additional benefits. Unlimited cover for GP & specialist consults, pathology, radiology, basic dental check-ups and MRI/CT scans.

Incentive Range

The Incentive range provides all round general cover and is suitable for young families and individuals. It offers unlimited hospital cover, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of in-hospital procedures.

Day to day claims are paid from savings.

Custom Range

The Custom options are hospital plans that are ideal for young and health individuals. It offers unlimited hospital cover, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of in-hospital procedures.

Apart from some preventative care benefits, no other cover for day to day claims is provided.

Access

Access is a capitated network plan which is ideal for individuals who are willing to use network providers for all healthcare services. All treatments are subject to provider network protocols.

Ingwe Range

Ingwe options are entry level capitated network plans which are affordable and ideal for low earning individuals. All treatments are subject to provider network protocols.


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