New Articles

  1. Focus on the Doula Benefit 2025 New

    What is a doula? A doula provides non-clinical support and care to a woman (and her partner) during childbirth and the postpartum (after delivery) period. What are the criteria for using the benefit? There are three criteria that need to be...
  2. Summary of benefits 2025 New

  3. Guide to Prescribed Minimum Benefits (PMBs) New

  4. More4Me User guide 2025 New

  5. Focus on emergency medical transport 2025 New

    Momentum Medical Scheme has contracted with Netcare 911 to provide our members with emergency medical transport benefits within the borders of South Africa. Netcare 911 is available 24 hours a day, seven days a week to assist our members in th...
  6. Obtaining authorisation for Major Medical Benefits 2025 New

    You need to obtain pre-authorisation from Momentum Medical Scheme for:  Hospitalisation  Day hospital admissions  Specialised procedures/treatment  MRI, CT, Magnetic resonance cholangiopancreatography (MRCP), whole body radioisotope and PET...
  7. Focus on the Trauma Benefit 2025 New

    The Trauma Benefit covers certain day-to-day care and treatment following a hospital admission for specific traumatic events. This benefit is available on the Evolve, Incentive, Extender and Summit Options and appropriate treatment related...
  8. Focus on specialised procedures/treatment 2025 New

    Specialised procedure and treatment This document provides a guideline of the procedures and treatment covered on the various benefit options and paid from the Major Medical Benefit, irrespective of whether the procedure and treatment is perf...
  9. List of procedures covered in any day facility on the Evolve Option 2025 New

    Anorectal -  Treatment of haemorrhoids, fissure, fistula Covered for complicated cases that cannot be treated as an out-patient or where the out-patient treatment options failed and treatment is required in a medical facility Biops...
  10. Motor vehicle accidents (MVA) and third party injuries 2025 New

    Third party injuries are incidents where a third party was responsible for the injury and therefore maybe liable for medical expenses, such as a motor vehicle accident (MVA). Any amount recovered from a third party or from the Road Accident Fund...