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Created On: 24/10/2024
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Created On: 24/10/2024
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Underwriting Summary Individuals Compulsory group Super group Group size 1 member 2 to 9 principal members 10 or more principal members Underwriting Individual medical unde...
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Concession business for January 2025 take-on The Medical Schemes Act allows for employer groups to switch between medical schemes on 1 January of every year without any waiting periods. This is referred to as Concession Business. The following...
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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 perfor...
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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 Biopsie...
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The Major Medical Benefit includes cover for hospitalisation, as well as certain specialised procedures or treatment and specialised scans. Overview of the cover provided in hospital across the six options Option
Cover
L...
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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 f...
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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 s...