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MRI and CT scans, magnetic resonance cholangiopancreatography (MRCP), whole body radioisotope and PET scans are subject to pre-authorisation. Even if you have authorisation for an in-hospital admission, a separate pre-authorisation will be requi...
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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 m...
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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 to th...
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Physical rehabilitation Certain illnesses, injuries, accidents or surgical procedures can leave you with physical challenges or disabilities. Physical rehabilitation is a therapeutic programme designed to assist you in regaining your strengt...
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This document provides an overview of the vaccines and immunisations (subject to availability) that Momentum Medical Scheme members are covered for as part of their Health Platform benefits. Vaccines and immunisations covered under the He...
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Medical aid plays an important role in providing healthcare cover and peace of mind to consumers. There are several practical ways for members to optimally use their benefits, thereby keeping their out-of-pocket expenses to the minimum. Preve...
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The following exclusions apply to Momentum Medical Scheme benefits. General exclusions mentioned in this paragraph are not affected by any specific exclusions. Unless otherwise decided by the Scheme (and with the express exception of medicin...
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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 the ...
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This document provides the details of the dental benefits available on Momentum Medical Scheme. Ingwe Option Preventative dental care Covered up to R380 per beneficiary at dentists, dental therapists and oral hygienists Basic den...
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Introduction This benefit provides for day-to-day medical expenses, such as doctors’ visits and prescribed medication. On the Ingwe Option , members who choose Connect Network hospitals need to use State facilities, while members who cho...