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Last Updated: 24/10/2024
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Last Updated: 24/10/2024
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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 perf...
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Description Epilepsy is a brain disorder in which a person has repeated seizures (convulsions) over time. It is a sudden surge of electrical activity in the brain. Epilepsy means the same thing as "seizure disorders". Seizures are episodes of d...
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Description Hyperthyroidism is a condition in which the thyroid gland is overactive and makes excessive amounts of thyroid hormone. The thyroid gland is an organ located in the front of your neck which releases hormones that control your me...
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Description Ulcerative colitis is an inflammatory bowel disease (IBD). A chronic disease of the gastrointestinal (GI) tract that causes inflammation and sores, called ulcers, on the inner lining of the large intestine. Crohn's disease and m...
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Why is non-disclosure investigated? Open enrolment forms a cornerstone of the Medical Schemes Act 131 of 1998 (the Act), directed at preventing risk selection by medical schemes, and allows for any eligible person to join any open medical sc...
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Summary claims statement Understanding your Momentum Medical Scheme claims statement Please follow the numbering shown in the image above. Notes to understanding the Summary claims statement The details of your chosen benefit opti...