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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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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 sche...
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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 option...
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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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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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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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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...
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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...