-
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...
-
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...
-
What is a co-payment? Members join a medical scheme to ensure that they will be taken care of when they require healthcare services, should they ever be faced with a medical condition or emergency. Schemes are able to provide such protection...
-
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...
-
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...
-
Introduction The Custom Option includes cover for hospitalisation in private hospitals. There is no overall annual limit for hospitalisation. You can choose to have access to any hospital, or you can choose to receive a discount on your contrib...
-
Momentum Medical Scheme has agreements in place with preferred providers to allow greater flexibility to our members. When members choose a specific provider on an option, they should ensure that there is a facility near them. Combined list of M...
-
Description At Momentum Medical Scheme, our management and treatment of HIV/Aids is aimed at giving members access to the most appropriate medical care for wellness, prevention and care, so members with HIV/Aids can live a normal and productive...
-
Description Heart rhythm problems occur when the electrical impulses that coordinate your heartbeat do not work properly, causing your heart to beat too fast, too slow or irregularly. Heart arrhythmias may feel like a fluttering or racing h...
-
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...