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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 Biops...
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Evolve Option members who sustain a sports injury and require treatment are covered for two physiotherapy or biokineticist treatment sessions, up to a limit of R1 060 per year. Members do not need a referral from a GP or doctor before using th...
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The Major Medical Benefit includes cover for hospitalisation, as well as certain specialised procedures/ treatment and specialised scans. Overview of the cover provided in hospital across the six options Option
Cover
Lim...
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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...
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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...
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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 require...
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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...
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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...
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Momentum Medical Scheme provides cover for members on the Custom, Incentive, Extender and Summit Options, who work in sub-Saharan Africa, for certain benefits. Benefits are subject to the Scheme Rules and clinical protocols. Benefits Co...
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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...