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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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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 Biopsie...
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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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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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What are Prescribed Minimum Benefits? Prescribed Minimum Benefits are a set of defined benefits for which all medical schemes in South Africa have to provide cover to medical scheme beneficiaries in terms of the Medical Schemes Act 131 of 19...
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Members on Momentum Medical Scheme’s Custom, Incentive and Extender Options pay lower monthly contributions if they are willing to make use of the Scheme’s Associated providers. Associated providers include a network of private hospitals as we...
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Summary of changes for 2026 In a time of shifting healthcare needs and economic uncertainty, Momentum Medical Scheme illustrated its ongoing commitment to affordable access to healthcare, innovation and long-term value. While the industry is ...
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