Day-to-day Benefit
For everyday medical expenses. The Day-to-day Benefit covers routine medical costs like doctors' visits and prescribed medication.
- Use the Momentum App to submit day-to-day claims.
- Use the benefit to pay for prescribed and over-the-counter medication.
- Use HealthSaver+ to provide even more day-to-day cover.
What does the
Day-to-day Benefit cover?
This benefit pays for day-to-day medical expenses, such as out-of-hospital doctors' visits, eye care, dentistry, and prescribed medication.
For example, when you get the flu and go to your General Practitioner
(GP), the doctor is paid using your Day-to-day Benefits. The same applies when you go to your dentist and optician. This benefit also pays for prescribed medication and over-the-counter medication, x-rays, and so much more.
Why do I need it?
Going to the doctor with something as common as the flu can easily cost thousands, from the consultation fee to the medicine and the treatment needed. While these costs may not involve such large once-off payments as, for instance, being admitted to ICU after a car accident, they do tend to occur more regularly and could easily add up to significant expenses throughout the year.
How does it work?
Ingwe
Evolve
Custom
Incentive
Extender
Once medical savings have been depleted, you will fall into the self-funding gap which means that you will have out-of-pocket expenses up until the Threshold, determined by your family size. Alternatively, you can use Momentum’s voluntary HealthSaver+ account to save and pay for these expenses. You must still submit your claims in this period so that we know when you move when you reach the Threshold.
The annual Threshold levels for 2024 are:
(up to a maximum of 3 children)
Summit
+Momentum Medical Scheme members may choose to make use of additional products available from Momentum Group Limited and its subsidiaries as well as Momentum Multiply (herein collectively referred to as Momentum). Momentum is not a medical scheme and is a separate entity to Momentum Medical Scheme. Momentum products are not medical scheme benefits. You may be a member of Momentum Medical Scheme without taking any of the products offered by Momentum.
Disclaimer: Momentum Medical Scheme’s 2025 benefit and contribution amendments have been submitted to the Council for Medical Schemes and are subject to approval by the Regulator.
Contact Momentum Medical Scheme
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