In-hospital Benefit
This Major Medical Benefit includes cover for hospitalisation, as well as certain specialised procedures and treatment, and specialised scans. It gives you option-specific benefits that cover you if you’re hospitalised or need to have surgery.
- 7 days’ supply of take-home medication on discharge.
- Covers certain scans done in hospital.
- Easy pre-authorisation done on the Momentum App.
What does the In-hospital Benefit cover?
What does the In-hospital Benefit cover?
Your hospital accounts and costs related to your stay in a hospital, as well as certain procedures performed both in- or out-of-hospital, are covered, subject to pre-authorisation.
The following is an overview of the cover provided across our 6 medical aid options.
The following is an overview of the cover provided across our 6 medical aid options.
Cover
- Hospital accounts are covered in full at the rate agreed with the hospital group.
- Specialists are covered up to 100% of the Momentum Medical Scheme Rate.
- No annual limit applies.
Hospital provider
- Any hospital, Ingwe Connect Network, Ingwe Network or State hospitals.
Cover
- Hospital accounts are covered in full at the rate agreed with the hospital group.
- Specialists are covered up to 100% of the Momentum Medical Scheme Rate. A R1 920 co-payment per authorisation applies, except for car accidents, maternity confinements, and emergency treatment. An additional co-payment may apply for specialised procedures.
- No annual limit applies.
Hospital provider
- Evolve Network hospitals. Certain procedures are only covered in day hospitals.
Cover
- Hospital accounts are covered in full at the rate agreed with the hospital group.
- Specialists are covered up to 100% of the Momentum Medical Scheme Rate. A R1 920 co-payment per authorisation applies, except for car accidents, maternity confinements, and emergency treatment. An additional co-payment may apply for specialised procedures.
- No annual limit applies.
Hospital provider
- Any or Associated hospitals.
Cover
- Hospital accounts are covered in full at the rate agreed with the hospital group.
- Specialists are covered up to 200% of the Momentum Medical Scheme Rate. Co-payments may apply for certain specialised procedures or treatment.
- No annual limit applies.
Hospital provider
- Any or Associated hospitals.
Cover
- Hospital accounts are covered in full at the rate agreed with the hospital group.
- Specialists are covered up to 200% of the Momentum Medical Scheme Rate. Co-payments may apply for certain specialised procedures or treatment.
- No annual limit applies.
Hospital provider
- Any or Associated hospitals.
Cover
- Hospital accounts are covered in full at the rate agreed with the hospital group.
- Specialists are covered up to 300% of the Momentum Medical Scheme Rate.
- No annual limit applies.
Hospital provider
- Any hospital.