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Summit Option

These are 2016 rates for Momentum Plan: Summit Option

Major Medical Benefit
Associated specialists covered in full
Other specialists covered up to 300% of the Momentum Health Rate
Hospital accounts covered in full at the rate agreed upon with the hospital group
No overall annual limit applies

Hospital provider
Any hospital

Specialised Procedures
53 procedures covered – e.g. hernia repairs, laser tonsillectomy, angiograms and hysteroscopies

Chronic Benefit
26 conditions covered – no annual limit applies
36 additional conditions covered, subject to overall day-to-day limit

Choice of Chronic Provider 

Day-to-day Benefit
Covered from risk benefit, subject to overall day-to-day limit and certain sub-limits

Health Platform
Covers benefits such as Health Assessments, dental examinations, routine GP check-ups, pap smears Maternity benefit: 12 antenatal visits, 2 pregnancy scans and 2 paediatrician visits in your child’s first year

Your in-hospital provider Your chronic and day-to-day provider  Member  2 Members 2 Members
& Child 
Any Freedom-of-choice R6 641 R11952 R1 3477

Click Here to download a complete brochure for 2016