Note: We are updating 2024 benefits as they are released. Some plans show old benefits until schemes release new plans.

Momentum Extender Network (for hospitals) Network (for chronic):
cancer, maternity and mental health (2024)


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This page: Costs | Maternity | Oncology | Mental Health
Momentum Extender Network hospital (and Network provider for chronic)

We also show benefits for: In-hospital | Out of hospital | Medicine | Dentistry | Optometry | Other/Extra Benefits | Wellness and Preventative | Prosthetics

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Monthly Costs:

Extender Network hospital (and Network provider for chronic) 2024 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R7,537
  • R6,067
  • R2,168
  • Only pay for 3 children
Savings:
  • R22,608
  • R18,204
  • R6,504
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R7,792
  • R8,196
  • R2,196
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Unlimited
  • Unlimited
  • Unlimited
Children Rates:
  • Under 21yrs
  • Only pay for 3 children
Note:
  • Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list.
  • All treatments and procedures are subject to authorisation and protocols
  • All benefits are listed as an indication only. Please verify with your broker and scheme
♦️View all the other benefits for this plan:♦️
Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

You can also:
♦️Compare any two plans, side by side | ♦️View all the Momentum plans, with costs and brief summary
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Cancer/ Oncology benefits for 2024:

Momentum: Extender Network hospital (and Network provider for chronic)
Assume scheme pays all these costs, unless otherwise stated
Overall coverage (in and out of hospital):
  • R500,000 per person, then a 20% co-payment
♦️View all the other benefits for this plan:♦️
Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

You can also:
♦️Compare any two plans, side by side | ♦️View all the Momentum plans, with costs and brief summary
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Maternity benefits for 2024:

Momentum: Extender Network hospital (and Network provider for chronic)
Assume scheme pays all these costs, unless otherwise stated
Hospital stay:
  • Contracted Specialists: Covered in full, otherwise 200% scheme rate
Consultations:
  • Paid by scheme
  • Consults: 12 consults
  • Lactation consult: 1 consult
  • 1 consult from nurse home visit, day after return from hospital
  • 1 consult from nurse home visit, 2 weeks after above visit
  • Ante-natal classes: R410
Scans:
  • 2 x 2D scans
Note:
♦️View all the other benefits for this plan:♦️
Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

You can also:
♦️Compare any two plans, side by side | ♦️View all the Momentum plans, with costs and brief summary
.
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.

Mental Health benefits for 2024:

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Momentum: Extender Network hospital (and Network provider for chronic)
Assume scheme pays all these costs, unless otherwise stated
In-hospital:
  • PMBs: Covered in full at DSP, up to 21 days admission, from below limit first
  • Alcoholism/Drug Addiction: 21 days admission, from below limit first
  • Otherwise, R46,000 per person
Out-of-hospital:
  • PMBs: 10+ consults, paid by scheme
  • Otherwise, paid from day-to-day benefit, up to R21,400 per family
Trauma:
  • Covers certain day-to-day claims that form part of the recovery following specific traumatic events, such as near drowning, poisoning, severe allergic reaction and external and internal head injuries.
  • PMB conditions are covered for in and out of hospital treatment. For a full list see here.
  • Example of PMB condition: Acute stress disorder accompanied by recent significant trauma, including physical or sexual abuse. Treatment includes hospital admission for psychotherapy / counselling up to 3 days, or up to 12 outpatient psychotherapy / counselling contacts
Note:
  • PMBs: Prescribed Minimum Benefits. Here is a list of PMB conditions: Mental Illness.
  • DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit.
  • Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
♦️View all the other benefits for this plan:♦️
Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

You can also:
♦️Compare any two plans, side by side | ♦️View all the Momentum plans, with costs and brief summary
.


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    Important!
  • Unless specified, assume that all benefits are paid are paid at 100% scheme rate
  • No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
  • "Unlimited" benefits are still subject to authorisation, protocols and sublimits
  • Assume that all benefits need to be pre-authorised

Also see these: