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

Momentum Health: Day Hospital procedures

This list applies to the Momentum Evolve plan, which requires that certain procedures be performed in a Day Hospital, or a hospital with Day facilities.

We have a list of the Evolve Network hospitals.

Procedures covered in any day facility

Biopsies

  • Skin, subcutaneous tissue, soft tissue, muscle, bone, lymph, eye, mouth, throat, breast, cervix, vulva, prostate, penis, testes

Breast

  • Lumpectomy (fibroadenoma)

Ear, nose and throat

  • Tonsillectomy and/or adenoidectomy (children up to 12 years)
  • Simple procedures for nose bleed (extensive cautery)
  • Sinus procedures (ethmoidectomy, sinusotomy and lavage) Scopes (nasal endoscopy, laryngoscopy)
  • Middle ear procedures (myringoplasty, stapedectomy, myringotomy and/or grommets)
  • Cochlear implant

Eye

  • Corneal transplant
  • Cataract surgery
  • Treatment of glaucoma
  • Other eye procedures (removal of foreign body, conjunctival surgery (repair laceration, pterygium), glaucoma surgery, probing and repair of tear ducts, retinal surgery, eyelid surgery, strabismus repair)

Ganglionectomy

Gastrointestinal

  • Gastrointestinal scopes (oesophagoscopy, gastroscopy, colonoscopy, sigmoidoscopy, proctoscopy, anoscopy)

Gynaecological

  • Cerclage of uterine cervix
  • D&C (dilatation and curettage)
  • Endometrial ablation
  • Hysteroscopy
  • Sterilisation
  • Laparoscopic gynaecological procedures (aspiration ovarian cyst, salpingectomy, fulguration/ablation/lysis of lesions)

Orthopaedic

  • Arthroscopy, arthrotomy (shoulder, elbow, knee, ankle, hand, wrist, foot, temporomandibular joint), arthrodesis (hand, wrist, foot)
  • Minor joint procedures (intercarpal, carpometacarpal and metacarpophalangeal, interphalangeal joint arthroplasty)
  • Tendon and/or ligament repair, muscle debridement, fascia procedures (tenotomy, tenodesis, tenolysis, repair/reconstruction, capsulotomy, capsulectomy, synovectomy, excision tendon sheath lesion, fasciotomy, fasciectomy). Subject to individual case review Repair bunion or toe deformity
  • Treatment of simple closed fractures and/or dislocations, removal of pins and plates. Subject to individual case review

Removal of foreign body

  • Subcutaneous tissue, muscle, external auditory canal under general anaesthesia

Simple superficial lymphadenectomy

Skin

  • Debridement, removal of lesions, (dependent on size and diameter), simple repair of superficial wounds

Urological

  • Cystoscopy
  • Removal of ureteral stones
  • Male genital procedures (circumcision for medical reasons only and when authorised, vasectomy)

Here are the full benefits and pricing of the Evolve plan.


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