Momentum Summit:
dentistry, optometry and wellness (2024)

This page: Costs | Dentistry | Optometry | Wellness and Preventative | Other Momentum Summit We also show benefits for: In-hospital | Out of Hospital | Medicine | Maternity | Cancer | Mental Health | Prosthetics Find all the open medical aid plans here. Compare any two plans side by side, instantly. Monthly Costs: Summit 2024 prices Main member: Adult member: Child member: Total Cost pm: R13,573 R10,855 R3,118 Only pay for 3 children Savings (per year): No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits. Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account R31,300 R31,300 R31,300 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 . Dentistry benefits (2024): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Momentum: Summit Assume scheme pays all these costs, unless otherwise stated Standard Dentistry: From day-to-day benefit Specialised Dentistry: Specialised dentistry: from day-to-day benefit, up to R18,800 per person and R45,300 per family. This includes both in and out-of-hospital benefit. Wisdom teeth, in chair: Paid by scheme. In-Hospital Dentistry: Maxillo-facial surgery and general anaesthesia for children under 7yrs: Hospital and anaesthetist accounts paid by scheme. Surgeon, dental and dental specialist accounts paid from day-to-day benefit Wisdom teeth: Paid by scheme Procedures due to trauma: Covered PMBs are always covered by the scheme, and cannot have sublimits or co-payments imposed. These include fracture of face bones, orbit and/or jaw. You can see a full list of maxillo facial PMB benefits here. Orthodontics: See Specialised Dentistry, above Note: PMBs: Prescribed Minimum Benfits. To read more about PMBs click here 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 . . . Optometry benefits (2024): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Momentum: Summit Assume scheme pays all these costs, unless otherwise stated Optometry: R5,500 per person, from day-to-day benefit Frame: R2,740, from above limit Refractive Surgery: See overall limit, above Note: This section does not apply to opthamology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here. ♦️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 . . . Wellness/Preventative benefits (2024): (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Momentum: Summit Assume scheme pays all these costs, unless otherwise stated Flu vaccination: Covered for under 5yrs and 65yrs+ Pneumonia vaccines: Covered for 60yrs+ Biometric Screening: Covered Child Immunisation: Covered , up to age 6 Pap Smear: Covered for 15yrs+ Mammogram: Covered for 38yrs+, every 2 years PAS Test: Covered for 40yrs+, every 1-5 years depending on age HIV Test: . Other: Bone density scan: 50yrs+, every 3 years Glaucoma test: 40yrs+, every 1-2 yrs, depending on age ♦️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 . Other benefits for 2024: (Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics) Summit International Insurance: R9.01 million international emergency cover. Includes R15,500 for emergency optometry, R15,500 for emergency dentistry and R765,000 terrorism cover. R1,850 co-payment applies for each outpatient claim Other: . ♦️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