Thank you for considering the Momentum Health4Me Medical Insurance.

Cover at a private hospital for accidents that meet the qualifying criteria as in the rules.
An accident shall mean a medical emergency that is an external, unexpected event that is not traceable, directly or indirectly, to a member’s state of mental or physical health prior to the event.

Casualty benefit up to R30 000 per event.
In-hospital benefit up to R500 000 per event.
(Standard Option R 1 500 000)

Cover at a private hospital for emergency (heart attack or stroke) events that meet the qualifying criteria as in the rules.
Casualty benefit up to R30 000 per event.
In-hospital benefit up to R250 000 per event. (Standard Option R 500 000)

Emergency transportation, stabilisation and treatment cost paid in case of an accident or an emergency (heart attack or stroke) that requires immediate medical treatment. If the benefit limit is exceeded, and further treatment is required, the member will be transported to a state facility for further care and treatment.

Accident and emergency cover includes emergency transportation, stabilisation and treatment cost, as well as the cost of diagnostic scans (like MRI and CT scans), take-home medication, internal and external prosthetics, orthotics and assistive devices, rehabilitation services (like step-down services, wound care, physiotherapy and occupational therapy), subject to both clinical approval and the respective per event limits

R500 per day in hospital, paid from day 1, provided that hospitalisation is longer than 48 hours. (Standard R 1 000 per day)
Maximum of 40 days payable per member per year. (Standard 20 days payable per member per year)
R10 000 maternity lump sum benefit payable to a member if hospitalisation is due to childbirth, irrespective of number of days member has been hospitalised. (Standard R 20 000)

The repatriation benefit includes:
Road or air repatriation of the mortal remains of the deceased to a funeral home closest to their normal place of residence.
Repatriation when the deceased’s body is more than 100km from their normal place of residence, within South Africa and the neighbouring countries, Botswana, Lesotho, Mozambique, Namibia, Swaziland and Zimbabwe.
Special care is taken around customs and beliefs.
Assistance with necessary documentation and co-ordination with the authorities to transport the deceased’s mortal remains.
Transfer of the ashes of the deceased.
A 24-hour bereavement counselling line.
1-night accommodation to the value of R1 000, where family members are required to identify the deceased or wish to accompany the deceased to the final funeral home, closest to the place of burial,
Repatriation services from Europ Assistance 24 hours a day, 7 days a week and 365 days a year.