What is Momentum Health4Me?

Momentum Health4Me is a medical insurance product that provides basic healthcare benefits for individuals, families, and employer groups. It offers GP consultations, basic chronic medication benefits, and limited hospital cover depending on the plan selected. A licensed broker can explain the differences between Health4Me and traditional medical aid.

How do I get a Momentum Health4Me quote?

You can request a quote by completing the online form on this page. A licensed broker will then assist you with suitable options, compare plans, and provide a personalised quote based on your needs and budget at no cost to you.

What benefits does Momentum Health4Me include?

Momentum Health4Me typically includes GP consultations, basic chronic medication benefits, and limited hospital cover depending on the plan selected. The specific benefits vary by plan option. A licensed broker can help you compare the different benefit levels and choose the right option for your needs.

Who can apply for Momentum Health4Me?

Momentum Health4Me is available to individuals, families, and employees who want affordable healthcare cover without full medical aid costs. It's designed for people who need basic healthcare protection but may not require comprehensive medical aid. A licensed broker can help determine if Health4Me is right for your situation.

Is Momentum Health4Me a medical aid or medical insurance?

Momentum Health4Me is a medical insurance product, not a registered medical aid scheme. This means it does not cover Prescribed Minimum Benefits (PMBs) in the same way as medical aid. A licensed broker can explain the key differences between medical insurance and medical aid to help you make an informed decision.

Momentum Health4Me quoting data form.

Name:;

1. Company membership type

Compulsory:
Voluntary:
Employee ONLY:
Employee and family dependants:

2. Selected benefits

Please choose which benefits you would like to include,
(If you want different groups with different benefits, please let me know.)

Day-to-day benefit

Bronze:
Silver:
Gold:

Major Medical Event benefit - accident and emergency cover, hospital cash and maternity lump sum benefit and funeral benefit.

Base Option:
Standard Option:

Each option is made up of:

1. Accident and emergency cover:

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

2. Hospital cash and maternity lump sum benefit:

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)

3. Funeral benefit (includes repatriation benefit):

Causes of death

Natural

Unnatural

Employee, spouse and children 14+

R 10 000

Standard - R 15,000

R 20 000

Standard - R 30,000

Children 6 - 13 years

R 5 000

Standard - R 7,500

R 10 000

Standard - R 15,000

Children 1 - 5 years

R 2 500

Standard - R 5,000

R 5 000

Standard - R 7,500

Children <1 year;

R 1 250

Standard - R 1,875

R 2 500

Standard - R 3,750

Stillborn babies (past 28 weeks gestation)

R 750

Standard - R 1,125

R 1 500

Standard - R 2,250

Waiting periods may apply to natural causes of death.

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.

Security check to prevent spam. Please complete the reCAPTCHA.

Thank you for considering the Momentum Health4Me Medical Insurance.

Get Your Free Quote