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All you need
to know

Momentum Medical Scheme covers the costs for COVID-19 testing (both positive and negative results) and will pay for treatment if your test turns out positive, no matter which option you are on. This includes both in-and-out of hospital treatment, provided you obtain authorisation. For a quick and easy COVID-19 reference and our contact information, here is a COVID-19 pocket guide.

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Email us: [email protected]

Get pre-auth for COVID-19 test via WhatsApp

With a worldwide pandemic, we aim to make things as easy as possible for you. Now you can get pre-auth for COVID-19 test through our business WhatsApp number.

What are the symptoms of COVID-19?

Symptoms vary from person to person but the most common symptoms are:

  • A fever of more than 38˚C or a recent history of fever.
  • A sore throat.
  • A cough.
  • Shortness of breath or any other breathing difficulties.
  • Any loss in sense of smell or alteration in sense of taste.

If you have been in contact with a person who was later found to have COVID-19, it is important that you monitor your symptoms, self-isolate and immediately contact your doctor if you experience any of the symptoms mentioned above.

What are the criteria for COVID-19 testing?

To get tested for COVID-19, you need to get a referral from your doctor after they have assessed your risk and established necessary cause for you to undergo testing.

What should I do if I suspect I may have contracted COVID-19?

If you are worried that you may have contracted the virus, call your doctor or get in touch with a doctor through our Hello Doctor platform. Alternatively, contact the NICD to discuss your symptoms.

Hello Doctor: USSD *120*1019# (standard rates apply) or request a call through the Momentum App or Hello Doctor App

NICD COVID-19 hotline number: 0800 029 999

NICD COVID-19 WhatsApp number: 0600 12 3456

Your doctor will screen you to assess the need for COVID-19 testing and provide you with a referral letter if you need to go for a test. In the meantime, maintain a safe distance from loved ones until you have been cleared.

If your doctor refers you for a test, you need to do 2 things:

  • Get pre-authorisation from your medical aid. You can now get pre-auth for the COVID-19 test on WhatsApp.
  • Contact your nearest pathology laboratory to book an appointment at one of their testing centres. Not all laboratories provide COVID-19 tests, so it's important to contact them first or check their websites for a list of their testing centres.
Take a look at this step-by-step guide.

What can I do to protect myself from contracting COVID-19?

There are measures you can take to increase your safety and that of loved ones. Follow all safety protocols as outlined by the World Health Organisation (WHO). These include maintaining a safe distance (at least 1 metre) from the next individual, wearing a cloth mask, washing your hands regularly with soap and water or sanitising with an alcohol-based sanitiser if soap and water are not readily available.

Who is at risk of becoming excessively ill through COVID-19?

Although COVID-19 is a danger to everyone, research suggests that the groups that are most at risk of contracting COVID-19 are persons over the age of 60, those with underlying conditions, such as high blood pressure, cardiovascular disease, HIV and diabetes, as well as obese individuals. It is important to note that not everyone is aware that they or a loved one may have an underlying condition, it is therefore important to remain cautious at all times

Will my COVID-19 test be covered in full by the Scheme?

COVID-19 tests will be paid by the Scheme, regardless if the result is positive or negative, provided:

  • You meet the criteria for COVID-19 screening.
  • You were referred for testing by a registered healthcare practitioner.
  • The test is conducted by a registered pathology laboratory (per NICD guidelines).
  • You have contacted us for authorisation of the test.

If the above criteria are met, the test will be authorised for payment from Scheme benefits. If the above criteria are not met, the test will be payable from your Savings or HealthSaver+, if available.

Please make sure you obtain a detailed invoice for the test, not just a receipt. The Scheme will need this to process your claim.

Which benefit is my test paid from?

Pathology laboratory claims for positive COVID-19 tests will be paid from Scheme benefits as a Prescribed Minimum Benefit if authorised.

How do I obtain authorisation?

Once you receive your referral letter from your treating healthcare provider, you can contact us to obtain authorisation by sending us a WhatsApp on 0860 117 859, emailing us at [email protected] or calling us on 0860 11 78 59.

What information will the Scheme need from me to process my authorisation?

You will need to provide your name, membership number, your treating healthcare provider’s practice number, the practice number of the pathology laboratory you have been referred to and you will need to confirm that you have been experiencing symptoms and have been in close contact with a person known to be infected with COVID-19.

What should I do if one of my family members/dependants needs to get tested?

If your family members or dependants are covered under your membership, then the same authorisation procedure applies to them (detailed in previous questions above). They will first need to obtain a doctor’s referral to undergo testing and obtain authorisation from the Scheme to have their test covered.

My claim for COVID-19 testing was not paid, who can I talk to regarding this?

Email the detailed invoice to our claims department at [email protected].

Please make sure you send a detailed invoice for the test, not just a receipt, as the Scheme will need this to process your claim.

If you have sent the detailed invoice and your claim was not paid, you are welcome to send us a WhatsApp on 0860 117 859, email us at [email protected] or call us on 0860 11 78 59 for us to investigate and provide feedback.

Will the Scheme pay for all my medication, including over-the-counter pills and vitamins?

The Scheme will cover all prescribed treatment and medication. Any other medicines and vitamins will be paid from available Savings or your HealthSaver+ account if you have funds available.

How can I lower my risk of getting sick?

To avoid contracting COVID-19, abide by all the safety protocols at home, work and school and be sure to seek medical advice should you feel unwell.

What can employers do to ensure a safe working space for employees?

Employers should implement all safety guidelines for employees returning to work, particularly in line with risk assessment and screening processes. It is advisable that employees, who can work from home with no hassle, continue to do so.

Read more on our return-to-work (RTW) programme.

Read more on our return-to-school (RTS) programme.

What should I do if I want to travel internationally during this time?

International travel is not advisable during this time but, if it is an utmost necessity, be sure to notify the Scheme of your intent to travel. Read more about the international emergency travel cover. Or use the Momentum App to apply for travel cover.

When is it safe for me and my family members to return to work or school, after testing positive for COVID-19?

Guidelines indicate that if you have no symptoms after two weeks of being confirmed as positive, it is safe for you to return to work or school. You can still be infectious at this time so it is important to abide by all safety guidelines for interaction.

I lost my job during this pandemic and I can no longer make my payment contribution, what options are available to me?

Momentum Health Solutions has helped several members meet their contribution payments by using the funds in their Momentum HealthSaver+ accounts. Please contact us on 0860 117 859 to discuss if this may be an option for you or send an email to [email protected].

Can I get re-infected and will the Scheme cover the costs for additional testing?

Yes, you can get re-infected with COVID-19 so it is important to continue to follow the necessary steps to keep yourself and loved ones safe. If you or any of your dependants need to get tested again, you should follow the same process to obtain a doctor’s referral and authorisation from the Scheme.

There is no restriction on the maximum number of tests covered, provided the Scheme has authorised the tests.

What other benefits are available to me during this time?

COVID-19 is transmitted from one individual to another the same way the normal flu is transmitted. It is therefore recommended that you get vaccinated against the normal flu virus as a measure of precaution. It is advisable to do this as a family. Standard vaccinations are part of Momentum Medical Scheme’s Health Platform Benefits. Children between the ages of 6 months to 5 years; beneficiaries older than 60 years and those suffering from any chronic condition, that has been identified as a high-risk factor for COVID-19, should ensure that they have gone for their annual flu vaccine. This is also a good time to ensure that you are up-to-date with your annual health assessment to ensure that you do not have an underlying condition that may further increase your risk for contracting COVID-19.

+You may choose to make use of additional products available from Momentum Metropolitan Holdings Limited (Momentum), to seamlessly enhance your medical aid. Momentum is not a medical scheme and is a separate entity to Momentum Medical Scheme. The complementary products are not medical scheme benefits. You may be a member of Momentum Medical Scheme without taking any of the complementary products.

Hello Doctor’s tele-triage hotline service is free to all South Africans

Hello Doctor's tele-triage hotline service is available to all South Africans - free of charge.

Simply use the risk assessment tool and the outcome of the assessment triggers a callback request for high-risk individuals. A certified medical doctor will respond and advise what you should do next.

If you’re a member of Momentum Medical Scheme, you can still access Hello Doctor on the Momentum App.

Man wearing a grey t-shirt using his cell phone to access the Hello Doctor’s service during lockdown to get advice from a doctor regarding his symptoms.

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