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Impact Option

For the individual or family that needs hospital cover, some Day-to-day and Chronic Benefits through a network of providers.

from

R2 229 per month

What does it cover?

The Impact Option provides cover for hospitalisation in the Impact Network of private hospitals with no overall annual limit.

For chronic treatment and Day-to-day Benefits, such as GP visits or prescribed medicine, you may only consult Impact Primary Care Network providers.

Our Health Platform Benefit provides cover for a range of preventative care benefits available from your Impact Primary Care Network providers.

Major Medical Benefit


This benefit covers hospitalisation as well as some out-of-hospital procedures that can be safely performed in a doctor's room, registered day clinic, or out-patient facility.

Major Medical Benefits are available at Impact Network hospitals.

Hospitalisation
  • Specialists are covered up to 100% of the Momentum Health Rate. Hospital accounts are covered in full at the rate agreed upon with the hospital group.
  • Oncology, organ transplant, limited to Prescribed Minimum Benefits* at State facilities.
  • MRI and CT scans, magnetic resonance cholangiopancreatography, whole body radioisotope and PET scans, limited to Prescribed Minimum Benefits* at State facilities.
  • Medical rehabilitation, private nursing, hospice and step-down facilities limited to R45 900 per family every year.
  • Seven days’ supply of take home medication.
Specialised procedures/treatment
  • Certain specialised procedures/treatments are covered, when clinically appropriate, in and out of hospital.
*Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide members with continuous care to improve their health and well-being and to make healthcare more affordable. Learn more

Chronic Benefit


This benefit takes care of certain life-threatening conditions, such as diabetes and heart disease, that need ongoing treatment.

Chronic Benefits are available at Impact Primary Care Network.

It covers 26 conditions under Prescribed Minimum Benefits* according to the Chronic Disease List.

*Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide members with continuous care to improve their health and well-being and to make healthcare more affordable. Learn more

Day-to-day Benefit


This benefit covers your everyday medical expenses, such as doctors' visits and prescribed medication.

Day-to-day Benefits are available at Impact Primary Care Network providers.

Savings
There is no savings built into this option, but you can add on HealthSaver.

General practitioners
You have unlimited GP visits. From the 11th visit onwards, you need pre-authorisation from the Scheme and a R70 co-payment applies.

Eye care
You get 1 eye test, 1 pair of clear standard or bi-focal lenses with a standard frame, per beneficiary every 2 years.

Dentistry
You get 1 dental consultation per beneficiary per year. Basic dentistry (extractions, fillings, and x-rays only) is available from the Impact Primary Care Network dentists according to a formulary containing specific treatments and tariff codes.

Specialised dentistry and/or dental implants and related costs are not covered.

In-hospital dentistry is not covered, except for maxillo-facial trauma which is covered at State facilities, subject to Prescribed Minimum Benefits*.

Medicine
Any prescribed medication from the list of medicine, known as the prescribed formulary, will be given to you by your GP. Over-the-counter medicine is not covered.

Mental health
Limited to Prescribed Minumum Benefits* at State facilities.

Specialist visits
You get 3 visits per beneficiary, maximum of 5 visits per family. Covered at 100% of the Momentum Health Rate.

*Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide members with continuous care to improve their health and well-being and to make healthcare more affordable. Learn more

Health Platform Benefit


A unique benefit that encourages health awareness, enhances quality of life and gives peace of mind through preventative care and early detection tests.

The Health Platform Benefits are available at Impact Primary Care Network providers.

Preventative care
Includes baby immunisations, flu vaccines, as well as tetanus diphtheria injections.

Early detection tests
Includes pap smears, dental consultations, general physical examinations, prostate specific antigens, health assessments, cholesterol tests, blood sugar tests and HIV tests.

Maternity programme
Women registered on our maternity programme get 4 antenatal visits which include a urine test and two growth scans.

Health management programme
For the management of diabetes, hypertension, HIV/Aids, oncology, drug and alcohol rehabilitation, chronic renal failure, organ transplants and cholesterol.

Health line
24-hour emergency health advice.

Emergency evacuation
Emergency evacuation in South Africa by Netcare 911.

International emergency cover by ISOS, covered up to R3,38 million per 90-day journey.

Hello Doctor


Talk to a doctor, anytime, anywhere. This is a free service to all Momentum clients. Learn more

Extra Feature

A convenient and innovative feature unique to Momentum

Take advantage of these extra features at no additional cost.

HealthSaver+

A savings account that works seamlessly with your medical aid. With no transaction or admin fees, it lets you save for additional day-to-day medical expenses, such as co-payments, refractive eye surgery, vitamins and more.

+ This extra feature is a complementary product available from Momentum, a part of Momentum Metropolitan Life Limited. Momentum is not a medical scheme, and is a separate entity to Momentum Health. You can be a member of Momentum Health without taking any of the complementary products that Momentum offers.

Additional products

Seamlessly enhance your medical aid cover

Avoid worrying about unexpected medical shortfalls and co-payments, and keep you and your family covered when you're unable to cover your medical aid contributions.

GapCover+

Helps you avoid unexpected shortfalls for in-hospital expenses, not covered by your medical aid option.


from


R278 per month

HealthWaiver+

This pays for your medical aid contributions when you die or become critically ill, so your family will still have medical cover.

from


R240 per month

+ These additional products are complementary and available from Momentum, a part of Momentum Metropolitan Life Limited. Momentum is not a medical scheme, and is a separate entity to Momentum Health. You can be a member of Momentum Health without taking any of the complementary products that Momentum offers.

Leading a healthy lifestyle, an athletic lady in a red sporting gear, holding her cell phone with earphones in her ears with stairs in the background.

Momentum Multiply rewards and discounts

Enjoy discounts from a wide range of partners

Impact members qualify for Multiply Premier membership, which will reward you with discounts and cashbacks from various partners, as well as on Momentum products.


Want a quote?

Let us call you back with a quote that suits your needs.

Need advice?

Discuss the benefits of having medical aid with a certified financial adviser.

You may also want to consider

Custom Option

From R1 515 per month

Incentive Option

From R2 009 per month

Extender Option

From R4 580 per month

Summit Option

From R9 269 per month

Ingwe option

From R407 per month

Contact Momentum Health

For local emergencies



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For international emergencies



Available 24 hours a day, 7 days a week, 365 days a year.

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