The Evolve Option is for digitally savvy individuals looking for affordable hospital cover and virtual GP visits, who can manage their membership from their devices in the comfort of their homes.
- Hospitalisation from the Evolve Network of private hospitals.
- Access to 2 virtual consultations per beneficiary per year from the GP Virtual Consultation Network, which includes Hello Doctor+.
- Preventative care with early detection tests.
R1 687 per month
The Evolve Option provides cover for hospitalisation at the Evolve Network of private hospitals with no overall annual limit.
You must use State facilities for chronic treatment, including scripts and medication.
Health Platform Benefit
Free health screening cover
It covers a range of benefits, such as preventative screening tests, specific check-ups, and more.
Sports injury benefit
2 Physiotherapist or Biokineticist consultations per beneficiary, up to a limit of R1 060 per year, subject to pre-authorisation.
Our Health Platform Benefit provides cover for a range of benefits such as preventative screening tests, certain check-ups and more.
- Associated specialists are covered in full. Other specialists are covered up to 100% of the Momentum Medical Scheme Rate.
- Hospital accounts are covered in full at the rate agreed upon with the hospital group.
- Covered up to R200 000 per beneficiary per year, thereafter a 20% co-payment applies.
- Momentum Medical Scheme reference pricing applies to chemotherapy and adjuvant (supplementary) medication.
- You need to get your oncology treatment and medication from the Evolve Network of Oncologists.
- No annual limit
- You will need to pay R3 050 per scan.
- Anti-retroviral treatment: No annual limit applies at a preferred provider.
- HIV-related hospital admissions: R45 900 per family at Evolve Network hospitals.
R2 070 co-payment applies per emergency out-patient claim.
- 2 virtual consultations per beneficiary per year from the GP Virtual Consultation Network, which includes Hello Doctor+. Consultations include scripting of medication where required. Medication is subject to HealthSaver+, if available.
- If you need cover for other day-to-day expenses, like additional GP visits or prescribed medicine, you can choose to make use of the HealthSaver+.
Health Platform Benefit
- baby immunisations covered up to the age of 6,
- pneumococcal vaccines
- flu vaccines,
- tetanus-diphtheria injections, and more.
- bone density scans,
- pap smears,
- dental consultations,
- general physical examinations,
- prostate specific antigens,
- health assessments,
- cholesterol tests,
- blood sugar tests, and
- HIV tests.
- a urine test
- certain antenatal pathology tests,
- 2 pregnancy scans,
- 2 doula visits,
- 2 nurse home visits; first visit after returning from the hospital, as well as 2 weeks later, and
- 2 paediatricians visits in baby’s first year.
This is only a summary of our benefits. Read the Evolve Option brochure for more details. Momentum Medical Scheme rules apply.
Want to know more?
For more information relating to this option, download the relevant document below.