Health4Me Gold

Unlimited GP visits at a Network GP per member per year

Minor medical procedures performed as part of a Network GP consult in rooms, such as stitching of wounds and nebulisation

Unlimited GP consultations with a Hello Doctor GP
Hello Doctor consultations can either be via chat, phone call or video (virtual) call
Hello Doctor consultations include referral for pathology, according to the applicable Health4Me pathology list Hello Doctor consultations include referral for radiology, according to the applicable Health4Me radiology list

Hello Doctor consultations include unlimited scripting of Schedule 1 to Schedule 4, formulary-based medication, in accordance with the Network prescribed acute medication formulary. Rules and protocols are applied

A maximum of 2 visits, limited to R1 350 per visit and up to R2 700 per member/family per year Members may consult any specialist, subject to a Network GP referral and pre-authorisation
The specialist may refer the member for pathology and radiology according to the applicable Health4Me pathology and radiology lists
The specialist may prescribe medication, subject to the event limit Shortfalls will be payable by the member
Waiting periods apply

Provided in accordance with the Network prescribed acute medication formulary.

Rules and protocols are applied

27 Chronic conditions are covered as follows:
Addison’s Disease, Asthma, Bipolar Mood Disorder, Bronchiectasis, Cardiac Dysrhythmias, Cardiac Failure, Cardiomyopathy, Chronic Obstructive Pulmonary Disease, Chronic Renal Disease, Coronary Artery Disease, Crohn’s Disease, Diabetes Insipidus, Diabetes Mellitus Type 1, Diabetes Mellitus Type 2, Epilepsy, Glaucoma, Haemophilia, HIV, Hyperlipidaemia, Hypertension, Hypothyroidism, Multiple Sclerosis, Parkinson’s Disease, Rheumatoid Arthritis, Schizophrenia, Systemic Lupus Erythematosus and Ulcerative Colitis
Chronic medication is provided in accordance with the Network prescribed chronic medication formulary. Rules and protocols are applied
Pathology and radiology related to condition monitoring is provided according to the applicable Health4Me pathology and radiology lists
Pre-authorisation is required Waiting periods apply

Unlimited cover for pathology, when linked to a Hello Doctor or Network GP visit and referred by a Hello Doctor or Network GP, according to the applicable Health4Me pathology list

Unlimited cover for black and white x-rays, when linked to a Hello Doctor or Network GP visit and referred by a Hello Doctor or Network GP, according to the applicable Health4Me radiology list

Covered at any dentist on the Dental Network
Basic dentistry such as fillings, extractions, infection control, cleaning and polishing of teeth
Specialised dentistry such as bridges, crowns, surgical extractions, implants, root canals, gold fillings, dentures and braces are not covered
Provided in accordance with the Dental Network protocols and approved Health4Me dentistry list

Waiting periods apply

Covered at any optometrist on the Optical Network
Benefit available every 2 years
1 Eye test and 1 pair of clear standard single vision lenses, or 1 pair of bi-focal lenses, with a standard frame Sunglasses, tinted lenses, hard coating and contact lenses are not covered
Provided in accordance with the Optical Network protocols and approved Health4Me optometry list

Waiting periods apply

Post-exposure prophylaxis (PEP) medication is provided in accordance with the Network prescribed HIV medication formulary, to prevent HIV infection in the event of accidental exposure to blood or fluids from an infected person, or by any other means
Antiretroviral medication is provided in accordance with the Network prescribed HIV medication formulary. Rules and protocols are applied
Pathology related to condition monitoring is provided according to the applicable Health4Me pathology list Pre-authorisation is required
Waiting periods apply

2 Foetal growth 2D scans per member per pregnancy
Antenatal pathology tests linked to a Network GP visit and referred by a Network GP, according to the applicable Health4Me pathology list
Antenatal vitamins in accordance with the Network prescribed acute medication formulary. Rules and protocols are applied
Antenatal support (access to current and credible information on all topics related to parenthood) via BabyYumYum
Support post-partum from a nurse/midwife at home with bathing, swaddling, latching and feeding Nurse/midwife home visits on day 2 and week 2 after the birth of the baby

Pre-authorisation is required

1 Flu vaccination per member per year at any pharmacy clinic, preferably at a Dis-Chem, Clicks or MediRite pharmacy clinic

1 COVID-19 screening test is covered per member per year, subject to a Hello Doctor, Network GP or specialist referral
The COVID-19 screening test can also be performed as part of a Network GP consultation or as part of a specialist consultation in rooms

1 Health assessment (blood pressure test, cholesterol and blood sugar finger-prick tests, height, weight and waist circumference screening) is provided per member per year on site at a Wellness day or at a pharmacy clinic, preferably at a Dis-Chem, Clicks or MediRite pharmacy clinic

Counselling and support services for adults, teenagers and children Trauma and critical incidence counselling services
Legal assist, credit health and debt management services
Advice for road accident claims and injury on duty claims Managerial support services
Telephonic counselling services and on-site trauma and critical incidence support services

Members have access to Multiply Engage for free. By doing the digital health and fitness assessment on the Momentum App, members can know their health immediately and get rewarded from day one. Multiply offers members rewards from a wide range of partners and they get great discounts and HealthReturns on big brands like Makro, Checkers, Dis-Chem, Nu Metro, Garmin and many more

More4Me incentivises members through three rewards: R50 per year for digital engagement and completing a digital health assessment, a scratch card after completing their annual health assessment in person at a Momentum Wellness Day, and up to R80 per month based on their Healthy Heart Score, which they receive when doing an in-person health assessment at either a Momentum wellness day or a Dis-Chem, Clicks or MediRite pharmacy clinic. Members can choose to redeem their rewards as airtime, data, Shoprite and Checkers vouchers or Takealot vouchers

Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R50

Based on their Healthy Heart Score, members will receive monthly rewards

Green: Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R80

Amber: Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R50

Red: Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R25

Members can save up their rewards and redeem even larger vouchers.