Ingwe Option

Providers
Any private hospital, Ingwe Network of hospitals, or State hospitals (public facilities).

Benefit
Hospital accounts are covered in full at the rate agreed upon with the hospital group.
Accounts for specialists are covered up to 100% of the Momentum Medical Scheme Rate.
Maternity confinements
No annual limit applies.
Caesarean section
Emergency caesareans are covered.
Neonatal intensive care
No annual limit applies.
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 and step-down facilities
Limited to R15 100 per beneficiary every year.
Take-home medication
7 days’ supply.

(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.

Only available from Ingwe Primary Care Network or Ingwe Active Network providers.

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

(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.

Only available from Ingwe Primary Care Network or Ingwe Active Network providers.

General practitioners
Unlimited GP visits
From the 11th visit onwards, you’ll need pre-authorisation from the Scheme for it to be covered.
You also get 3 virtual doctor consultations per beneficiary per year from the GP Virtual Consultation Network, which includes Hello Doctor. Consultations include scripting of medication where required.
Eye care
1 standard eye test.
1 pair of clear standard or bi-focal lenses with a standard frame.
Benefits available per beneficiary every 2 years.
Dentistry
1 consultation per beneficiary every year, plus extractions, fillings, and x-rays.
Specialised dentistry, such as braces, is not covered by the Scheme.
Medicine
Prescribed medication is subject to a list of medicine referred to as the prescribed formulary.
Mental health
Limited to Prescribed Minimum Benefits* at State facilities.
Specialist visits
2 visits per family every year.
Limited to R1 220 per visit and up to a maximum of R2 440 per family per year.
Covered at 100% of the Momentum Medical Scheme Rate.

+ 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.

(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.

Only available from Ingwe Primary Care Network or Ingwe Active Network providers, except for health assessments, maternity programme benefits, and baby immunisations.

Preventative care includes:
baby immunisations covered in private facilities for baby’s 1st year up to R2 650,
flu vaccines,
tetanus-diphtheria injections, and more.
Early detection tests include:
pap smears,
dental consultations,
general physical examinations,
prostate specific antigens,
health assessments,
cholesterol tests,
blood sugar tests,
HIV tests, and other tests.
Maternity programme
7 antenatal visits which include:
a urine test,
certain antenatal pathology tests,
1 paediatrician visit in baby’s first year,
2 pregnancy scans, and
a nurse home visit after returning home from the hospital.
Health management programmes
For the management of the following conditions:
diabetes,
hypertension,
HIV/Aids,
oncology,
mental health,
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.