Major Medical
Event Benefits
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MME Benefits
Major medical event benefits can only be taken in conjunction with Health4Me day-to-day benefits.
BENEFITS
Accident and Emergency Cover*
Casualty benefit
Accident cover in-hospital
benefit
Emergency cover (heart attack and stroke only) in-hospital benefit
Hospital Cash and Maternity Lump Sum Benefit
Payment per day in hospital (waiting periods apply) **
Maternity lump sum benefit (waiting periods apply)
Funeral Benefits (natural death waiting periods apply)
Principal member, spouse and children > 14 years
Children 6 – 13 years
Children 1 – 5 years
Children < 1 year
Stillborn babies (past 28 weeks gestation)
BASE
Accident and Emergency Cover*
Up to R30 000 per event
In-hospital benefit up to R500 000 per event
Up to R250 000 per event at a private hospital
Hospital Cash and Maternity Lump Sum Benefit
R500 per day in hospital for stays longer than 48 hours
R10 000 payable to a member if hospitalisation is due to childbirth
Natural
Death
Accidental
Death
R10 000 -
R20 000-
R5 000
R10 000
R2 500
R5 000
R1 250
R2 500
R750
R1 500
STANDARD
Accident and Emergency Cover*
Up to R30 000 per event
In-hospital benefit up to R1 500 000 per event
In-hospital benefit up to R500 000 per event
Hospital Cash and Maternity Lump Sum Benefit
R1 000 per day in hospital for stays longer than 48 hours
R20 000 payable to a member if hospitalisation is due to childbirth
Natural
Death
Accidental
Death
R15 000-
R30 000-
R7 500
R15 000
R3 750
R7 500
R1 875
R3 750
R1 125
R2 250
* Emergency Transportation Cover
Emergency transportation, stabilisation and treatment cost paid in case of an accident or an emergency (heart attack or stroke) that requires immediate medical treatment
If the benefit limit is exceeded, and further treatment is required, the member will be transported to a state facility for further care and treatment
Accident and emergency cover includes emergency transportation, stabilisation and treatment cost, as well as the cost of diagnostic scans (like MRI and CT scans), take-home medication, prosthetics, assistive devices and rehabilitation services (wound care, physiotherapy and occupational therapy), subject to both clinical approval and the respective per event limits
Pre-authorisation is required
** Payment Per Day in Hospital
Base
Maximum of R20 000 payable per member per year. Maximum of 40 days payable per member per year.
Standard
Maximum of R20 000 payable per member per year. Maximum of 20 days payable per member per year.
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Momentum Health4Me is not a medical scheme product, and is not a substitute for medical scheme membership. The information provided on this website does not constitute advice in terms of the Financial Advisory and Intermediary Services Act. Momentum is a division of Momentum Metropolitan Life Limited, an authorised financial services provider (FSP 6406) and a wholly owned subsidiary of Momentum Metropolitan Holdings Limited.
Bloom Gap Cover is not a medical Scheme. Products that are offered are not the same as that of a medical scheme.
© Bloom Financial Services 2023. Bloom Financial Services (Pty) Ltd is an authorised financial services provider (FSP 50140). Bloom Gap is underwritten by Infiniti Insurance Limited a licensed non-life insurer and an authorised financial services provider (FSP No.35914)
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