Frequently Asked Questions

  • How do I join Momentum CareCross?
    Momentum CareCross products are available primarily through our corporate clients who provide medical care for their own employees, and through our medical scheme partners as a medical option.

    You cannot apply for a Momentum CareCross option directly through us.
  • Which medical schemes are Momentum CareCross partnered with?
    Our products are available as options on medical schemes provided by our business partners. Some of these include:
    Horizon, Moto Health Care, Selfmed and the Wooltru HealthCare Fund.
  • How many Momentum CareCross doctors are there in South Africa?
    Momentum Carecross has an extensive national network of doctors, dentists and optometrists.
  • How do I find my nearest network doctor?
    You can find a doctor nearest to you by using the doctor search facility on our website. Alternatively, members can call the Momentum CareCross Services Centre on 0860 103 491 and they will refer you to the nearest network GP.
  • What happens if an x-ray or blood test is not covered by Momentum CareCross?
    You can ask your network GP to refer you to a state hospital or you can sign a liability form and agree to pay for the x-ray or blood test required.
  • When can I visit a network GP?
    You can make an appointment during practice hours, Monday-Friday 9am-5pm, or during the relevant hours if the practice is open on a Saturday.
  • Can I belong to more than one medical aid scheme at the same time?
    No, it is legislated that you may only belong to one medical aid scheme at the same time.
  • Will my employer contribute towards my medical aid?
    Employers do not have to subsidise an employee’s medical aid contributions but some employers choose to do so.
  • Can a medical aid scheme terminate my membership?
    Yes, your membership can be terminated if your contributions are not paid. If you are on a restricted scheme (only available to a specific group of people or employers) your membership will also be terminated if you resign, are made redundant or retrenched.
  • Who do I speak to if I want more information about Momentum CareCross?
    You can call the Momentum CareCross Client Contact Centre on 0860 103 491, email [email protected] or speak to your broker or medical scheme.
  • What are Contact Centre operating hours?
    Our Client Contact Centre operates during business hours Monday to Friday from 8am  5pm.
  • What is the difference between Acute and Chronic medication?
    Acute medication is the type of medicines your GP will prescribe if the medicine is intended to treat a short-term illness. For example, if you developed a chest infection that required a course of short-term antibiotics for treatment. Chronic medication is medication taken to treat a long-term condition on an ongoing basis, for example chronic bronchitis or asthma.
  • What is a co-payment?
    A co-payment is a portion of the cost of a procedure for which the member is responsible.
  • What is a Designated Service Provider (DSP)?
    A group of medical service providers specified in the scheme rules from whom services must be obtained to enjoy appropriate treatment. These service providers will have no or lower or co-payments.
  • What are clinical protocols and formularies?
    Protocols are a set of clinical guidelines, while formularies refer to lists of medicines and/or tests that apply to certain benefits on the network option.
  • What are Prescribed Minimum Benefits (PMBs)?

    PMBs are a set of defined benefits that ensure all medical scheme members have access to certain minimum health services which the scheme will continue to pay even if the member's benefits for the year run out.The cover is related to the diagnosis and treatment of :

    • 26 chronic conditions e.g Addison's Disease, Asthma, Bipolar Mood Disorder, Bronchiectasis, Cardiac Failure, Cardiomyopathy, Chronic Renal Disease, Chronic Obstructive Pulmonary Disease, Coronary Artery Disease, Crohn's Disease, Diabetes Insipidus, Diabetes Mellitus Type 1 & 2, Cardiac Dysrythmias, Epilepsy, Glaucoma, Haemophilia, HIV / AIDS, Hyperlipidemia, Hypertension, Hypothyroidism, Multiple Sclerosis, Parkinson's Disease, Rheumatoid Arthritis, Schizophrenia, Systemic Lupus Erythematous and Ulcerative Colitis.
    • A limited set of 270 diagnostic treatment pairs (DTPS) which are defined in the regulations and are linked to a treatment broadly indicating how each condition should be treated.