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CareCross FAQ's


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.

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.

Momentum Carecross has an extensive national network of doctors, dentists and optometrists.

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.

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.

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.

No, it is legislated that you may only belong to one medical aid scheme at the same time.

Employers do not have to subsidise an employee’s medical aid contributions but some employers choose to do so.

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.

You can call the Momentum CareCross Client Contact Centre on 0860 103 491, email [email protected] or speak to your broker or medical scheme.

Our Client Contact Centre operates during business hours Monday to Friday from 8am 5pm.

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.

A co-payment is a portion of the cost of a procedure for which the member is responsible.

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.

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.

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.

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