If you need to see a specialist, you must first visit your Network GP, who will give you a referral letter. You will need to call us on 0860 10 29 03 to get authorisation. You have cover for two specialist visits per year. The maximum amount we will pay per visit is R1 000, with a maximum for the year of R2 000 for you and your family, if they are also covered.
Example: Let’s say the specialist charges you R1 200 for a visit. The specialist will send the account for R1 200 to Momentum for payment. Momentum will pay the specialist R1 000, and your benefit left for the year will reduce from R2 000 to R1 000. You will have to pay the additional R200 for the visit from your own pocket.
Contact the member call centre on 0860 102 903 for authorisation.
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