MN
Marisa N

1 reviews | Active since Oct 2024

14 Oct 2024, 08:24

How much she pays vs. what she receives...... you decide

After 9 and a half years of being a loyal Momentum Health customer. We are more than qualified to say. 'STAY AWAY..... MOVE ON TO A MORE ACCOMMODATING MEDICAL SCHEME '

Monthly premium is R7200 for my mom alone. She was diagnosed with a auto immune disease in May this year. However the Insensitive Any hospital any Dr option does not cover the only medication available for this disease. Hence we need to pay cash for it monthly. On top of this they also do not pay for other chronic medication that she needs and was disclosed before she upgraded to this shameful high option and premium. So that's another R1700 cash per month on top of the R7200 monthly premium.

For the record this also does not include any Dr visits for day to day ailments like flu ect. You are 'allowed ' 2x GP visits a year but then needs to pay cash for it .. (on top if the R7200 and R1700) and claim back - then the claims department only refunds a max of R470. Please tell me where I can find a GP that only charges R470 for a consultation and physical check up.

Here's the kicker.... when I contacted the consultant her suggestion was for us to upgrade to pay Momentum even more money monthly.....?

Considering my mom is a pensioner with an recently diagnosed auto immune disease for which there is no cure and only 1 medication available to assist with moderately relieving some symptoms. This is bordering ******ion for how much she pays vs. what she receives.

We were also recently told that for R7200 + R1700 per month she also can not get new multi focal glasses because glasses is paid from saving and her saving is depleted because Momentum does not cover the life saving medication that she needs to take under the chronic medicine section of her Option?

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Replies (1)
Momentum Health
Momentum Health's reply14 Oct 2024, 08:42
Official
Good day Marisa

Thank you for bringing this enquiry to our attention, we will call you shortly to obtain more details and start an investigation to provide more clarity.

Kind regards
Jody Saunders