Momentum Gap cover is a *****! To avoid frustration, stay with Doscovery!

I’ve been with Momentum health for just over a year now and when I joined the group I took the gap cover option as well.

Last year my wife was admitted in hospital and there was an additional fee which the medical aid couldn’t cover but obviously it falls under the gap cover. I was told the gap cover processes payments in 6 weeks. I submitted the claim to Mfundo Slade who works for Wynsam Health (I believe there’s some connection between the two companies).

The claim was processed and accepted but the payment wasn’t received. I had to make means to pay the additional amount to the hospital since they had now taken me to debt collectors and was fearing a bad credit score.

In January 2023 I sent another email after countless communication enquiring on the payment. I even asked for a senior person to deal with and I was referred to Kate Du Randt. Kate sent the following on email “ As you are aware the Gap cover reinsurer Constancia was liquidated, and this is what is causing delays in the claims. Momentum is actually not involved here, Momentum is the Medical Aid, the Gap is a separate product.”

I’ve been paying my fees to Momentum every single month with now problems and when it comes to claims I’m told that momentum was not involved???

The email further said, “ We share your frustration at the delay and Mfundo has been following up constantly on the claims not yet paid. We have an assurance that they will be paid, but no date as to when payment will be made.”.

I’m highly disappointed and dissatisfied with momentum and really regret moving from Discovery to this medical aid.