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Select a scheme and option

View the benefits, health management programmes and chronic conditions covered by your patient’s medical scheme and option.

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Benefit summaries
Out-of-hospital benefits

Click here to read more about Out-of-hospital benefits for Hospicare Option.

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In-hospital benefits

Click here to read more about In-hospital benefits for Hospicare Option.

Please call 0861 000 300 to request pre-authorisation.

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Chronic medication benefits

Treatment for chronic conditions - subject to an approved treatment plan. Chronic medication must be obtained from the Scheme's network pharmacy.

Please call 0861 000 300 or email [email protected]. to request authorisation

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Healthcare programmes Members need to register on health management programmes to gain access to the benefits outlined below.
Chronic management programme

Subject to registration on the Chronic Management Programme.

Please email [email protected] to register on the Chronic Management Programme.

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Maternity programme

Subject to registration on the Maternity Management Programme (Baby Bumps) between 12 and 20 weeks of pregnancy.

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Chronic condition lists
Prescribed minimum benefits (PMB)

Moto Healthcare - Chronic Disease Listopen_in_new

Resources for you and your patient

Momentum Carecross GP Guide

Health4Me network GP patient education pad

English, Afrikaans, Sesotho, isiZulu

Health4Me network GP IVR flow diagram