Step-by-step guide


Doctors' visits (GP's and dentists)You have to use a doctor and dentist on the Ingwe Active Primary Care Network. Click here to view the lists of providers.

The doctor sends the claim to us - you do not have to pay.

If you receive a claim, email it immediately to us at claims@momentumhealth.co.za.

SpecialistsYou cannot go to a specialist directly.

You have to be referred by your Ingwe Active Primary Care Network GP.

You have cover for 2 specialist consultations per year, limited to R1 480 per year (R900 per event). A 10% co-payment applies and the visits are subject to pre-authorisation.

 Hospitals and emergency GP /casualty visitsPhone 0860 102 493 for a pre-authorisation number if you need to go to hospital.

Phone 0860 102 493 for a pre-authorisation number within 72 hours after makinguse of the emergency GP / casualty visit.

 MedicationSome of the Ingwe Active Primary Care doctors are licensed to dispense medication. In this instance you can collect your medication from the doctor, except if it is chronic medication (click here for more information regarding the Chronic Benefit).

If your Ingwe Active Primary Care Network doctor is not licensed to dispense medication you need to take the prescription to the pharmacy to collect your medicine.

Only specific medication items are covered on your option. Ask your doctor or click here for a list of these items.

 X-Rays and blood testsThere is a specific list of x-rays and blood tests that are covered. Ask your doctor or click here for a list of these items.
 Eye care

You have to use an optometrist that is on the Ingwe Active Primary Care Network. Click here to view the list.

Choose a frame from a specific range to avoid co-payments. Standard lenses (excluding specific coating etc) will be covered. You qualify for spectacles if your refraction measurement is more than 0.5. Click here for more information.