Student Focus

Momentum Health's Ingwe option leads the way
as the Number 1 medical aid for international
students studying in South Africa for 28 years.

Affordable quality healthcare plus cool FREE benefits

Submit a claim

Submit a claim within 4 months following service date

You need to send us your claim by the last day of the 4th month following the month in which you received the service. If we receive the claim after this date, you will need to pay any outstanding amounts to the provider.

Check that we have your correct banking details

Claims refunds are only paid into a South African bank account by electronic funds transfer (EFT). Please call us on 0860 102 493 if you need to update your banking details.

Check your account and receipt

Make sure that your membership number is clearly shown on both the account and the receipt. Please ensure that the account shows the following:

  • Your name and initials
  • Your membership number
  • The treatment date
  • The name of the patient as shown on your membership card
  • The amount charged
  • The tariff
  • The ICD-10 code

Please check that prescriptions for medicine show all your details and that the correct amount for medicine dispensed is shown on the claim. If the pharmacy omits any of these details, we will not be able to process your claim.

Email the account to us at claims@momentumhealth.co.za.

Login or call us on 0860 102 493 to follow-up on whether the account has been paid.

Understand your claims statement

Your claims statement will be emailed to you. Please ensure that you update your email records.

Tips to read your statement
Go to the pay code column

  • In the column will be a code and an explanation of the code at the end of the statement
CODEREASON/EXPLANATIONWhat does it mean?
28Claim paid to provider at Scheme rates - member to pay differenceThe provider claimed more than the 100% Momentum Health contracted rate and the difference is now due Only portion paid - member needs to pay balance
65No day to day funds available to pay this claimThe benefit requires pre-authorisation and must contact us only if they have not previously claimed.
252Savings depletedThe benefit is not covered on the option and you do not have HealthSaver to fund the claim Not paid - member needs to pay account in full
293Medicine or item not covered by the SchemeRefer to benefits of your option. Go to "tools" on the website to access more information on your healthcare benefits Not paid
521Paid from Momentum Primary CareAlthough the amount reflects R 0.00 under payment and benefit sections - it is paid in full as you consulted a network provider - doctor, dentists or optometrist No payment due
529Claim from a non-network provider. Member liableYou did not request authorisation and must contact us for a late pre-authorisation if you have not used your out of network / casualty benefits before Not paid
531Referring doctor is not a network provider. Member liableThe specialist you consulted was not authorised and must contact us for a late pre-authorisation if you have not used your specialist benefits for the year before Not paid
545Tariff billed is not part of the agreed list of tariffs for this optionRefer to benefits of your option. Go to "tools" on the website to access more information on your healthcare benefits Not paid