You need to get pre-authorisation * from us when you *visit/consult a doctor that does not belong to the Ingwe Active Network. Please remember this benefit is limited to 1 visit per person or 2 visits per family per year and it includes out- of- network and emergency visits. The portion you will need to pay is only the first R100 of the claim. To avoid having to pay the bill from your own pocket, phone* 0860 102 493*
You have specialist / physio cover of 2 visits per family per year, limited to R1 100 per visit and up to a maximum of R2 200 per family per year. Your* Ingwe Primary Care or Ingwe Active Primary Care Network* doctor will refer you to a specialist and give you a referral letter. Contact the member call centre on 0860 102 493 for authorisation, and to obtain a list of specialists in your area. Use the referral letter to make an appointment with the specialist and remember that claims must be submitted to Momentum Medical Scheme for payment.