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Health4Me – South Africa’s Leading Low Cost Benefit Option

Momentum is the market leader in the Low-Cost Benefit Option (LCBO) with their Health4Me product.

This comprehensive product is available to any company with 5 or more employees. Employees qualify if:

  • They earn a monthly income of less than R40 000 and
  • Are 18 years and older, and are actively employed

 

How does it work?

In line with Momentum’s focus on innovation and flexibility, Momentum Health4Me follows a building block approach. Employers can choose the combination of benefits most suitable to their employees’ needs and available budget.

Momentum Health4Me offering

download focus page

A Health4Me solution comprises the following:

  • Core day-to-day benefits (compulsory)
  • Optional benefits which may be included:
    • A major medical benefit
    • An accident and emergency benefit
    • A hospital cash and maternity lump sum benefit
    • A funeral benefit
  • Additional benefits included for free:
    • Hello doctor
    • More4Me
    • Multiply engage
    • Employee Assistance programme (EAP)
    • Access to Momentum App

 

The rates are very affordable and the scheme may be configured so that

  • The employer pays the costs or
  • The costs are shared between the employer and the employee i.e. 50:50 or
  • The employee pays the costs

 

Core benefit

 Day-to-Day benefits

The core of the plan is the day-today benefits, where an employer can choose the level of benefits which are categorised as

  • Gold – R334/month
  • Silver – R265/month or
  • Bronze – R210/month

The scheme also allows an employee’s spouse (at the above rates) and their children (at children’s rates) to be covered.

The scheme’s benefits are extensive making it very advantageous for companies to have their employees covered e.g. less absenteeism, employee’s medication delivered to the workplace, wellness days etc.

Optional benefits

These optional benefits may be included as either a “base” option or a “standard” option as follows:

Major Medical Benefit – premium  R75 R105
Base Standard
– Accident cover
o   Casualty benefit – per event R30 000 R30 000
o   In-hospital benefit – per event R500 000 R1 500 000
–   Emergency (heart attack or stroke) cover
o    Casualty benefit – per event R30 000 R30 000
o   In-hospital benefit – per event R250 000 R500 000
Emergency transportation cover included
Maximum of R million is payable per member per year
Hospital cash and maternity lump sum benefit – premium R73 R113
–  Amount paid per day R500 R1 000
–  Maximum amount per member R20 000 R20 000
–  Maximum days per member R40 R20
–  Maternity lump sum benefit R10 000 R10 000
Funeral Benefit – premium R20 R20
Base Standard
Cause of death     Natural           Unnatural     Natural           Unnatural
Employee, spouse & children >14 R10 000 R20 000 R15 000 R30 000
Children 6 – 13 years R5 000 R10 000 R7 500 R15 000
Children 1 – 5 years R2 500 R5 000 R3 750 R7 500
Children <1 R1 250 R1 500 R1 125 R2 250
Stillborn babies (>28 weeks) R750 R1 500 R1 125 R2 250
Included benefits

 

Hello Doctor

Included in the above, Health4Me members get access to Hello Doctor which gives them 24/7 access to a doctor. Hello Doctor consultations include unlimited scripting of Schedule 1 to Schedule 4, formulary-based medication where required. The script is sent directly to the nearest Dis-Chem, Clicks or MediRite pharmacy of the member’s choice for collection of their medication.

Hello Doctor consultations also include referrals for pathology and radiology, according to the applicable Health4Me pathology list or Health4Me radiology list  .

More4Me

This benefit incentivises members with monthly airtime, data, Shoprite and Checkers vouchers or Takealot vouchers, based on their Healthy Heart Score.

Multiply Engage

Members have immediate access to Multiply Engage rewards programme, for FREE. Multiply Engage offers great discounts and cashbacks on big brands.

Employee Assistance Programme

Services are available for employees and their families

Telephonic counselling and support services for employees and their families

Typical examples include counselling on personal issues, family problems, stress management, conflict resolution and dealing with work-related concerns.

Management referral services

Managers may refer employees to the EAP programme, with their consent.

24/7 Trauma support

The trauma line is open 24 hours a day, 7 days a week for psychosocial emergencies such as rape, hijacking, child abuse, death or suicide of a close family member, armed robbery or assault, domestic violence, kidnapping or abduction.

Legal advice

Legal advisers provide telephonic advice and guidance in relation to an employee’s current situation.

Financial advice

Advisers provide guidance in relation to an employee’s current financial and debt situation.

Debt restructuring

Our partner, Debt Rescue, is available to assist with this sensitive issue.

Face-to-face services

You have the option to add a top-up EAP service that caters for face-to-face EAP consultations and on-site visits.

 

Addition to existing medical aid

Where an employer has already partnered with Momentum for their employee’s medical aid, Health4Me may be added to a qualifying member’s medical plan to provide them with day-to-day benefits rather than them having to rely on their savings.

 

Summary

Click here to watch a video if you would like to know more about Health4Me.

If you believe that Health4Me will benefit your company’s employee please contact me at derek.pettitt@momentum./co.za.