ingwehealth.co.za Join the Ingwe Option : Momentum Health

Organisation : Momentum Health
Facility : Join the Ingwe Option
Location : Centurion

Website : ingwehealth [dot] co [dot] za
Apply Online Here : https://www.momentum.co.za/for/you/products/health/mmsa-student-application
Download Offline Procedures : https://www.southafricain.com/uploads/7524-Applicationform.pdf
Bank Details : https://www.southafricain.com/uploads/7524-bank_account.pdf

Join the Ingwe Option :

You need to submit the fully completed application firm together with :
** Copy of your passport
** Proof of your studies

Related : Momentum Health Claims Procedure : www.southafricain.com/7522.html

** Proof of payment – check with your local embassy or accademic institution in terms of the minimum period of cover you need.
** Please email the documentation to studenhealth AT momentum.co.za

Momentum Health student account details :
Bank Account details :
** Account Name – Momentum Health Student Account
** Name of Bank – First National Bank
** Branch Name – Global Transactional Services – Durban
** Type of Account – Current
** Account Number – 62127765371
** Branch Code – 22 36 26
** Bank Code / Swift Code – FIRNZAJJ

Address of bank
First National Bank
Acacia House
2 Kikembe Drive
Umhlanga Rocks
4320

Consent for the processing of personal information :
MMI comprises companies that provide the following products and services :
** Financial planning services, healthcare administration, insurance products, investment products, managed care services and retirement benefits.

** The personal information will be shared between the Scheme, its administrator, the subsidiaries of MMI and contracted third parties both locally and outside the Republic of South Africa who require this information, to provide for the following purposes:

** to grant me access to interact with, and view all the products and services I have with the Scheme and the MMI group of companies on its websites,

** to provide my and/or my dependants’ personal and health information to any other entity within the MMI Group, where I and/or my dependants already have a relationship or where I and/or my dependants have applied for a product or benefit, for the administration, underwriting and risk profile analysis of my and/or my dependants’ products or benefits,

** to provide any credit bureau or registered credit provider with my credit information as defined in the National Credit Act (credit information includes, for example, my credit history, financial history, pattern of payment or default under any credit agreements, debt re-arrangement arrangements or judgments obtained for outstanding debts),

** to use the information to market, including direct marketing of insurance, investment, health insurance, retirement benefits and other financial services and health related products offered by MMI and its subsidiaries. Tick here if you do not wish to receive any direct marketing from us I am aware that I may opt out of direct marketing initiatives, or withdraw my permission given above to share my and/or my dependants’ information with

** MMI and its subsidiaries, except if the disclosure thereof is necessary for the administration of the product or services provided or is required in terms of legislation or to give effect to the implementation of an agreement for my or any of my dependants’ benefit.

Statement By Principal Member :
1. Should I be enrolled as a member of Momentum Health, I will subject myself to the benefits contained in the Rules of Momentum Health.

2. The information that I have given here is full, complete and true and form the basis of my membership. I acknowledge that if I do not disclose all the information, it will make any contracts to which this application relates null and void. The Scheme may, at its discretion, retain all contributions or recover any amounts paid to me or any service provider on my behalf.

3. I irrevocably grant my permission to any physician, person or party who may be in possession of, or obtain information concerning my health, or that of my dependants, to divulge such information to Momentum Health, also after my death.

4. I undertake to pay any amount due to Momentum Health, on demand. Failure to pay any debt due to the Scheme may result in suspension or termination of membership and/or handover to a third party for collection.
5. I will notify the Scheme if I or any of my dependants are living with HIV/Aids within 14 days of activation of membership.

6. I will notify the Scheme should I or any of my dependants require hospitalisation for a non-emergency event at least 48 hours before the event. I acknowledge that failure to do so will result in a reduction of benefi ts payable by the Scheme for any procedure undertaken.
7. I undertake to give 30 days’ notice, should I wish to terminate my membership.

8. I consent to the recording of all conversations between me and the Scheme or the Administrator, and all information obtained through these conversations will form part of the Scheme’s and the Administrator’s records. I also consent to all these records remaining the sole property of the Scheme and the Administrator.

9. As an international/foreign student, I confirm that I have complied with the study visa/permit regulations as determined by the South African Home Affairs Immigration Act No. 13 of 2002. I consent to Momentum Health sharing my membership details, as well as my personal details, including my name, date of birth and passport number, with contracted third parties for the purposes of verifying my membership in accordance with the study visa requirements, as per the Immigration Act.

10. For female applicants: I understand that if I am pregnant at the time of joining Momentum Health, pregnancy and related conditions will be excluded.
If I find out that I am pregnant after signing this application, I may apply for maternity benefits.
11. I confirm that I am not earning a taxable income of more than R600 per month.