Momentum Health Medical Aid
Momentum Health provides cover for approximately 298 000 lives and is one of the 5 largest open South African medical schemes. There are 23 options to choose from, with premiums for a single member ranging from R455 to R10 642. The Custom range is the most popular range. By selecting one of the Custom, Incentive or Extender options that makes use of a network of hospitals and / or chronic medicine providers, members are able to lower their contributions. The Health Platform Benefit offers a good maternity programme and preventative care benefits.
Momentum's HealthSaver lets you save for additional day-to-day medical expenses that are not covered by your medical aid option. Momentum pays up to R3000 per family per month in HealthReturns to members who go for an annual health assessment, comply with treatment protocols and are active.
Annual contribution increases will be effective from 1st September 2022.
Table of Content
- Summit Option
- Extender Option
- Incentive Option
- Custom Option
- Evolve Option
- Ingwe Option
- Lifestyle Programme
Momentum offers a range of medical aid options with different contribution levels depending on the plan and dependents. The table below outlines the contributions for the main member, adult dependents, and child dependents.
Momentum Health offers various plans to suit different healthcare needs and budgets. The table below outlines contributions for the main member, adult dependents, and child dependents.
| Plan | Contributions Range (Main) ZAR | Contributions (Principal Member) | Contributions (Adult Dependant) | Contributions (Child Dependant) |
|---|---|---|---|---|
| Summit Option | 3,118 - 13,572 | 13,572 | 10,855 | 3,118 |
| Extender Option | 1,937 - 6,589 | 6,589 | 4,997 | 1,937 |
| Incentive Option | 1,072 - 2,794 | 2,794 | 2,206 | 1,072 |
| Custom Option | 762 - 2,149 | 2,149 | 1,626 | 762 |
| Evolve Option | 1,687 | 1,687 | 1,687 | 1,687 |
| Ingwe Option | 466 - 541 | 541 | 541 | 466 |
*Contributions are subject to individual circumstances and may vary. Please consult Momentum for personalized quotes.
Summit
Summit is a fully comprehensive option suitable for individuals requiring extensive medical cover. It offers unlimited hospital cover at a hospital of choice, with in-hospital specialist bills paid at 300%. Co-payments are applied to specialized radiology and / or scopes. Day to day costs are subject to defined limits.
Extender Range
The Extender range provides all round general cover and is suitable for young families and individuals. It offers unlimited hospital cover, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of in-hospital procedures and a short list of exclusions apply to minor in-hospital procedures. Day to day claims are paid from savings, a self payment gap and then from additional benefits. Unlimited cover for GP & specialist consults, pathology, radiology, basic dental check-ups and MRI/CT scans.
Incentive Range
The Incentive range provides all round general cover and is suitable for young families and individuals. It offers unlimited hospital cover, with in-hospital specialist bills paid at 200%. Co-payments are applied to a comprehensive list of in-hospital procedures and a short list of exclusions apply to minor in-hospital procedures. Day to day claims are paid from savings.
Custom Range
The Custom options are hospital plans that are ideal for young and healthy individuals. It offers unlimited hospital cover, with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of in-hospital procedures and a short list of exclusions apply to minor in-hospital procedures. A standard co-payment applies to all admissions except for motor vehicle accidents, maternity confinements and emergency treatment. Apart from some preventative care and maternity benefits, no other cover for day to day claims is provided.
Evolve
Evolve is a hospital plan which is ideal for young, healthy individuals. It offers unlimited hospital cover at a network of hospitals with in-hospital specialist bills paid at 100%. Co-payments are applied to a comprehensive list of in-hospital procedures, no benefit is offered for in-hospital dentistry and a short list of exclusions apply to minor in-hospital procedures. A standard co-payment applies to all admissions except for motor vehicle accidents, maternity confinements and emergency treatment. State providers must be used for prescribing and dispensing chronic medicines. Some maternity and preventative care benefits are covered.
Ingwe Range
Ingwe options are entry level capitated network plans which are affordable and ideal for low earning individuals. A comprehensive list of in-hospital exclusions applies. All treatments are subject to network providers and network protocols.
Lifestyle Programme
Momentum's Multiply is a wellness and rewards programme that rewards members for actively taking care of themselves. Benefits offered include discounted gym membership, travel & movie tickets as well as discounts and cash-back from certain retailers.
+Momentum Medical Scheme members can choose to make use of additional products available from Momentum, part of Momentum Metropolitan Life Limited, to seamlessly enhance their medical aid. Momentum is not a medical scheme, and is a separate entity to Momentum Medical Scheme. These voluntary complementary products range from a world-class lifestyle rewards programme, Multiply, to the innovative HealthReturns solution. These complementary products are not medical scheme benefits. You can be a member of Momentum Medical Scheme without taking any of the complementary products that Momentum offers.
