About Momentum Health

Momentum Health provides cover for approximately 298 000 lives and is one of the five 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 Custom, Incentive or Extender options that make use of hospital and or chronic medicine provider networks, members are able to lower their contributions. The Health Platform Benefit offers a maternity programme and preventative care benefits.


Momentum's HealthSaver lets members save for additional day to day medical expenses not covered by their medical aid option. Momentum pays up to R3 000 per family per month in HealthReturns to members who complete an annual health assessment, comply with treatment protocols and are active.

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Momentum Health Medical Aid Plans – Contributions


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.

Summit Option

Contributions (Main)R3 118 – R13 572
Principal MemberR13 572
Adult DependantR10 855
Child DependantR3 118

Extender Option

Contributions (Main)R1 937 – R6 589
Principal MemberR6 589
Adult DependantR4 997
Child DependantR1 937

Incentive Option

Contributions (Main)R1 072 – R2 794
Principal MemberR2 794
Adult DependantR2 206
Child DependantR1 072

Custom Option

Contributions (Main)R762 – R2 149
Principal MemberR2 149
Adult DependantR1 626
Child DependantR762

Evolve Option

Contributions (Main)R1 687
Principal MemberR1 687
Adult DependantR1 687
Child DependantR1 687

Ingwe Option

Contributions (Main)R466 – R541
Principal MemberR541
Adult DependantR541
Child DependantR466

*Contributions are subject to individual circumstances and may vary. Please consult Momentum for personalised quotes.

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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 specialised radiology and or scopes. Day to day costs are subject to defined limits.

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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 and specialist consults, pathology, radiology, basic dental check-ups and MRI and CT scans.

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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.

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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.

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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.

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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.

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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 and movie tickets as well as discounts and cash-back from certain retailers.

Momentum is part of Momentum Metropolitan Life Limited, an authorised financial services and registered credit provider.

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