Momentum Health Medical Aid Comparison - 2014 Plans

Momentum Health strives to offer you good value for money by combining flexibility with comprehensive cover, because it is important to match your family’s needs. The Scheme’s unique Health Platform benefit provides a variety of free annual screening tests, while its provider choice model can save you up to 30% on your contribution. Members can also earn R1 800 per year through the Momentum Compliance incentive™

 
Momentum Health Custom Option
Ingwe Option Incentive Option
Extender Option
 
 
MOMENTUM CUSTOM OPTION
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  No Overall Annual Limit  
  *7 days Take Home Medicine  
  *R1000 co-payment except for  
  Emergencies, MVA's and maternity  
  Associated Hospitals to be used  
  (Life and Mediclinics)  
  Annual Sub-limits :
 
     
  Psychiatric Treament R26,900  
  Hospice Care (including R36,900  
   rehab & step-down    
    facilities)    
       
       
  Oncology R30]0,000    
   thereafter 20% co-pay    
  Internal Prostheses:    
    see detailed benefits    
               
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 Chronic Disease Conditions  
  Subject to scheme formulary  
   Only from state hospitals  
               
               
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  Does not apply   
       
       
  For more savings, please enquire  
  about the Health Saver  
       
       
       
       
       
       
       
       
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
               
  MONTHLY CONTRIBUTIONS  
  Principal Member R 978  
  Spouse/Adult dependant R 739  
  Per Child (Max 3) R 346  
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
MOMENTUM INGWE OPTION
  IN HOSPITAL BENEFIT  
  100% Scheme Rate  
  R1,000,000 per family per annum  
  *7 days Take Home Medicine  
     
     
  Annual Sub-limits :
 
     
    Psychiatric Treament PMB  
    Hospice Care n/a  
    Oncology PMB  
       
       
       
       
       
       
       
       
       
               
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 PMB Chronic Disease Conditions  
  Subject to scheme formulary  
  Ingwe Primary Care network  
     
               
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% Scheme Rate  
  Primary Care Network    
       
  GP's:   
  No Limit from  
  Network Providers   
     
     
  Specialists:  
  2 visit per family limited to R1,320  
  per annum and/ or R800 per event  
   with 10% co-payment               
     
  Conservative Dentistry:  
  No Limit from Network Providers   
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
               
  MONTHLY CONTRIBUTIONS  
  Income p/m             R0- R5,200  
  Principal Member    R 538  
  Spouse/Adult dependant R 538  
  Per Child R 247  
       
       
  Income p/m      R5,201- R6,950  
  Principal Member R 686  
  Spouse/Adult dependant R 686  
  Per Child R 257  
       
  Income p/m      R6,951- R9,400  
  Principal Member R 956  
  Spouse/Adult Dependant R 927  
  Per Child R 281  
       
  Income p/m    R9,400 +    
  Principal Member R 1,355  
  Spouse/Adult Dependant R 1,314  
  Per Child R 399  
       
       
       
       
       
MOMENTUM INCENTIVE OPTION
  IN HOSPITAL BENEFIT  
  200% Scheme rate  
  No Overall Annual Limit  
  *7 days Take Home Medicine  
  *Co-payments apply for certain  
  procedures  
  Associated Hospitals to be used  
  (Life and Mediclinics)  
  Annual Sub-limits :
 
     
  Psychiatric Treament R27,400  
  Hospice Care (including R36,900    
   rehab & step-down    
    facilities)    
       
       
  Oncology R400,000    
    thereafter 20% co-pay    
  Internal Prostheses:    
      see detailed benefits    
               
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 Chronic Disease Conditions  
  Subject to scheme formulary  
  6 additional conditions limited to  
  R 7,400 per family  
   Only from state hospitals  
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% Scheme Rate   
  Limits per annum:   
     
  Member R 1,548  
  Member+Spouse R 2,760  
  Member+Spouse+Child1 R 3,360  
  Member+Spouse+Child2 R 3,960  
  Member+Spouse+Child3 R 4,560  
  Member+Child 1 R 2,148  
       
  For more savings, please enquire  
  about the Health Saver  
       
       
       
       
       
       
  ANNUAL THRESHOLD BENEFIT  
  Does not apply  
               
               
  MONTHLY CONTRIBUTIONS  
  Principal Member R 1,288  
  Spouse/Adult dependant R 1,010  
  Per Child (Max 3) R 499  
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
 
MOMENTUM EXTENDER OPTION
  IN HOSPITAL BENEFIT  
  200% Scheme Rate  
  No Overall Annual Limit  
  *7 days Take Home Medicine  
  *Co-payments apply for certain  
  procedures  
  Associated Hospitals to be used  
  (Life and Mediclinics)  
  Annual Sub-limits :  
       
   Psychiatric Treament R27,400    
   Hospice Care (including R38,000   
      rehab & step-down    
       facilities)    
       
    Oncology R500,000    
     thereafter 20% co-pay    
   Internal Prostheses:    
      see detailed benefits    
       
  CHRONIC MEDICATION BENEFIT  
  100% Scheme Rate  
  27 Chronic Disease Conditions  
  Subject to scheme formulary  
  36 additional conditions limited to  
  R 7, 400 per family  
     
     
     
     
               
  ANNUAL DAY TO DAY BENEFIT
(including savings)
 
  100% Scheme Rate  
  Limits per annum:  
 
 
  Member R 10,104  
  Member+Spouse R 18,168  
  Member+Spouse+Child1 R 21,336  
  Member+Spouse+Child2 R 24,504  
  Member+Spouse+Child3 R 27,672  
  Member+Child 1 R 13,272  
       
   For more savings, please enquire  
   about the Health Saver  
       
       
  ANNUAL THRESHOLD BENEFIT  
  Principal Member R 12,300  
  Spouse/Adult dependant R 10,600  
  Per Child (Max 3) R 3,600  
     
     
  MONTHLY CONTRIBUTIONS  
  Principal Member R 3,367  
  Spouse/Adult dependant R 2,687  
  Per Child (Max 3) R 1,056