Momentum Health Comparisons – 2021 Medical Aid Plans
Momentum Health Comparisons: 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. Read more about Momentum.
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Compare Momentum’s latest 2021 plan updates in the tables below.
Momentum Health PlansCompare 7 Medical Aid Plans - 2021 Updates
| MOMENTUM CUSTOM OPTION | ||
| ASSOCIATED HOSPITAL & STATE FOR CHRONIC | ||
| Hospital Plan | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 1,706 | |
| Spouse/Adult Dependant | R 1,291 | |
| Per Child (Max 3) | R 605 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 100% Scheme Rate | ||
| No Overall Annual Limit | ||
| *7 days Take Home Medicine | ||
| *R1,640 co-payment except for Emergencies, MVA's and | ||
| maternity. | ||
| Associated Hospitals to be used (Life and Mediclinics) | ||
| Annual Sub-limits per person: | ||
| Psychiatric Treatment | R 37,000 | |
| Hospice Care (including Rehab & Step-down) | R 53,000 | |
| Oncology R 300 000 thereafter 20% co-payment | ||
| Internal Prosthesis: See detailed benefits | ||
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| Only from state hospital. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| Does not apply | ||
| For more savings please enquire about the | ||
| Health Saver. | ||
| ANNUAL THRESHOLD | ||
| Does not apply | ||
| MOMENTUM CUSTOM OPTION | ||
| ASSOCIATED HOSPITAL & ANY FOR CHRONIC | ||
| Hospital Plan | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 2,423 | |
| Spouse/Adult Dependant | R 1,912 | |
| Per Child (Max 3) | R 855 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 100% Scheme Rate | ||
| No Overall Annual Limit | ||
| *7 days Take Home Medicine | ||
| *R1,640 co-payment except for Emergencies, MVA's and | ||
| maternity. | ||
| Associated Hospitals to be used (Life and Mediclinics) | ||
| Annual Sub-limits per person: | ||
| Psychiatric Treatment | R 3,700 | |
| Hospice Care (including Rehab & Step-down) | R 53,000 | |
| Oncology R 300 000 thereafter 20% co-payment | ||
| Internal Prosthesis: See detailed benefits | ||
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| Does not apply | ||
| For more savings please enquire about the | ||
| Health Saver. | ||
| ANNUAL THRESHOLD | ||
| Does not apply | ||
| MOMENTUM INCENTIVE OPTION | ||
| ASSOCIATED HOSPITAL & STATE FOR CHRONIC | ||
| Limited Day to Day Cover | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 2,224 | |
| Spouse/Adult Dependant | R 1,756 | |
| Per Child (Max 3) | R 853 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 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 per person: | ||
| Psychiatric Treatment | R 39,500 | |
| Hospice Care (including Rehab & Step-down) | R 55,000 | |
| Oncology R 400 000 thereafter 20% co-payment | ||
| Internal Prosthesis: See detailed benefits | ||
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| 6 additional conditions limited to R10 700 per family. | ||
| Only from state hospital. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| 100% Scheme Rate | ||
| Limits per annum: | ||
| Member | R 2,669 | |
| Member + Spouse | R 4,776 | |
| Member + Spouse + Child 1 | R 5,780 | |
| Member + Spouse + Child 2 | R 6,823 | |
| Member + Spouse + Child 3 | R 7,847 | |
| Member + Child 1 | R 3,692 | |
| Member + Child 2 | R 4,716 | |
| Member + Child 3 | R 5,740 | |
| For more savings please enquire about the | ||
| Health Saver. | ||
| ANNUAL THRESHOLD | ||
| Does not apply | ||
| MOMENTUM INCENTIVE OPTION | ||
| ASSOCIATED HOSPITAL & ANY FOR CHRONIC | ||
| Limited Day to Day Cover | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 3,449 | |
| Spouse/Adult Dependant | R 2,774 | |
| Per Child (Max 3) | R 1,289 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 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 per person: | ||
| Psychiatric Treatment | R 39,500 | |
| Hospice Care (including Rehab & Step-down) | R 55,000 | |
| Oncology R 400 000 thereafter 20% co-payment. | ||
| Internal Prostheses: See detailed benefit schedule. | ||
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| 6 additional conditions limited to R10 700 per family. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| 100% Scheme Rate | ||
| Limits per annum: | ||
| Member | R 4,139 | |
| Member + Spouse | R 7,468 | |
| Member + Spouse + Child 1 | R 9,014 | |
| Member + Spouse + Child 2 | R 10,561 | |
| Member + Spouse + Child 3 | R 12,108 | |
| Member + Child 1 | R 5,686 | |
| Member + Child 2 | R 7,232 | |
| Member + Child 3 | R 8,779 | |
| For more savings please enquire about the | ||
| Health Saver. | ||
| ANNUAL THRESHOLD | ||
| Does not apply | ||
| MOMENTUM EXTENDER OPTION | ||
| ASSOCIATED HOSPITAL & STATE FOR CHRONIC | ||
| Comprehensive Plan | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 5,231 | |
| Spouse/Adult Dependant | R 3,967 | |
| Per Child (Max 3) | R 1,537 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 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 per person: | ||
| Psychiatric Treatment | R 39,500 | |
| Hospice Care (including Rehab & Step-down) | R 57,000 | |
| Oncology R 500 000 thereafter 20% co-payment. | ||
| Internal Prostheses: See detailed benefit schedule. | ||
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| 36 additional conditions limited to R10 700 per family. | ||
| Only from state hospital. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| 100% Scheme Rate | ||
| Limits per annum: | ||
| Member | R 15,693 | |
| Member + Spouse | R 27,594 | |
| Member + Spouse + Child 1 | R 32,205 | |
| Member + Spouse + Child 2 | R 36,816 | |
| Member + Spouse + Child 3 | R 41,427 | |
| Member + Child 1 | R 20,304 | |
| Member + Child 2 | R 24,915 | |
| Member + Child 3 | R 29,526 | |
| For more savings please enquire about the | ||
| Health Saver. | ||
| ANNUAL THRESHOLD | ||
| Principal Member | R 23,900 | |
| Spouse/Adult Dependant | R 20,900 | |
| Per Child | R 6,900 | |
| MOMENTUM EXTENDER OPTION | ||
| ASSOCIATED HOSPITAL & ANY FOR CHRONIC | ||
| Comprehensive Plan | ||
| MONTHLY CONTRIBUTIONS | ||
| Principal Member | R 6,523 | |
| Spouse/Adult Dependant | R 5,255 | |
| Per Child (Max 3) | R 1,845 | |
| IN HOSPITAL BENEFIT | ||
| 2021 BENEFITS | ||
| 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 per person: | ||
| Psychiatric Treatment | R 39,500 | |
| Hospice Care (including Rehab & Step-down) | R 57,000 | |
| Oncology R 500 000 thereafter 20% co-payment. | ||
| Internal Prostheses: See detailed benefit schedule. | ||
| CHRONIC MEDICATION | ||
| 100% Scheme Rate | ||
| 26 Chronic Disease Conditions. | ||
| Subject to scheme formulary. | ||
| 36 additional conditions limited to R10 700 per family. | ||
| ANNUAL DAY TO DAY BENEFIT | ||
| (including Savings) | ||
| 100% Scheme Rate | ||
| Limits per annum: | ||
| Member | R 19,569 | |
| Member + Spouse | R 35,334 | |
| Member + Spouse + Child 1 | R 40,869 | |
| Member + Spouse + Child 2 | R 46,404 | |
| Member + Spouse + Child 3 | R 51,939 | |
| Member + Child 1 | R 25,104 | |
| Member + Child 2 | R 30,639 | |
| Member + Child 3 | R 36,174 | |
| For more savings please enquire about the | ||
| Health Saver. | ||
| ANNUAL THRESHOLD | ||
| Principal Member | R 23,900 | |
| Spouse/Adult Dependant | R 20,900 | |
| Per Child | R 6,900 | |
| MOMENTUM INGWE OPTION | |||||
| INGWE NETWORK HOSPITALS | |||||
| Network Plan | |||||
| MONTHLY CONTRIBUTIONS | |||||
| Income p/m | R0-R750 | R751-R7,450 | R7,451-R9,850 | R9,851-R14,050 | R14,051+ |
| Principal Member | R455 | R 940 | R 1,196 | R 1,665 | R 2,358 |
| Spouse/Adult Dependant | R455 | R 940 | R 1,196 | R 1,665 | R 2,358 |
| Per Child | R410 | R 430 | R 447 | R 489 | R 694 |
| IN HOSPITAL BENEFIT | |||||
| 2021 BENEFITS | |||||
| 100% Scheme Rate | |||||
| No Overall Annual Limit | |||||
| *7 daysTake Home Medicine | |||||
| Annual Sub-limits per person: | |||||
| Psychiatric Treatment | PMB | ||||
| Hospice Care | R 13,660 | ||||
| Oncology (at a State Hospital) | PMB | ||||
| CHRONIC MEDICATION | |||||
| 100% Scheme Rate | |||||
| 26 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 Ingwe Primary Care Network. | ||||
| Pre-authorisation required from 11th visit. | |||||
| 1 out-of-network visit per person and max 2 visits | |||||
| per family per year with a R100 co-payment. | |||||
| Specialists: | 2 visits per family per year limited to R1 100 per person | ||||
| and R2 200 per family. | |||||
| Must be referred by a Network GP | |||||
| Conservative Dentistry: | No limit from Network Providers. | ||||
| Pre-authorisation required if more than 4 fillings | |||||
| or extractions. | |||||
| ANNUAL THRESHOLD | |||||
| Does not apply | |||||
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For more detailed information on any of the above Momentum Health Comparisons, just click on the name of the relevant plan in the tables above. If you already know what you want, why not make use of our site to download the relevant Medical Aid Application form and and then fax it back to us on 0866 200 320. Alternatively, if you would like us to confirm some of the finer details and/or pricing, just fill in our free quote request form and we will get back to you promptly.
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Our consultants at Informed Healthcare Solutions will assist you in analysing your healthcare needs and supply easy to understand Momentum Health Comparisons and quotes to ensure you get the best possible benefits to premium value. We are contracted to all major schemes, offering a range of products including Hospital plans, Comprehensive plans, Hospital plans with savings or limited day-to-day cover, Traditional Schemes and Medical Aid Gap Cover.
Finally, we invite you to contact us on +27 21 712 8866 at any point in your decision making process for further information on the Momentum Health Comparisons.
