Momentum Health Comparisons

Momentum Health Comparisons – 2020 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.

Please feel free to use our convenient Quote Form provided. Our consultants will assist you in analysing your healthcare needs and supply easy to understand Medical Aid Comparisons and Quotes.

Compare Momentum’s latest 2020 plan updates in the tables below.

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Momentum Health PlansCompare Medical Aid Plans - 2020 Updates

MOMENTUM CUSTOM OPTION
ASSOCIATED HOSPITAL & STATE FOR CHRONIC
Hospital Plan
MONTHLY CONTRIBUTIONS
Principal Member R 1,642
Spouse/Adult Dependant R 1,242
Per Child (Max 3) R 582



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
*7 days Take Home Medicine
*R1,570 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 35,600
Hospice Care (including Rehab & Step-down)
R 48,700
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 2,319
Spouse/Adult Dependant R 1,830
Per Child (Max 3) R 818



IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
*7 days Take Home Medicine
*R1,570 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 35,600
Hospice Care (including Rehab & Step-down)
R 48,700
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 2,141
Spouse/Adult Dependant R 1,690
Per Child (Max 3) R 821



IN HOSPITAL BENEFIT
2020 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 37,900
Hospice Care (including Rehab & Step-down)
R 53,000
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 300 per family.
Only from state hospital.
ANNUAL DAY TO DAY BENEFIT
(including Savings)
100% Scheme Rate

Limits per annum:
Member R 2,568
Member + Spouse R 4,596
Member + Spouse + Child 1 R 5,580
Member + Spouse + Child 2 R 6,564
Member + Spouse + Child 3 R 7,548
Member + Child 1 R 3,552
Member + Child 2 R 4,536
Member + Child 3 R 5,520



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 3,301
Spouse/Adult Dependant R 2,656
Per Child (Max 3) R 1,233



IN HOSPITAL BENEFIT
2020 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 37,900
Hospice Care (including Rehab & Step-down)
R 53,000
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 300 per family.



ANNUAL DAY TO DAY BENEFIT
(including Savings)
100% Scheme Rate

Limits per annum:
Member R 3,960
Member + Spouse R 7,152
Member + Spouse + Child 1 R 8,628
Member + Spouse + Child 2 R 10,104
Member + Spouse + Child 3 R 11,580
Member + Child 1 R 5,436
Member + Child 2 R 6,912
Member + Child 3 R 8,388



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 5,033
Spouse/Adult Dependant R 3,817
Per Child (Max 3) R 1,480



IN HOSPITAL BENEFIT
2020 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 37,900
Hospice Care (including Rehab & Step-down)
R 55,000
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 300 per family.
Only from state hospital.
ANNUAL DAY TO DAY BENEFIT
(including Savings)
100% Scheme Rate

Limits per annum:
Member R 15,096
Member + Spouse R 26,544
Member + Spouse + Child 1 R 30,984
Member + Spouse + Child 2 R 35,424
Member + Spouse + Child 3 R 39,864
Member + Child 1 R 19,536
Member + Child 2 R 23,976
Member + Child 3 R 28,416



For more savings please enquire about the
Health Saver.

ANNUAL THRESHOLD
Principal Member R 22,900
Spouse/Adult Dependant R 20,000
Per Child R 6,600
MOMENTUM EXTENDER OPTION
ASSOCIATED HOSPITAL & ANY FOR CHRONIC
Comprehensive Plan
MONTHLY CONTRIBUTIONS
Principal Member R 6,244
Spouse/Adult Dependant R 5,029
Per Child (Max 3) R 1,767



IN HOSPITAL BENEFIT
2020 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 37,900
Hospice Care (including Rehab & Step-down)
R 55,000
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 300 per family.



ANNUAL DAY TO DAY BENEFIT
(including Savings)
100% Scheme Rate

Limits per annum:
Member R 18,732
Member + Spouse R 33,816
Member + Spouse + Child 1 R 39,120
Member + Spouse + Child 2 R 44,424
Member + Spouse + Child 3 R 49,728
Member + Child 1 R 24,036
Member + Child 2 R 29,340
Member + Child 3 R 34,644



For more savings please enquire about the
Health Saver.

ANNUAL THRESHOLD
Principal Member R 22,900
Spouse/Adult Dependant R 20,000
Per Child R 6,600
MOMENTUM INGWE OPTION
INGWE NETWORK HOSPITALS - Network Plan
MONTHLY CONTRIBUTIONS
Income p/m R0-R725 R726-R7,150 R7,151-R9,450 R9,451-R13,500 R13,501+
Principal Member R439 R 905 R 1,151 R 1,602 R 2,269
Spouse/Adult Dependant R439 R 905 R 1,151 R 1,602 R 2,269
Per Child R396 R 414 R 430 R 471 R 668
IN HOSPITAL BENEFIT
2020 BENEFITS
100% Scheme Rate
No Overall Annual Limit
*7 daysTake Home Medicine







Annual Sub-limits per person:
Psychiatric Treatment



PMB
Hospice Care



n/a
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 050 per person

and R2 100 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












Comparisons MADE EASY!

Why not use our 25+ years of experience as medical aid brokers,? We can help you choose the most appropriate medical aid, at no extra cost. Changes to legislation, new product innovation and the vast range of available medical aid cover, make choosing or even understanding your medical aid a daunting task. We believe, more than ever, people need professional advice in order to make an informed decision on their healthcare requirements.

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 Medical Aid 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 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.

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