Momentum Health Comparisons – 7 Medical Aid Plans Compared

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.

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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.

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