Momentum Health Comparisons – 2023 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 2023 plan updates in the tables below.
Momentum Health PlansCompare 7 Medical Aid Plans – 2023 Updates
Table Of ContentsMomentum Medical Aid
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| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
CUSTOM OPTION: ASSOCIATED HOSPITALS AND STATE FOR CHRONIC |
|||
| Monthly Contributions | |||
| Main Member | R2 149 | --- | --- |
| Spouse/Adult dependent | R1 626 | --- | --- |
| Child (Max 3) | R762 | --- | --- |
| Benefits | |||
| 100% scheme rate in-hospital. | |||
| Associated hospitals to be used. | |||
| R1830 co-payment on all hospital admissions bar emergencies, maternity and motor accidents. | |||
| Oncology R300 000 thereafter 20% co-payment. | |||
| 26 Chronic diseases: State only, medication subject to formulary.. | |||
| MRI/CT scans: No limit in and out of hospital, R3050 co-payment per scan and pre-authorisation. | |||
| Day to day paid from savings in the member's Health Saver. | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
CUSTOM OPTION: ASSOCIATED HOSPITALS AND ANY FOR CHRONIC |
|||
| Monthly Contributions | |||
| Main Member | R3 089 | --- | --- |
| Spouse/Adult dependent | R2 437 | --- | --- |
| Child (Max 3) | R1 089 | --- | --- |
| Benefits | |||
| 100% scheme rate in-hospital. | |||
| Associated hospitals to be used. | |||
| R1830 co-payment on all hospital admissions bar emergencies, maternity and motor accidents. | |||
| Oncology R300 000 thereafter 20% co-payment. | |||
| 26 Chronic diseases: State only, medication subject to formulary.. | |||
| MRI/CT scans: No limit in and out of hospital, R3050 co-payment per scan and pre-authorisation. | |||
| Day to day paid from savings in the member's Health Saver. | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
INCENTIVE OPTION: ASSOCIATED HOSPITALS AND STATE FOR CHRONIC |
|||
| Contributions/Savings | |||
| Monthly Contributions | Savings | ||
| Main Member | R2 794 | R3 348 | |
| Spouse/Adult dependent | R2 206 | R2 652 | |
| Child (Max 3) | R1 072 | R1 284 | Per child |
| Benefits | |||
| 200% scheme rate in-hospital. | |||
| Co-paymentss apply for certain procedures. | |||
| Oncology R400 000 thereafter 20% co-payment. | |||
| 27 Chronic diseases: State only, medication subject to formulary. | |||
| MRI/CT scans: No limit in and out of hospital, R2770 co-payment per scan and pre-authorisation. | |||
| Associated hospitals to be used. | |||
| --- | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
INCENTIVE OPTION: ASSOCIATED HOSPITALS AND STATE FOR CHRONIC |
|||
| Contributions/Savings | |||
| Monthly Contributions * | Savings ** | ||
| Main Member | R2 794 * | R3 348 ** | |
| Spouse/Adult dependent | R2 206 * | R2 652 ** | |
| Child (Max 3) | R1 072 * | R1 284 ** | Per child |
| Benefits | |||
| 200% scheme rate in-hospital. | |||
| Co-paymentss apply for certain procedures. | |||
| Oncology R400 000 thereafter 20% co-payment. | |||
| 27 Chronic diseases: State only, medication subject to formulary. | |||
| MRI/CT scans: No limit in and out of hospital, R2770 co-payment per scan and pre-authorisation. | |||
| Associated hospitals to be used. | |||
| --- | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
INCENTIVE OPTION: ASSOCIATED HOSPITALS AND ANY FOR CHRONIC |
|||
| Contributions/Savings | |||
| Monthly Contributions | Savings | ||
| Main Member | R4 001 | R4 701 | |
| Spouse/Adult dependent | R3 219 | R3 783 | |
| Child (Max 3) | R1 494 | R1 752 | Per child |
| Benefits | |||
| 200% scheme rate in-hospital. | |||
| Associated hospitals to be used. | |||
| Co-payments for certain procedures. | |||
| Oncology R400 000 thereafter 20% co-payment. | |||
| 27 Chronic diseases:medication subject to formulary. | |||
| MRI/CT scans: No limit in and out of hospital, R2630 co-payment per scan and pre-authorisation. | |||
| --- | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
INCENTIVE OPTION: ASSOCIATED HOSPITALS AND ANY FOR CHRONIC |
|||
| Contributions/Savings | |||
| Monthly Contributions * | Savings ** | ||
| Main Member | R4 001 * | R4 701 ** | |
| Spouse/Adult dependent | R3 219 * | R3 783 ** | |
| Child (Max 3) | R1 494 * | R1 752 ** | Per child |
| Benefits | |||
| 200% scheme rate in-hospital. | |||
| Associated hospitals to be used. | |||
| Co-payments for certain procedures. | |||
| Oncology R400 000 thereafter 20% co-payment. | |||
| 27 Chronic diseases:medication subject to formulary. | |||
| MRI/CT scans: No limit in and out of hospital, R2630 co-payment per scan and pre-authorisation. | |||
| --- | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
EXTENDER OPTION: ASSOCIATED HOSPITALS AND STATE FOR CHRONIC |
|||
| Contributions/Savings | |||
| Monthly Contributions | Savings | ||
| Main Member | R6 009 | R17 676 | |
| Spouse/Adult dependent | R4 557 | R13 404 | |
| Child (Max 3) | R1 767 | R5 199 | Per child |
| Benefits | |||
| 200% scheme rate in-hospital. | |||
| Associated hospitals to be used. | |||
| Co-payments for certain procedures. | |||
| Oncology R500 000 thereafter 20% co-payment. | |||
| 27 Chronic diseases:State only, medication subject to formulary. | |||
| MRI/CT scans: No limit in and out of hospital, R2630 co-payment per scan and pre-authorisation. | |||
| --- | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
EXTENDER OPTION: ASSOCIATED HOSPITALS AND STATE FOR CHRONIC |
|||
| Contributions/Savings | |||
| Monthly Contributions * | Savings ** | ||
| Main Member | R6 009 * | R17 676 ** | |
| Spouse/Adult dependent | R4 557 * | R13 404 ** | |
| Child (Max 3) | R1 767 * | R5 199 ** | Per child |
| Benefits | |||
| 200% scheme rate in-hospital. | |||
| Associated hospitals to be used. | |||
| Co-payments for certain procedures. | |||
| Oncology R500 000 thereafter 20% co-payment. | |||
| 27 Chronic diseases:State only, medication subject to formulary. | |||
| MRI/CT scans: No limit in and out of hospital, R2630 co-payment per scan and pre-authorisation. | |||
| --- | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
EXTENDER OPTION: ASSOCIATED HOSPITALS AND ANY FOR CHRONIC |
|||
| Contributions/Savings | |||
| Monthly Contributions | Savings | ||
| Main Member | R6 589 | R19 764 | |
| Spouse/Adult dependent | R4 997 | R14 988 | |
| Child (Max 3) | R1 937 | R5 808 | Per child |
| Benefits | |||
| 200% scheme rate in-hospital. | |||
| Associated hospitals to be used. | |||
| Co-payments for certain procedures. | |||
| Oncology R500 000 thereafter 20% co-payment. | |||
| 27 Chronic diseases: medication subject to formulary. 36 additional: Limit R12 400 per family. | |||
| MRI/CT scans: No limit in and out of hospital, R2770 co-payment per scan and pre-authorisation. | |||
| --- | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 |
|---|---|---|---|
EXTENDER OPTION: ASSOCIATED HOSPITALS AND ANY FOR CHRONIC |
|||
| Contributions/Savings | |||
| Monthly Contributions * | Savings ** | ||
| Main Member | R6 589 * | R19 764 ** | |
| Spouse/Adult dependent | R4 997 * | R14 988 ** | |
| Child (Max 3) | R1 937 * | R5 808 ** | Per child |
| Benefits | |||
| 200% scheme rate in-hospital. | |||
| Associated hospitals to be used. | |||
| Co-payments for certain procedures. | |||
| Oncology R500 000 thereafter 20% co-payment. | |||
| 27 Chronic diseases: medication subject to formulary. 36 additional: Limit R12 400 per family. | |||
| MRI/CT scans: No limit in and out of hospital, R2770 co-payment per scan and pre-authorisation. | |||
| --- | |||
| --- | |||
| --- |
| Column 1 | Column 2 | Column 3 | Column 4 | Column 5 |
|---|---|---|---|---|
INGWE: NETWORK HOSPITALS |
||||
| Monthly Contributions | ||||
| Income p/m | R826 – R8150 * |
R8151 - R11325 ** |
R11326 - R16100 *** |
'R16101+ **** |
| Main Member | R1 184 * |
R1 507 ** |
R2 069 *** |
R2 970 **** |
| Spouse/Adult dependent | R1 184 * |
R1 507 ** |
R2 069 *** |
R2 670 **** |
| Child (Max 3) | R542 * |
R564 ** |
R609 *** |
R875 **** |
| Benefits | ||||
| 100% scheme rate in-hospital. | ||||
| Ingwe Hospitals to be used. | ||||
| Oncology: State. | ||||
| Renal Dialysis: State. | ||||
| 26 Chronic diseases: subject to scheme formulary: Ingwe Primary Care Network. | ||||
| MRI/CT scans: As part of hospital admission at a state hospital. | ||||
| GP's: must be on the Primary Care Network.. | ||||
| 1 out of network visit per person, 2 visits per family with a R105 co-payment. | ||||
| --- |
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