Momentum Health Comparisons – 7 Medical Aid Plans Compared

Momentum Health Comparisons – 2024 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 2024 plan updates in the tables below.

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Momentum Health PlansCompare 7 Medical Aid Plans – 2024 Updates

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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.
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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: Subject to scheme 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.
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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.
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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.
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INCENTIVE OPTION: ASSOCIATED HOSPITALS AND ANY FOR CHRONIC

Contributions/Savings
Monthly Contributions Savings
Main Member R4 397 R5 280
Spouse/Adult dependent R3 538 R4 248
Child (Max 3) R1 642 R1 968 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.
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INCENTIVE OPTION: ASSOCIATED HOSPITALS AND ANY FOR CHRONIC

Contributions/Savings
Monthly Contributions * Savings **
Main Member R4 397 * R5 280 **
Spouse/Adult dependent R3 538 * R4 248 **
Child (Max 3) R1 642 * R1 968 ** 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.
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EXTENDER OPTION: ASSOCIATED HOSPITALS AND STATE FOR CHRONIC

Contributions/Savings/Annual Threshold
Monthly Contributions Savings Annual Threshold Benefit
Main Member R6 589 R19 764 R30 400
Spouse/Adult dependent R4 997 R14 988 R26 400
Child (Max 3) R1 937 R5 808 R8 700
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. 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.
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EXTENDER OPTION: ASSOCIATED HOSPITALS AND STATE FOR CHRONIC

Contributions/Savings/Annual Threshold
Monthly Contributions * Savings ** Annual Threshold Benefit ***
Main Member R6 589 * R19 764 ** R30 400 ***
Spouse/Adult dependent R4 997 * R14 988 ** R26 400 ***
Child (Max 3) R1 937 * R5 808 ** R8 700 ***
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. 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.
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EXTENDER OPTION: ASSOCIATED HOSPITALS AND ANY FOR CHRONIC

Contributions/Savings/Annual Threshold
Monthly Contributions Savings Annual Threshold Benefit Monthly Contributions
Main Member R8 315 R24 948 R30 400
Spouse/Adult dependent R6 697 R20 088 R26 400 Monthly Contributions
Child (Max 3) R2 353 R7 056 R8 700 Monthly Contributions
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.
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EXTENDER OPTION: ASSOCIATED HOSPITALS AND ANY FOR CHRONIC

Contributions/Savings/Annual Threshold
Monthly Contributions * Savings ** Annual Threshold Benefit ***
Main Member R8 315 * R24 948 ** R30 400 ***
Spouse/Adult dependent R6 697 * R20 088 ** R26 400 ***
Child (Max 3) R2 353 * R7 056 ** R8 700 ***
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.
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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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