Momentum Health Comparisons – 7 Medical Aid Plans Compared

Momentum Health Comparisons – 2025 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 2025 plan updates in the tables below.

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Momentum Health PlansCompare 7 Medical Aid Plans – 2025 Updates

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CUSTOM OPTION: ASSOCIATED HOSPITALS AND STATE FOR CHRONIC

Monthly Contributions
Main Member R2 353 --- ---
Spouse/Adult dependent R1 780 --- ---
Child (Max 3) R834 --- ---
Benefits
100% scheme rate in-hospital.
Associated hospitals to be used.
R1920 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, R3200 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 393 --- ---
Spouse/Adult dependent R2 677 --- ---
Child (Max 3) R1 196 --- ---
Benefits
100% scheme rate in-hospital.
Associated hospitals to be used.
R1920 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, R3200 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 R3 060 R3 672
Spouse/Adult dependent R2 414 R2 896
Child (Max 3) R1 174 R1 409 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, R2900 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 R3 060 * R3 672 **
Spouse/Adult dependent R2 414 * R2 896 **
Child (Max 3) R1 174 * R1 409 ** 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, R2900 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 827 R5 792
Spouse/Adult dependent R3 884 R4 660
Child (Max 3) R1 803 R2 164 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, R2900 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 827 * R5 792 **
Spouse/Adult dependent R3 884 * R4 660 **
Child (Max 3) R1 803 * R2 164 ** 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, R2900 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 R7 215 R21 645 R33 400
Spouse/Adult dependent R5 472 R16 416 R29 000
Child (Max 3) R2 121 R6 363 R9 600
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 R13 100 per family pa.
MRI/CT scans: No limit in and out of hospital, R2900 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 R7 215 * R21 645 ** R33 400 ***
Spouse/Adult dependent R5 472 * R16 416 ** R29 000 ***
Child (Max 3) R2 121 * R6 363 ** R9 600 ***
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 R13 100 per family pa.
MRI/CT scans: No limit in and out of hospital, R2900 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 R9 129 R27 387 R33 400
Spouse/Adult dependent R7 353 R22 059 R29 000 Monthly Contributions
Child (Max 3) R2 584 R7 752 R9 600 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 R13 100 per family.
MRI/CT scans: No limit in and out of hospital, R2900 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 R9 129 * R27 387 ** R33 400 ***
Spouse/Adult dependent R7 353 * R22 059 ** R29 000 ***
Child (Max 3) R2 584 * R7 752 ** R9 600 ***
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 R13 100 per family.
MRI/CT scans: No limit in and out of hospital, R2900 co-payment per scan and pre-authorisation.
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INGWE: NETWORK HOSPITALS

Monthly Contributions
Income p/m R0 - R1 500
*
R1 501 - R9 000
**
R9 001 - R11 950
***
R11 951 - R17 000
****
R17 001 - R22 400
*****
R22 401+
******
Main Member R589
*
R1 296
**
R1 650
***
R2 266
****
R3 252
*****
R3 265
******
Spouse/Adult dependent R589
*
R1 296
**
R1 650
***
R2 266
****
R3 252
*****
R3 265
******
Child (Max 3) R531
*
R593
**
R618
***
R467
****
R958
*****
R962
******
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 R110 co-payment. Must be authorised within 72 hours or 30% co-payment.
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