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Even more benefits with our Health Platform

Every Momentum Health membership includes Health Platform benefits at no extra cost.

Some of the healthcare benefits include:

  • Market-leading maternity programme.
  • Annual health assessment.
  • Annual flu vaccine (beneficiaries under 18 or over 60).
  • Annual dental check-up.
  • Baby immunisations (up to age 6).
  • 24-hour health and medical advice through our Health Line.
  • Emergency evacuation via Netcare911.

The benefits for screening and health checks enable you to be better informed about your health status and, since these are funded by the scheme, your savings and day-to-day benefits will last longer too.


Your Momentum Health benefits:
Preventative Care Open
What is the healthcare benefit Who is eligible? How often? On which Momentum Health option?
Baby immunisations Children up to age 6 As required by the Department of Health All options
On the Ingwe and Impact Options, only available at State baby wellness clinics
Flu vaccines Children between 6 months and 5 years
High-risk beneficiaries under 18
Beneficiaries 65 and older
High-risk beneficiaries
Once a year All options
Tetanus diphtheria injection All beneficiaries As needed All options
Pneumococcal vaccine Beneficiaries 60 and older
High-risk beneficiaries
Once a year Custom, Incentive, Extender and Summit
Early Detection Tests Open

What is the healthcare benefit?    

Who is eligible?

How often?

On which Momentum Health option?

Dental consultation (incl. sterile tray and gloves)

All beneficiaries

Once a year

All options

Pap smear (pathologist)Consultation (GP)

Women 15 and older

Once a year

Ingwe and Impact

Pap smear (pathologist)Consultation (GP or gynaecologist)

Custom, Incentive, Extender & Summit

Mammogram

Women 38 and older

Once every 2 years

Custom, Incentive, Extender & Summit

DEXA bone density scan(radiologist, GP or specialist)

Beneficiaries 50 and older

Once every 3 years

Custom, Incentive, Extender & Summit

General physical examination(GP)

Beneficiaries 21 to 29

Once every 5 years

All options

Beneficiaries 30 to 59

Once every 3 years

Beneficiaries 60 to 69

Once every 2 years

Beneficiaries 70 and older

Once a year

Prostate specific antigen (pathologist)

Men 40 to 49

Once every 5 years

All options

Men 50 to 59

Once every 3 years

Men 60 to 69

Once every 2 years

Men 70 and older

Once a year

Health Assessment
Body mass index, blood pressure test, cholesterol, blood sugar test, height, weight and waist circumference (finger prick)

All adult beneficiaries

Once a year

All options

Cholesterol test (pathologist)
Covered if Health Assessment results indicate a total cholesterol of 6mmol/L and above

Principal members and adult beneficiaries

Once a year

All options

Blood sugar test (pathologist)
Covered if Health Assessment results indicate blood sugar levels are 11mmol/L and above

Principal members and adult beneficiaries

Once a year

All options

Glaucoma test

Beneficiaries 40 to 49

Once every 2 years

Custom, Incentive, Extender & Summit

Beneficiaries 50 and older

Once a year

HIV test (pathologist)

Beneficiaries 15 and older

Once every 5 years

All options

 

Maternity Programme Open

What is the healthcare benefit?

Who is eligible?

How often?

On which Momentum Health option?

Antenatal visits (Midwives, GP or gynaecologist)

Online antenatal and postnatal classes

Women registered on the programme

4 visits
12 visits
18-month subscriptin

Ingwe & Impact
Custom, Incentive, Extender and Summit
Incentive, Extender and Summit

Online video consultation with lactation specialist


Women registered on the programme

Initial consultation
Initial consultation plus follow-up

Incentive
Extender and Summit

Urine tests (dipstick)

Women registered on the programme

Included in antenatal visits

All options

Scans

Women registered on the programme

2 growth scans

Ingwe and Impact

2 pregnancy scans

Custom, Incentive, Extender & Summit

Paediatrician visits

Babies up to 12 months registered on the programme

2 visits in baby's first year

Custom, Incentive, Extender & Summit

Disease Management Programmes Open

What is the healthcare benefit?

Who is eligible?

How often?

On which Momentum Health option?

Diabetes, Hypertension, HIV/Aids, Oncology, Drug and alcohol rehabilitation, Chronic renal failure, Organ transplants, Cholesterol

All beneficiaries registered on the appropriate programme

As needed

All options

 

Health Line Open

What is the healthcare benefit?

Who is eligible?

How often?

On which Momentum Health option?

24-hour emergency health advice

All beneficiaries

As needed

All options

 

Emergency Evacuation Open

What is the healthcare benefit?

Who is eligible?

How often?

On which Momentum Health option?

Emergency evacuation in South Africa by Netcare 911

All beneficiaries

In an emergency

All options

International emergency evacuation by ISOS

Impact, Custom, Incentive, Extender & Summit

International Emergency Cover Open

What is the healthcare benefit?

Who is eligible?

How often?

On which Momentum Health option?

Ingwe: Not covered
Impact: R3.38 million
Custom: R7.66 million
Incentive: R8 million
Extender: R8.22 million
Summit: R9.01 million
This benefit includes R15 500 for emergency optometry, R15 500 for emergency dentistry and R765 000 terrorism cover, on all options, except Ingwe. A R1 550 co-payment applies per out-patient claim.

All beneficiaries

In an emergency

Impact, Custom, Incentive, Extender & Summit

Notes Open
  • The benefits stated in the above schedule are paid from the Momentum Health Platform, subject to pre-notification.
  • If you're a beneficiary of the Ingwe and Impact options you may only use your Ingwe or Impact Primary Network provider.
  • These healthcare benefits are paid from the risk benefit up to a maximum rand amount, which is determined according to specific tariff codes.

You can also save for medical expenses not covered by your option.

HealthSaver is another complementary offering from Momentum. Momentum’s HealthSaver works in conjunction with your Momentum Health membership, making it an easy way to pay for treatments and procedures not covered by your option.

It means you can save for medical expenses not otherwise paid for by your medical aid option - such as vitamins, refractive eye surgery and cosmetic surgery



Why do you need medical aid? Click here for a short video clip that explains it all!

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