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Save on your medical aid contribution

You can save more than R1 000 on your medical aid contribution through our provider choice model.

  • If you're a member of our Custom, Incentive or Extender Options, you can pay lower monthly medical aid contributions, if you use Momentum Health's Associated providers
  • Associated providers include a network of private hospitals, as well as a network of GPs and pharmacies for chronic prescriptions and medication.
  • State healthcare facilities can also be used to receive your chronic benefits, which will reduce your monthly medical aid contributions.
How it works Open

Here's an example of how much you can save if you're a Custom Option member (contribution for single member).

Hospital provider Chronic provider Contribution for a principal member Contribution saving%
Any Any R2 521 0%
Any Associated R2 304 9%
Any State R1 938 23%
Associated Any R2 113 16%
Associated Associated R1 944 23%
Associated State R1 515 40%
Total savings = R1 006 (40%) Open

It's the difference between Any/Any providers (R2 521) and Associated/State providers (R1 515). The actual amount you save depends on your medical aid option, the number of dependants on Momentum Health, as well as your choice of providers.

Please note Open

If you choose Associated hospitals as your preferred provider for Major Medical benefits, and do not use one of the Associated hospitals, a 30% co-payment will apply on the hospital account. Momentum Health will be responsible for 70% of the negotiated tariff, provided authorisation would have been granted according to the rules of the Scheme.

If you choose Associated chronic provider, you'll have to obtain any chronic prescription from an Associated GP and chronic medication from Medipost, subject to an entry-level formulary. If you choose to obtain your chronic prescription from a non-Associated GP, the Scheme will pay 50% of the Momentum Health Rate for the consultation.

Similarly, if you choose to obtain your chronic medication from a pharmacy other than Medipost, the Scheme will pay only 50% of the formulary price. If you choose State as your chronic provider, you must choose one of the designated State healthcare facilities to obtain your chronic medication, subject to the State formulary.

Changes to the choice of healthcare providers selected can only be exercised when option changes are done at the end of every year, to be effective from 1 January. Regardless of the choice of provider, the benefits available will remain the same.

Associated Providers

Custom, Incentive, and Extender Option Providers

On the Custom, Incentive and Extender Options, members can choose between Any hospital or Associated hospitals as their hospital provider. For chronic treatment, members can choose between Any, Associated or State chronic provider.

Custom Option   Read more
Incentive Option Read more
Extender Option Read more

Ingwe Option Providers

On the Ingwe Option, members can choose between Any, Ingwe Network and State hospitals as their hospital provider, and Ingwe Primary Care or Ingwe Active Primary Care Network Providers for their chronic and day-to-day benefits.

The option provides dentistry and optometry benefits from a list of providers. A specific list of tariff codes are covered for dentistry, pathology and radiology.

Read more

Impact Option Providers

On the Impact Option, members need to use Impact Network hospitals for hospitalisation, and Impact Primary Care Network Providers for their chronic and day-to-day benefits.

Read more

Summit Option Providers
  • Members on the Summit Option may use any provider.

Read more

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

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Contact Momentum Health

For more information, contact us:

Contact centre
0860 117 859