menu
Corporate Contact us Log in
Young male musician wearing glasses and smiling while playing a guitar. His guitar has a string of fairy lights on it.

Custom Option

The option to choose if you would like comprehensive hospital cover from a choice of providers (co-payment may apply), Day-to-day Benefits (subject to HealthSaver), and standard Chronic Benefits.

from

R1 515 per month

What does it Cover?

The Custom Option provides cover for hospitalisation in private hospitals with no overall annual limit. You can choose to have access to any hospital, or choose to receive a discount on your contribution by electing to use a specific list of private hospitals (referred to as Associated hospitals).

For chronic treatment you can choose to have access to any doctor for your prescriptions and any pharmacy for your chronic medication. Or, you can choose to receive a further discount on your contribution by electing to use a list of Associated doctors for your chronic prescription and Medipost courier pharmacy for your chronic medication. Alternatively, you can elect to use State facilities for your chronic prescription and chronic medication to obtain the maximum contribution discount.

Our Health Platform Benefit provides cover for a range of benefits such as preventative screening tests, certain check-ups and more.

Major Medical Benefit


This benefit covers hospitalisation as well as some out-of-hospital procedures that can be safely performed in a doctor's room, registered day clinic, or out-patient facility. A co-payment of R1 500 applies per authorisation, except for motor vehicle accidents, maternity confinements, and emergency treatment.

Major Medical Benefits are available at Any or Associated hospitals.

Hospitalisation
  • Associated specialists are covered in full. Other specialists are covered up to 100% of the Momentum Health Rate. Hospital accounts are covered in full at the rate agreed upon with the hospital group.
  • No annual limit on maternity confinement and neonatal intensive care.
  • Oncology is covered at R300 000 per beneficiary per year, thereafter a 20% co-payment applies. Momentum Health reference pricing applies to chemotherapy and adjuvant medication.
  • No annual limit for organ transplant recipients.
  • No annual limit for MRI and CT scans, magnetic resonance cholangiopancreatography, whole body radioisotope and PET scans. You will need to pay R2 500 per scan and obtain pre-authorisation.
  • R48 700 per family for medical rehabilitation, private nursing, hospice and step-down facilities.
  • Seven days’ supply of take home medication.
Specialised procedures/treatment
  • Certain specialised procedures/treatments are covered, when clinically appropriate, in and out of hospital.
*Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide members with continuous care to improve their health and well-being and to make healthcare more affordable. Learn more

Chronic Benefit


This benefit takes care of certain life-threatening conditions, such as diabetes and heart disease, that need ongoing treatment.

Chronic Benefits are available at Any, Associated or State providers.

It covers 26 conditions under Prescribed Minimum Benefits* according to the Chronic Disease List.

*Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide members with continuous care to improve their health and well-being and to make healthcare more affordable. Learn more

Day-to-day Benefit


Day-to-day needs such as GP visits, specialist visits, eye care, dentistry, prescribed medicine and mental health are paid by you or from HealthSaver if available.

Health Platform Benefit


A unique benefit that encourages health awareness, enhances quality of life and gives peace of mind through preventative care and early detection tests.

The Health Platform Benefits are available at Any or Associated providers.

Preventative care
Includes baby immunisations, flu vaccines, as well as tetanus diphtheria injections.

Early detection tests
Includes pap smears, dental consultations, general physical examinations, prostate specific antigens, health assessments, cholesterol tests, blood sugar tests and HIV tests.

Maternity programme
Women registered on our maternity programme get 12 antenatal visits which include a urine test, two pregnancy scans, and two visits to the paediatrition during the baby's first year.

Health management programme
For the management of diabetes, hypertension, HIV/Aids, oncology, drug and alcohol rehabilitation, chronic renal failure, organ transplants and cholesterol.

Health line
24-hour emergency health advice.

Emergency evacuation
Emergency evacuation in South Africa by Netcare 911.

International emergency cover by ISOS, covered up to R7,66 million per 90-day journey.

Hello Doctor


Talk to a doctor, anytime, anywhere. This is a free service to all Momentum clients. Learn more

Want to know more?

For more information relating to this option, download the relevant document below.

Extra Features

Convenient, innovative features, unique to Momentum

Take advantage of these extra features at no additional cost.

HealthReturns+

An incentive programme that rewards you for taking ownership of your health. Our aim is to help you stay informed about your health status and reward you for staying healthy.

HealthSaver+

A savings account that works seamlessly with your medical aid. With no transaction or admin fees, it lets you save for additional day-to-day medical expenses, such as co-payments, refractive eye surgery, vitamins and more.

+ These extra features are complementary products available from Momentum, a part of Momentum Metropolitan Life Limited. Momentum is not a medical scheme, and is a separate entity to Momentum Health. You can be a member of Momentum Health without taking any of the complementary products that Momentum offers.

Additional products

Seamlessly enhance your medical aid cover

Avoid worrying about unexpected medical shortfalls and co-payments, and keep you and your family covered when you're unable to cover your medical aid contributions.

GapCover+

Helps you avoid unexpected shortfalls for in-hospital expenses, not covered by your medical aid option.


from


R278 per month

HealthWaiver+

This pays for your medical aid contributions when you die or become critically ill, so your family will still have medical cover.

from


R240 per month

+ These additional products are complementary and available from Momentum, a part of Momentum Metropolitan Life Limited. Momentum is not a medical scheme, and is a separate entity to Momentum Health. You can be a member of Momentum Health without taking any of the complementary products that Momentum offers.

Leading a healthy lifestyle, an athletic lady in a red sporting gear, holding her cell phone with earphones in her ears with stairs in the background.

Momentum Multiply rewards and discounts

Earn up to R3 000 per month in extra savings

Get rewarded for living a healthy lifestyle. Complete the Health and Fitness assessment to earn up to R3 000 per family, per month in HealthReturns.


Want a quote?

Let us call you back with a quote that suits your needs.

Need advice?

Discuss the benefits of having medical aid with a certified financial adviser.

You may also want to consider

Incentive Option

From R2 009 per month

Extender Option

From R4 580 per month

Impact Option

From R2 229 per month

Summit Option

From R9 269 per month

Ingwe Option

From R407 per month

Contact Momentum Health

For local emergencies



Available 24 hours a day, 7 days a week, 365 days a year.

For international emergencies



Available 24 hours a day, 7 days a week, 365 days a year.

Client service, claims and authorisations






Business hours are Monday to Friday from 07:30 to 17:00. Saturdays from 08:00 to 12:00. Closed on Sundays and public holidays.

We use cookies to provide the best experience. View our Cookie Policy.

Internet Explorer is out of date. Update your browser to ensure our website functions correctly.

Your browser's cookies are disabled. Enable cookies to ensure our website functions correctly. View our Cookie Policy.