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Young man sitting on a bench outdoors, smiling while looking at his cell phone, reading up on Momentum’s Evolve medical aid option.

Evolve Option

The Evolve Option is for digitally savvy individuals who are looking for affordable hospital cover and virtual GP visits, with the ability to manage their membership from their device in the comfort of their own home.

from

R1 345* per month

*From R1 424 p/m after 1 Sep 2022

What does the Evolve Option cover?

The Evolve Option provides cover for hospitalisation at the Evolve Network of private hospitals with no overall annual limit.

For chronic treatment, including scripts and medication, you need to use State facilities.

You have cover for 2 virtual GP consultations from Hello Doctor or Evolve Network GPs.

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

If you need cover for more day-to-day expenses, like additional GP visits or prescribed medicine, you can make use of the Momentum HealthSaver+. Momentum HealthSaver+ is a complementary product offered by Momentum that lets you save for medical expenses not covered on your option.

Major Medical Benefit

This benefit covers hospitalisation as well as some out-of-hospital procedures or treatments that can be safely performed in a doctor's room, registered day hospital, or out-patient facility. A co-payment of R1 640 applies per authorisation, except for motor vehicle accidents, maternity confinements, and emergency treatment.

Major Medical Benefits are available at Evolve Network hospitals. Certain procedures are only covered in day hospitals.

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

Hospitalisation
  • Associated specialists are covered in full. Other specialists are covered up to 100% of the Momentum Medical Scheme Rate. Hospital accounts are covered in full at the rate agreed upon with the hospital group.
  • Oncology is covered at R200 000 per beneficiary per year, thereafter a 20% co-payment applies. Momentum Medical Scheme reference pricing applies to chemotherapy and adjuvant medication. You need to get your oncology treatment and medication from the Evolve Network of Oncologists.
  • Organ transplant and renal dialysis, limited to Prescribed Minimum Benefits* at State facilities.
  • No annual limit for MRI and CT scans, magnetic resonance cholangiopancreatography, whole body radioisotope and PET scans. You will need to pay R2 740 per scan and obtain pre-authorisation.
  • Medical rehabilitation, private nursing, Hospice and step-down facilities limited to R49 600 per family per year.
  • Trauma benefit for day-to-day claims that form part of your recovery following specific traumatic events.
  • 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.

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

*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

You have cover for 2 virtual consultations from Hello Doctor or Evolve Network GPs. If you need cover for other day-to-day expenses, like additional GP visits or prescribed medicine, you can choose to make use of the HealthSaver+. HealthSaver+ is a complementary product offered by Momentum that lets you save for medical expenses.

*You may choose to make use of additional products available from Momentum Metropolitan Holdings Limited (Momentum), to seamlessly enhance your medical aid. Momentum is not a medical scheme and is a separate entity to Momentum Medical Scheme. The complementary products are not medical scheme benefits. You may be a member of Momentum Medical Scheme without taking any of the complementary products.
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.

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, certain antenatal pathology tests, 2 pregnancy scans, 2 nurse home visits after returning home from the hospital, as well as 2 visits to the paediatrician during the baby's first year.

Health management programmes
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 R5 million per 90-day journey.

Want to know more?

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

MOMENTUM VALUE-ADDED BENEFITS

Convenient, innovative features, unique to Momentum

HealthReturns+

An incentive programme that rewards you for taking ownership of your health. We aim 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. The HealthSaver+ account, which costs just R40 a year to administer is the most convenient way to pay for treatments and procedures not covered by your option, such as day-to-day medical expenses, co-payments, refractive eye surgery, vitamins, and more.

Hello Doctor+

Get free expert health advice from qualified South African medical doctors through your phone, tablet or computer, 24/7/365.




GapCover+

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


from

R203 per month

+ You may choose to make use of additional products available from Momentum Metropolitan Holdings Limited (Momentum), to seamlessly enhance your medical aid. Momentum is not a medical scheme and is a separate entity to Momentum Medical Scheme. The complementary products are not medical scheme benefits. You may be a member of Momentum Medical Scheme without taking any of the complementary products.

Young fit couple in gym gear sitting on the street, smiling, and looking at the young man’s fitness watch that’s tracking health activity for Momentum Multiply points.

MOMENTUM MULTIPLY+ REWARDS PROGRAMME

Enjoy cashbacks and discounts

Evolve members have access to Multiply+ Starter for free, which offers you discounts and cashbacks from a variety of partners. You can also upgrade to a Multiply+ Premier membership, which will reward you with additional cashbacks and discounts on Momentum products, at a range of partners and on the Multiply online shop.


Want a quote?

You'll get a quote reflecting the medical aid contribution at the end of the process.

Need advice?

An accredited healthcare consultant will call you to discuss our medical aid options and benefits.

Other medical aid options

Custom Option

From R1 706* per month
*From R1 808 p/m after 1 Sep 2022.

Incentive Option

From R2 224* per month
*From R2 354 p/m after 1 Sep 2022.

Extender Option

From R5 231* per month
*From R5 544 p/m after 1 Sep 2022.

Summit Option

From R10 642* per month
*From R11 331 p/m after 1 Sep 2022.

Ingwe option

From R455* per month
*From R482 p/m after 1 Sep 2022.

Contact Momentum Medical Scheme

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.

Momentum Medical Scheme Ethics and Fraud line




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

Client service, claims and authorisations



Click here to contact us via WhatsApp.
Join an online help session.



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.

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