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Provider Choice

Our benefit options give you the flexibility to choose your healthcare providers - hospitals, doctors, and pharmacies. You can choose to make use of Any, Associated, or State providers. When you choose to use Momentum Medical Scheme’s Associated providers, you can save up to R1 000 on your monthly contributions.

How does it work?

If you're a member of Custom, Incentive or Extender Option, you can pay lower monthly medical aid contributions, by using Momentum Medical Scheme's Associated providers.

Associated providers include private hospitals, general practitioners and pharmacies.

You can also choose State healthcare facilities to receive your chronic benefits, which will reduce your monthly medical aid contributions even further.

Medical aid contribution savings

This is how much you can save on the Custom Option as a single member.

Select hospital provider

Select chronic provider

Monthly contribution
R2 891 R2 601 R2 173 R2 423 R2 194 R1 706

Contribution savings
0% 10% 25% 16% 24% 41%

Total savings
R0 R290 R718 R468 R697 R1 185

It's the difference between Any provider (R2 891) and Any/Associated providers (R2 601) Any/State providers (R2 173) Associated/Any providers (R2 423) Associated providers (R2 194) Associated/State providers (R1 706). The actual amount you save depends on your medical aid option, the number of dependants on Momentum Medical Scheme, as well as your choice of providers.

Associated providers

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

Associated GP Network Associated Hospitals Authorised Oncologists Pharmacy Network

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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 is covered for dentistry, pathology, and radiology.

Ingwe Network Hospitals Ingwe Primary Care Network Ingwe Active Primary Care Network Pharmacy Network Ingwe and Ingwe Active Optometry Network Ingwe and Ingwe Active Dental Network

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Evolve Option providers

On the Evolve Option, members need to use Evolve Network hospitals for hospitalisation and State for chronic.

Evolve Network Hospitals

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Summit Option providers

Members on the Summit Option may use any provider.

Important to know

When choosing Associated hospital provider

What happens if I don't use one of the Associated hospitals?

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 Medical Scheme will be responsible for 70% of the negotiated tariff, provided authorisation would have been granted according to the rules of the Scheme.

When choosing Associated chronic provider

What happens if I don't use one of the Associated GPs?

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 Medical Scheme Rate for the consultation.
What happens if I don't obtain chronic medication from Medipost?

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.

When changing provider choice selected

When can I make changes to the choice of healthcare providers selected?

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.

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.

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.
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