Chronic Benefit
Chronic Benefit ensures you're covered for certain life-threatening conditions, such as diabetes or heart disease, that need ongoing treatment.
When a chronic condition is managed effectively, it will likely result in fewer acute and long-term medical complications or side effects.
What does the Chronic
Benefit cover?
Momentum Medical Scheme offers a unique structure that empowers you to choose a chronic provider that suits you, your family, and your pocket.
Cover
- 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*.
- No annual limit applies.
Provider
Cover
- 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*.
- No annual limit applies.
Provider
- State
Cover
- 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*.
- No annual limit applies.
Provider
- State
Cover
- 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*.
- No annual limit applies.
Provider
- Any, Associated or State.
Cover
- 32 conditions; 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*. No annual limit applies.
- 6 additional conditions: limited to R12 400 per family per year.
Provider
- Any, Associated or State.
Cover
- 62 conditions; 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*. No annual limit applies.
- 36 additional conditions: limited to R12 400 per family per year.
Provider
- Any, Associated or State.
Cover
- 62 conditions; 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*. No annual limit applies.
- 36 additional conditions: subject to an overall day-to-day limit of R31 300 per beneficiary per year.
Provider
- Any
*The Prescribed Minimum Benefits (PMB) are 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.
How does it work?
To activate your Chronic Benefit from Momentum Medical Scheme, simply ask your treating doctor to call us on 0860 117 859. Once approved, you will receive your medication from your chosen pharmacy.
Learn more about Chronic Registration
Clinical Criteria.