Site url: https://www.momentum.co.za/momentum/personal/products/medical-aid/custom-option
Pagecontext: org.apache.jasper.runtime.PageContextImpl@2d21abeb
NameValue
param.sharing.scope.{http://www.ibm.com/xmlns/prod/datatype/content}ibm.portal.sharing.scope.page
param.sharing.scope.{http://www.ibm.com/xmlns/prod/websphere/portal/v8.0/portal-contextual-portal}ibm.portal.sharing.scope.page
param.sharing.scope.{http://www.ibm.com/xmlns/prod/datatype/content/resource-collections}ibm.portal.sharing.scope.page
wcm.template.oidZ6_48GC1K80O0FH90QS83FHN530K6
flush.cache?01102021
param.sharing.scope.{http://www.ibm.com/xmlns/prod/websphere/portal/publicparams}path-infoibm.portal.sharing.scope.page
breadcrumb.enabledtrue
hero.imagehttps://retail.momentum.co.za/images/stock/medical-aid-custom-1-1.jpg
param.template.pageZ6_48GC1K80O0FH90QS83FHN530K6
page.keywordsAffordable medical aid, Medical aid plans, Medical aid quotes, Medical aid South Africa, Medical aid, Student medical aid, Healthcare, Medical scheme, Cheap medical aid, momentum medical aid
param.sharing.scope.{http://www.ibm.com/xmlns/prod/websphere/portal/v7.0/portal-contextual-portal}ibm.portal.sharing.scope.page
hide.childrentrue
dynamic.sitemaptrue
param.sharing.scope.{http://ibm.connections.com/portlet}ibm.portal.sharing.scope.page
label.namepersonal
sitecontext:personal
ibm.template.oidZ6_48GC1K80O0FH90QS83FHN530K6
webchat.activetrue
menu.dividertrue
menu
Healthy family on the hospital plan from Momentum, otherwise known as the Custom Option, which is great if you need primarily hospital cover.

Affordable hospital plan
Custom Option

This medical aid plan includes:

  • An affordable hospital plan.
  • Customisable savings through HealthSaver+.
  • Free preventative screening benefits.
from

R2 149 per month

Get affordable hospital cover with the Custom Option

You can choose to have access to any private hospital in South Africa or choose to save on your contribution (Provider Choice) by electing to use a specific list of private hospitals for any planned
hospital admission.

In-hospital Benefits

Any private hospital

These are any private hospitals within
South Africa.

Associated hospitals

Save on your monthly contributions by using a specific network of private hospitals.

State hospitals

These are State facilities that are administered by the Department of Health.

Chronic treatment

To save even more on your contributions, you have the option to choose your provider.

Any provider

You can choose to have access to any GP for your chronic scripts and any pharmacy for your chronic medication.

Associated providers

Save on your monthly contribution by using a list of Associated GPs for your chronic script and Medipost courier pharmacy for your chronic medication.

State facilities

You can choose to use State facilities for your chronic script, medication and treatment to obtain the maximum contribution saving.

Day-to-day Benefit

To save on your contribution you have the option to choose between:

HealthSaver+

If you need day-to-day cover, you can make use of the HealthSaver+.

Health Platform Benefit

Free health screening cover

Provides cover for a range of benefits, such as preventative screening tests, certain check-ups, and more.

See how much you can save

Calculate how much you can save as a single member.

Medical aid contribution savings

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

1. Select hospital provider

Your choice for planned procedures. In the event of a medical emergency, you can go to any hospital, regardless of your hospital choice.


2. Select chronic provider

Your choice of provider for chronic medication and treatment.



Savings

Monthly contribution

R3 685 R3 284 R2 737 R3 089 R2 770 R2 149
Monthly contribution
R3 078 R2 762 R2 303 R2 580 R2 330 R1 808 R1 808
Total savings
R0 R316 R775 R498 R748 R1 270
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.

What does the Custom
Option cover?

In-hospital 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 830 applies per authorisation, except for motor vehicle accidents, maternity confinements, and emergency treatment.

Hospital choice

Provider
Available at Any or Associated hospitals .

Hospitalisation

Benefit
  • 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.
Specialised dentistry
  • Certain in-hospital dental and oral benefits are covered by Major Medical Benefit.
  • Co-payments may apply, depending on the procedure.
Maternity
No annual limit on maternity confinement and neonatal intensive care.
Oncology
  • Oncology is covered up to R300 000 per beneficiary per year, thereafter a 20% co-payment applies.
  • Momentum Medical Scheme reference pricing applies to chemotherapy and adjuvant (supplementary) medication.
Organ transplant
No annual limit for organ transplant recipients.
MRI and CT scans, magnetic resonance cholangiopancreatography, whole body radioisotope and PET scans
  • No annual limit.
  • You need to pay a co-payment of R3 050 per scan and obtain pre-authorisation.
Medical rehabilitation, private nursing, Hospice, and step-down facilities
R61 000 per family
Health management programmes for conditions such as mental health, HIV/Aids, and oncology
Your doctor needs to register you on the appropriate health management programme.

Immune deficiency related to HIV
  • Anti-retroviral treatment: No annual limit applies at a preferred provider.
  • HIV-related hospital admissions: R81 300 per family at your chosen hospital provider.

Emergency medical transport in South Africa by Netcare 911
No annual limit applies.

International emergency medical transport by preferred provider
R7 660 000 per beneficiary per 90-day journey. This benefit includes R15 500 for emergency optometry, R15 500 for emergency dentistry and R765 000 terrorism cover. A R2 070 co-payment applies per emergency out-patient claim.

Take-home medication
7 days’ supply.

Specialised procedures/treatment

Certain specialised procedures or treatments covered
These 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.

Chronic Benefit

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

Network provider

Available from:
Any, Associated or State providers.

Benefit

Cover
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.

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.

Savings

Medical Savings Account
  • No built-in savings.
  • You can add HealthSaver+ to supplement your day-to-day benefits.
+ 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.

Network provider

Available from:
Any or Associated providers, depending on your Provider Choice.

Benefit

Preventative care includes:
  • baby immunisations covered up to the age of 6,
  • flu vaccines,
  • tetanus-diphtheria injections, and more.
Early detection tests include:
  • mammograms,
  • bone density scans,
  • pap smears,
  • dental consultations,
  • general physical examinations,
  • prostate specific antigens,
  • health assessments,
  • cholesterol tests,
  • blood sugar tests, and
  • HIV tests.
Maternity programme
12 antenatal visits which include:
  • a urine test
  • certain antenatal pathology tests,
  • 2 pregnancy scans,
  • 2 doula visits,
  • 2 nurse home visits; first visit after returning from the hospital, as well as 2 weeks later, and
  • 2 paediatricians visits in baby’s first year.

This is only a summary of our benefits. Read the Custom Option brochure for more details. Momentum Medical Scheme rules apply.

Compare medical aid options

Compare the cover and benefits of 2 or more Momentum Medical Scheme options side-by-side to find the most affordable option to suit your needs.

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.

Free

HealthSaver+

A voluntary savings account that works seamlessly with your medical aid. It pays for treatments and procedures not covered by
your option.

R40 per year

Hello Doctor+

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


Free

GapCover+

Gap cover helps you avoid unexpected shortfalls for in-hospital expenses, that are not covered by your medical aid option.


from R236 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.

Healthy couple on the Custom Option hospital plan earning Momentum Multiply cashbacks by being active and healthy.

MOMENTUM MULTIPLY+ REWARDS PROGRAMME

Enjoy exclusive rewards

Multiply encourages and rewards members for making healthier choices! Multiply Inspire is available to you for free. You can upgrade to Multiply Inspire Plus and earn up to R1 500 per beneficiary per month.

Want a medical aid 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

Client service, claims and authorisations



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



Business hours are Monday to Friday from 08:00 to 17:00. Saturday and public holidays from 08:00 to 16:00. Closed on Sundays.

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.

We and our selected partners use cookies to enhance and personalise your experience on our website.Please see our cookie policy for more information.

To enhance your user experience on our site, learn more about our supported browsers

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

Tell us more!

We're always looking for ways to improve your online experience. Please take a moment to complete the
2-minute questionnaire.