Focus on the Health Platform Benefit 2024


Health Platform Benefits are available to all Momentum Medical Scheme members and are paid for by the Scheme. These benefits encourage health awareness, enhance quality of life and give peace of mind through preventative care, early detection, a leading maternity programme and health education and advice. 

You do not need to pre-notify us before using Health Platform Benefits, except for dental consultations, pap smears, general physical examinations and HIV tests. Where pre-notification is required, you can pre-notify quickly and easily on the Momentum App, via the web chat facility or by logging on to momentummedicalscheme.co.za. You may also send us a WhatsApp or call us on 0860 11 78 59.

On the Ingwe Option, Health Platform Benefits are only available from your chosen Network provider, except for health assessments, maternity programme benefits and baby immunisations up to R2 800 in baby’s first year, which are available from any healthcare provider.

Benefit table

Preventative care

What is the benefit?Who is eligible?How often?
On which option?
Baby immunisations
(On Ingwe, baby immunisations are covered at private facilities in baby’s first year, limited to R2 800. Once the limit is reached, immunisations are available at the Department of Health baby clinics).
No limit applies on any other option
Children up to age 6
As required by the Department of HealthAll options
Flu vaccines
Children between 6 months and 5 years
Beneficiaries 60 and Older High-risk beneficiaries
As required by the Department of Health
All options
Tetanus diphtheria injection
All beneficiaries
As needed
All options
Pneumococcal vaccine
Beneficiaries 60 and older
High-risk beneficiaries
Once a year
Evolve, Custom, Incentive, Extender and Summit


Early detection tests

What is the benefit?Who is eligible?How often?On which option?
Dental consultation (including sterile tray and gloves)All beneficiariesOnce a yearAll options
Pap smear consultation (Nurse or GP)Women 15 and olderOnce a yearIngwe
Pap smear consultation (Nurse, GP* or Gynaecologist)
Women 15 and older
Once a year
Evolve, Custom, Incentive, Extender and Summit
Pap smear (pathologist): 
  • Standard or LBC (Liquid based cytology), or
  • HPV PCR screening test (If result indicates high risk, then a follow-up LBC is also covered)
Women 15 and older


Women 21 to 65
Once a year


Once every 3 years
All options
MammogramWomen 38 and olderOnce every 2 yearsEvolve, Custom, Incentive, Extender and Summit
DEXA bone density scan (radiologist, GP* or specialist)Beneficiaries 50 and olderOnce every 3 yearsEvolve, Custom, Incentive, Extender and Summit
General physical examination (GP* consultation)Beneficiaries 21 to 29
Beneficiaries 30 to 59
Beneficiaries 60 to 69
Beneficiaries 70 and older
Once every 5 years
Once every 3 years
Once every 2 years
Once a year
All options
Prostate specific antigen (pathologist)Men 40 to 49
Men 50 to 59
Men 60 to 69
Men 70 and older
Once every 5 years
Once every 3 years
Once every 2 years
Once a year
All options
Health assessment: Blood pressure test, Cholesterol and Blood sugar (finger prick tests), height, weight and waist circumferenceAll principal members and adult beneficiariesOnce a yearAll options
Cholesterol test (pathologist)**Principal members and adult beneficiariesOnce a yearAll options
Blood sugar test (pathologist)***Principal members and adult beneficiariesOnce a yearAll options
Glaucoma testBeneficiaries 40 to 49
Beneficiaries 50 and older
Once every 2 years
Once a year
Evolve, Custom, Incentive, Extender and Summit
HIV test (pathologist)Beneficiaries 15 and olderOnce every 5 yearsAll options

* On the Custom, Incentive and Extender Options: if you choose Associated as your chronic provider, a 30% co-payment will apply if you do not use an Associated GP for the GP consultations 

** The cholesterol test is covered if health assessment results indicate a total cholesterol of 6 mmol/L and above 

*** The blood sugar test is covered if health assessment results indicate blood sugar levels are 11 mmol/L and above


Maternity programme

(you need to register on the programme between 8 and 20 weeks of pregnancy)
What is the benefit?Who is eligible?How often?
On which option?
Doula benefit
Women registered on the programme






2 visits per pregnancy
Evolve, Custom, Incentive, Extender and Summit
Antenatal visits (Midwives, GP* or gynaecologist)7 visits
Ingwe
12 visitsEvolve, Custom, Incentive, Extender and Summit
Online or face-to-face antenatal and postnatal classes
18-month online subscription with BellyBabies or face-to-face classes covered up to R410 per pregnancy at any provider
Incentive, Extender and Summit
Online video consultation with lactation specialist, offered through BellyBabies
Initial consultation
Incentive
Initial consultation plus follow-upExtender and Summit
Nurse home visitDay after return from hospitalAll options
2 weeks after initial visitEvolve, Custom, Incentive, Extender and Summit
6 weeks after initial visitIncentive, Extender and Summit
Urine tests (dipstick)Included in antenatal visitsAll options
Pathology testsHow often?On which option?
Antiglobin, platelet count and Rubella antibody1 testIncentive, Extender and Summit
Blood group, full blood count and Rhesus factor1 testAll options
Creatinine1 testEvolve, Custom, Incentive, Extender and Summit
Glucose strip1 testEvolve and Custom
2 testsIncentive, Extender and Summit
Haemaglobin estimation1 testIngwe, Evolve and Custom
2 testsIncentive, Extender and Summit
Urinalysis7 testsIngwe
12 testsEvolve, Custom, Incentive, Extender and Summit
Urine (microscopic exams, antibiotic susceptibility and culture)As indicatedAll options
Scans2 pregnancy scansIngwe
2 pregnancy scans. We cover 3D and 4D scans up to the rate that we pay for 2D scansEvolve, Custom, Incentive, Extender and Summit
Paediatrician visitsBabies up to 12 months registered on the programme1 visit in baby’s first yearIngwe
2 visits in baby’s first yearEvolve, Custom, Incentive, Extender and Summit

Health Line

What is the benefit?Who is eligible?How often?
On which option?
24-hour emergency health advice
All beneficiaries
As needed
All options