General

Average contribution increase  Momentum Medical Scheme’s weighted average contribution increase for 2025 is 9.4%, with some benefit enhancements, effective from 1 January 2025. It is important to note that increases vary per option, and accor...

Summary of waiting periods and late-joiner penalties Type 1 membership Type 2 membership Type 3 membership No previous cover or more than a 3-month break in cover from previous medical scheme Less than 2 years continuous cover wi...

Momentum Medical Scheme underwriters assess the medical risk that new applicants pose to the Scheme and use the risk management tools provided by legislation to ensure the long-term sustainability of the Scheme. These risk management tools inc...

On the Ingwe Option, the higher of your or your spouse/partner’s gross income, if he/she is included on your membership, is used to calculate the contributions you pay.   You need to provide all the information requested on the Declaration o...

Why is non-disclosure investigated?  Open enrolment forms a cornerstone of the Medical Schemes Act 131 of 1998 (the Act), directed at preventing risk selection by medical schemes, and allows for any eligible person to join any open medical s...

Summary claims statement Understanding your Momentum Medical Scheme claims statement Please follow the numbering shown in the image above. Notes to understanding the Summary claims statement  The details of your chosen benefit opt...

Medical tax credit system: 1 March 2024 – 28 February 2025  Medical scheme tax credits – applies to all taxpayers This is in respect of medical scheme contributions made by the taxpayer, or their employers on their behalf. The monthly ta...

What are Prescribed Minimum Benefits? Prescribed Minimum Benefits are a set of defined benefits for which all medical schemes in South Africa have to provide cover to medical scheme beneficiaries in terms of the Medical Schemes Act 131 of 19...

  Underwriting Summary    Individuals Compulsory group Super group Group size 1 member 2 to 9 principal members 10 or more principal members Underwriting Individual medical underw...

 Members on Momentum Medical Scheme’s Custom, Incentive and Extender Options pay lower monthly contributions if they are willing to make use of the Scheme’s Associated providers.  Associated providers include a network of private hospitals as w...