General 2025

Council for Medical Scheme   accreditation:  Process to  renew   or apply Healthcare advisers need to apply and renew their Council for Medical Scheme (CMS) accreditation online at https://www.medicalschemes.com/AccreditationPortal ...

Summary of changes for 2025 Momentum Medical Scheme, for the tenth consecutive year, was able to avoid reducing benefits on any of the Scheme’s options. In fact, we have increased benefit limits for 2025 in line with inflation.  Members can ...

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...

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 we...

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 i...

  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...

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 of I...

The cut-off date for debit orders for individual members joining Momentum Medical Scheme is the 26th of each month. The process is as follows:  If the application is activated by the 26th of the month, all outstanding contributions will be ded...

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 sc...

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 opti...

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...

Before remitting funds, please call the person responsible for your matter to verify that the bank account you have on record is a legitimate bank account of Momentum. Cyber-criminals may use emails or letters or links that appear to be sent by ...

Medical tax credit system: 1 March 2025 – 28 February 2026 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 tax...

Concession business for January 2026 take-on The Medical Schemes Act allows for employer groups to switch between medical schemes on 1 January of every year without any waiting periods. This is referred to as Concession Business. The followi...

Average contribution increase Momentum Medical Scheme’s weighted average contribution increase for 2026 is 9.9%, with some benefit enhancements, effective from 1 January 2026. It is important to note that increases vary per option, and accord...