General

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 wel...

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...

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 b...

Concession business for January 2025 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 following...

  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...