Momentum Medical Scheme benefit changes per option
Momentum Medical Scheme’s robust performance throughout the pandemic and stable financial results have enabled the Scheme to assist its Members in the most impactful manner. Members will have no contribution increase until September 2022, while still enjoying a 4% increase in benefit and threshold limits. Income bands on the Ingwe Option will also be increased by 4%. The deferment of the contribution increase until September 2022 will result in more than R200 million in funding relief that the Scheme is putting back into Members’ pockets. Co-payments will also not be increased, in fact, some will be lower, depending on the provider used.
The following is a summary of changes:
Ingwe
− Additional antenatal pathology tests will be added
− A pediatrician visit in baby’s first year will be added
− Baby immunizations will be covered in private facilities for baby’s first year, limited to R2 500. Once the limit is reached, immunizations are available at the Department of Health baby clinics
− From R776 to R7 750 per month
− From R7 751 to R10 250 per month
− From R10 251 to R14 600 per month
− R14 601 and above per month
Please provide proof of your income
You have to submit proof of your current income to be considered for the relevant contribution in 2022, in line with the Scheme Rules.
Evolve Option
Custom Option
Incentive Option
Extender Option
For more detailed update please click here
Source: Momentum
The following is a summary of changes:
Ingwe
- Certain annual sub-limits for in-hospital benefits will increase in line with inflation.
- Maternity programme benefit enhancements:
− Additional antenatal pathology tests will be added
− A pediatrician visit in baby’s first year will be added
− Baby immunizations will be covered in private facilities for baby’s first year, limited to R2 500. Once the limit is reached, immunizations are available at the Department of Health baby clinics
- Contribution income bands 2022:
− From R776 to R7 750 per month
− From R7 751 to R10 250 per month
− From R10 251 to R14 600 per month
− R14 601 and above per month
Please provide proof of your income
You have to submit proof of your current income to be considered for the relevant contribution in 2022, in line with the Scheme Rules.
Evolve Option
- Co-payments for hospital authorisation and specialised procedures/treatment will not be increased.
- Two virtual consultations from Hello Doctor or contracted Evolve Network GPs will be added.
- Additional antenatal pathology tests will be added.
Custom Option
- Co-payments for specialised procedures/treatment will not be increased for 2022, and if Members choose to have some of these procedures done in a day hospital, the co-payment will be less than if they had the procedure done in hospital.
- The specialised dentistry benefit for the extraction of impacted wisdom teeth will be enhanced.
- Additional antenatal pathology tests will be added.
Incentive Option
- Co-payments for specialised procedures/treatment will not be increased.
- The specialised dentistry benefit for the extraction of impacted wisdom teeth will be enhanced.
- Additional antenatal pathology tests will be added.
Extender Option
- Co-payments for specialised procedures/treatment will not be increased for 2022.
- The specialised dentistry benefit for the extraction of impacted wisdom teeth will be enhanced.
- The annual Threshold level, which is a fixed rand amount determined by your family size, will increase as follows:
− Principal member: R24 900
− Per adult dependent: R21 700
− Per child dependent: R7 200 (applies up to a maximum of three children) - Additional antenatal pathology tests will be added.
For more detailed update please click here
Source: Momentum