2023 Momentum Medical Scheme benefit changes per option
COVID-19 has forever changed the way in which members consume and access healthcare. It has forced Momentum to rethink their approach to healthcare and seen members embracing the new digital age in healthcare, like virtual doctor consultations. Momentum wants to ensure that members are able to access quality affordable healthcare, and at the same time ensure that the long-term stability of the product is not compromised.
Premium increases
▪ Momentum Medical Scheme has announced a 8.5% increase effective April 2023
Due to increase effective April 2023 the average increase for the full year comes to 6.4%.
Increase will resume to normal effective January 2024.
The following is a summary of changes:
Ingwe
− From R826 to R8150 per month
− From R8151 to R10775 per month
− From R10776 to R15325 per month
− R15326 and above per month
Please provide proof of your income
You have to submit proof of study or of your current income to be considered for the relevant contribution in 2023, in line with the Scheme Rules.
Evolve Option
Custom Option
Incentive Option
Extender Option
For more detailed update please click here
Source: Momentum
Premium increases
▪ Momentum Medical Scheme has announced a 8.5% increase effective April 2023
Due to increase effective April 2023 the average increase for the full year comes to 6.4%.
Increase will resume to normal effective January 2024.
The following is a summary of changes:
Ingwe
- Certain annual sub-limits for in-hospital benefits will increase in line with inflation.
- Additional 3 virtual consultations per year from GPs on the GP Virtual Consultation Network
- Contribution income bands 2023:
− From R826 to R8150 per month
− From R8151 to R10775 per month
− From R10776 to R15325 per month
− R15326 and above per month
Please provide proof of your income
You have to submit proof of study or of your current income to be considered for the relevant contribution in 2023, in line with the Scheme Rules.
Evolve Option
- Sports injury benefit: 2 Physiotherapist or Biokineticist consultations per beneficiary, up to a limit of R1000 per year, subject to pre-authorisation.
- Co-payments for procedures and treatments have increased.
Custom Option
- Co-payments for specialised procedures/treatment will be increased for 2023, and if members choose to have some of these procedures done in a day hospital, the co-payment will be less if they had the procedure done in hospital.
Incentive Option
- Co-payments for specialised procedures/treatment will be increased.
- Maxillo Facial surgery: Anaesthetist will be covered up to 200%
- Impacted wisdom teeth: Anaesthetist will be covered up to 200%
Extender Option
- Co-payments for specialised procedures/treatment will be increased for 2023.
- Maxillo Facial surgery: Anaesthetist will be covered up to 200%
- Impacted wisdom teeth: Anaesthetist will be covered up to 200%
- Non-associated specialists is now covered up to 300%
- Co-payments for specialised procedures/treatments will be increased for 2023.
For more detailed update please click here
Source: Momentum