Custom Option
From R1 808 per month
Our Custom medical aid option includes cover for hospitalisation in private hospitals. There is no overall annual limit for hospitalisation.
The Health Platform Benefit provides cover for a range of day-to-day benefits such as preventative screening tests, certain check-ups and more.
The Custom Option is the medical aid plan to choose if you are looking for:
- An affordable hospital plan.
- Customisable savings through HealthSaver+.
- Free preventative screening benefits.
Interested?
Send us your details to get a quote.
In-hospital Benefits
This benefit covers hospitalisation as well as some out-of-hospital procedures or treatments that can be safely performed in a doctor’s room, registered day hospital, or out-patient facility. A co-payment of R1 740 applies per authorisation, except for motor vehicle accidents, maternity confinements, and emergency treatment. Additional co-payments may apply for certain procedures.
Hospitalisation
Benefit
- Associated specialists are covered in full.
- Other specialists are covered up to 100% of the Momentum Medical Scheme Rate.
- Hospital accounts are covered in full at the rate agreed upon with the hospital group.
Specialised dentistry
Certain in-hospital dental and oral benefits covered from Major Medical Benefit.
Co-payments may apply, depending on the procedure.
Maternity
No annual limit on maternity confinement and neonatal intensive care.
Oncology
Oncology is covered up to R300 000 per beneficiary per year, thereafter a 20% co-payment applies.
Momentum Medical Scheme reference pricing applies to chemotherapy and adjuvant (supplementary) medication.
Organ transplant
No annual limit for organ transplant recipients.
MRI and CT scans, magnetic resonance holangiopancreatography, whole body radioisotope and PET scans
- No annual limit.
- You need to pay a co-payment of R2 900 per scan and obtain pre-authorisation.
Medical rehabilitation, private nursing, Hospice, and step-down facilities
R58 000 per family
Take-home medication
7 days’ supply
Specialised procedures/treatment
Certain specialised procedures or treatments covered
These are covered, when clinically appropriate, in-and out-of-hospital.
*Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide members with continuous care to improve their health and well-being and to make healthcare more affordable.
This benefit takes care of certain life-threatening conditions, such as diabetes and heart disease, that need ongoing treatment.
Benefit
Cover
26 conditions under Prescribed Minimum Benefits* according to the Chronic Disease List.
*Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide members with continuous care to improve their health and well-being and to make healthcare more affordable.
Day-to-day needs, such as GP visits, specialist visits, eye care, dentistry, prescribed medicine, and mental health, are paid by you or from HealthSaver+ if available.
Savings
Medical Savings Account
No savings
Can add HealthSaver+
+ You may choose to make use of additional products available from Momentum Metropolitan Holdings Limited (Momentum), to seamlessly enhance your medical aid. Momentum is not a medical scheme and is a separate entity to Momentum Medical Scheme. The complementary products are not medical scheme benefits. You may be a member of Momentum Medical Scheme without taking any of the complementary products.
A unique benefit that encourages health awareness, enhances quality of life and gives peace of mind through preventative care and early detection tests.
Ingwe
Option
It's an affordable, entry-level medical aid plan, but you can still enjoy hospital cover, day-to-day and chronic illness benefits when you use the network providers.
R482.00 per month
Terms & Conditions Apply.
Evolve
Option
For digitally savvy individuals who are looking for affordable hospital cover and virtual GP visits, with the ability to manage their membership from their device in the comfort of their own home.
R1 424 per month
Terms & Conditions Apply.
Want to learn more about Custom?
For more information on this option, download the relevant document below.
