Ingwe Option
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Our Ingwe medical aid option might be the perfect medical cover for you if you’re a first-time earner or a student.
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.
- Affordable access to entry-level cover.
- Hospitalisation cover from Any hospital, the Ingwe Network of private hospitals, or State hospitals.
- Your contribution is based on your income and family composition.
Ingwe Option
From R589 P/M
Terms and Conditions Apply
Ingwe Option
From R241 P/M
Terms and Conditions Apply
Our Ingwe medical aid option might be the perfect medical cover for you if you’re a first-time earner or a student.
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.
- Affordable access to entry-level cover.
- Hospitalisation cover from Any hospital, the Ingwe Network of private hospitals, or State hospitals.
- Your contribution is based on your income and family composition.
Day to Day Benefits
There is no overall annual limit for hospitalisation. For your hospitalisation cover, you can choose to use either the Connect Network of private hospitals, the Ingwe Network of private hospitals, or Any hospital.
Hospital Choice
Connect Network hospitals, Ingwe Network hospitals or Any hospital
Hospitalisation
If you choose Connect Network hospitals, MRI and CT scans are limited to Prescribed Minimum Benefits at Connect Network hospitals and other specialised scans are subject to Prescribed Minimum Benefits at State facilities. If you choose Ingwe Network hospitals or Any hospital, all scans are limited to Prescribed Minimum Benefits at State facilities
Benefit
Hospital accounts are covered in full at the rate agreed upon with the hospital group.
Accounts for specialists are covered up to 100% of the Momentum Medical Scheme Rate.
Maternity confinements
No annual limit applies.
Caesarean section
Emergency caesareans are covered.
Neonatal intensive care
No annual limit applies.
Organ transplant
If you choose Connect Network hospitals, benefits are limited to Prescribed Minimum Benefits at Connect Network hospitals. If you choose Ingwe Network hospitals or Any hospital, benefits are limited to Prescribed Minimum Benefits at State facilities
MRI and CT scans, magnetic resonance cholangiopancreatography, whole body radioisotope and PET scans.
If you choose Connect Network hospitals, MRI and CT scans are limited to Prescribed Minimum Benefits at Connect Network hospitals and other specialised scans are subject to Prescribed Minimum Benefits at State facilities. If you choose Ingwe Network hospitals or Any hospital, all scans are limited to Prescribed Minimum Benefits at State facilities
Medical rehabilitation and step-down facilities
R16 700 per beneficiary (combined limit), subject to case management
Take-home medication
7 days’ supply.
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.
Chronic Benefits
This benefit takes care of certain life-threatening conditions, such as diabetes and heart disease, that need ongoing treatment.
Network
Ingwe Primary Care Network, Ingwe Active Network or State facilities
Benefit
26 conditions, according to the Chronic Disease List in the Prescribed Minimum Benefits.
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
This benefit covers your everyday medical expenses, such as doctors’ visits and prescribed medication.
Network
Ingwe Primary Care Network, Ingwe Active Network or State facilities, unless otherwise indicated
Benefit
General practitioners
There is no limit to the number of times you visit your network GP. However, please note all visits from the 11th visit onwards must be pre-authorised
Optical and optometry
1 eye test and 1 pair of clear standard or bi-focal lenses with standard frame as per formulary per beneficiary every 2 years. Spectacles will only be granted if your refraction measurement is more than 0.5
Dentistry
Examinations, fillings and x-rays as per the list of tariff codes. One dental consultation is covered per year per beneficiary. You need to call us for pre-authorisation if you have more than 4 fillings or 4 extractions
Prescribed Medicine
Subject to a list of medicines, referred to as a prescribed formulary
Mental health
Limited to Prescribed Minimum Benefits* at State facilities.
Specialist visits
2 visits per family per year, limited to R1 350 per visit and up to a maximum of R2 700 per family per year. Covered at 100% of Momentum Medical Scheme Rate. Subject to referral and pre-authorisation. Psychologists and psychiatrists are limited to Prescribed Minimum Benefits at State facilities
Add Additional Products
+ If you would like cover for additional day-to-day expenses, you can make use of the Momentum HealthSaver+
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.
Health Platform Benefits
A unique benefit that encourages health awareness, enhances the quality of life and gives peace of mind through preventative
care and early detection tests.
Network provider
Health Platform Benefits are only available from your chosen Primary Care Network provider, except for health assessments, maternity programme benefits and baby immunisations, up to R2 950 in baby’s first year, which are available at any healthcare provider.
Benefit
Preventative care includes:
Baby immunisations
(On Ingwe Option, baby immunisations are covered in private facilities for baby’s first year, limited to R2 950. Once the limit is reached, immunisations are available at the Department of Health baby clinics)
Flu vaccines Tetanus diphtheria injection
Maternity programme
Antenatal visits (Midwives, GP or gynaecologist) Urine tests (dipstick)
Nurse home visit
Pathology tests:
Blood group, full blood count, Rhesus factor, haemoglobin
estimation
Urinalysis Urine tests (microscopic exams, antibiotic susceptibility and
culture)
Scans
Paediatrician visits
Early detection tests
Preventative dental care
Pap smear consultation (nurse or GP) Pap smear (pathologist)
– Standard or LBC (Liquid Based Cytology) or – HPV PCR screening test
(If result indicates high risk, then a follow-up LBC is also covered)
General physical examination (GP consultation)
Prostate specific antigen (pathologist)
Health: blood pressure test, cholesterol and blood sugar (finger prick tests), height, weight and waist circumference measurements
Cholesterol test (pathologist)**
Blood sugar test (pathologist)***
HIV test (pathologist)
** The cholesterol test is covered if health assessment results indicate a total cholesterol of 6 mmol/L and above
*** The blood sugar test is covered if health assessment results indicate blood sugar levels are 11 mmol/L and above
Health line
24-hour emergency health advice.
Emergency evacuation
Emergency evacuation in South Africa by Netcare 911.
For more information on this option, download the relevant document below.
See Our Medical Aid Options
Evolve Option
From R1847 P/M
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.
Terms and Conditions Apply
Custom Option
From R2353 P/M
The Custom Option is the medical aid plan to choose if you are looking for an affordable hospital plan with customisable savings through HealthSaver+ and free preventative screening benefits.
Terms and Conditions Apply
Your journey to quality healthcare starts here.
Get a quote now
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We’ll call you back!
View our Privacy Policy
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