Momentum: All the 2018 medical aid plans

A. Ingwe Plans

100% scheme rate for specialists. R1,190,000 per family limit. Scheme pays out-of-hospital claims for: dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Pay for all children.

Your Income: Main: Adult: Child: Hospital Choice:
R0-R675
R370 pm

R370 pm

R232 pm

Unlimited
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R676-R6,300
R986 pm

R986 pm

R370 pm

Unlimited
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R6,301-R8,500
R1,378 pm

R1,378 pm

R417 pm

Unlimited
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R8,501-R11,700
R1,877 pm

R1,877 pm

R439 pm

Unlimited
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R11,701+
R2,409 pm

R2,409 pm

R699 pm

Unlimited
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Your Income: Main: Adult: Child: Hospital Choice:
R0-R675
R370 pm

R370 pm

R232 pm

Network
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R676-R6,300
R759 pm

R759 pm

R347 pm

Network
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R6,301-R8,500
R965 pm

R965 pm

R361 pm

Network
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R8,501-R11,700
R1,344 pm

R1,344 pm

R395 pm

Network
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R11,701+
R1,903 pm

R1,903 pm

R561 pm

Network
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Your Income: Main: Adult: Child: Hospital Choice:
R0-R675
R370 pm

R370 pm

R232 pm

State
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R676-R6,300
R603 pm

R603 pm

R325 pm

State
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R6,301-R8,500
R691 pm

R691 pm

R333 pm

State
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R8,501-R11,700
R806 pm

R806 pm

R349 pm

State
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R11,701+
R1,393 pm

R1,393 pm

R419 pm

State
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B. Access Plans

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Pay for all children.

Main Adult Child Savings? Fund? Threshold? Hospitals
Access B
Momentum
R 2,025 pm R 2,025 R 605 No No No Network
Out-of-hospital, scheme pays for some: std dentistry, GPs, specialists, optometry, pathology, std radiology, medicine, maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Income level: R8,501-R11,700

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C. Custom Plans

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Pay for maximum 3 children.

Main Adult Child Savings? Fund? Threshold? Hospitals
Custom (Any provider for chronic)
Momentum
R 2,249 pm R 1,806 R 803 No No No Unlimited
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Custom (Network for chronic)
Momentum
R 2,074 pm R 1,620 R 753 No No No Unlimited
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Custom (State for chronic)
Momentum
R 1,743 pm R 1,315 R 639 No No No Unlimited
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Custom Associate (and any provider for chronic)
Momentum
R 1,855 pm R 1,487 R 665 No No No Network
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Custom Associate (and Network provider for chronic)
Momentum
R 1,750 pm R 1,356 R 618 No No No Network
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Custom Associate (and State provider for chronic)
Momentum
R 1,366 pm R 1,033 R 484 No No No Network
Out-of-hospital, scheme pays for some: maternity, preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
Income level: All income levels

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D. Incentive Plans

100% scheme rate for specialists. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Pay for maximum 3 children.

Main Adult Child Savings? Fund? Threshold? Hospitals
Incentive (Any provider for chronic)
Momentum
R 3,052 pm R 2,480 R 1,189 Yes No No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Incentive (Network provider for chronic)
Momentum
R 2,737 pm R 2,196 R 1,076 Yes No No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Incentive (State provider for chronic)
Momentum
R 2,249 pm R 1,772 R 889 Yes No No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Incentive Network hospital (and any provider for chronic)
Momentum
R 2,737 pm R 2,202 R 1,022 Yes No No Network
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Incentive Network hospital (and Network provider for chronic)
Momentum
R 2,514 pm R 2,000 R 956 Yes No No Network
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Incentive Network hospital (and State provider for chronic)
Momentum
R 1,834 pm R 1,439 R 711 Yes No No Network
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Income level: All income levels

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E. Extender Plans

200% scheme rate for specialists. Comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Pay for maximum 3 children.

Main Adult Child Savings? Fund? Threshold? Hospitals
Extender (Any provider for chronic)
Momentum
R 5,816 pm R 4,640 R 1,745 Yes No Unlimited Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender (Network provider for chronic)
Momentum
R 5,232 pm R 4,177 R 1,569 Yes No Unlimited Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender (State provider for chronic)
Momentum
R 4,723 pm R 3,843 R 1,416 Yes No Unlimited Unlimited
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender Network hospital (and any provider for chronic)
Momentum
R 5,113 pm R 4,081 R 1,535 Yes No Unlimited Network
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender Network hospital (and Network provider for chronic)
Momentum
R 4,715 pm R 3,761 R 1,415 Yes No Unlimited Network
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Income level: All income levels

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Main Adult Child Savings? Fund? Threshold? Hospitals
Extender Network hospital (and State provider for chronic)
Momentum
R 4,129 pm R 3,104 R 1,239 Yes No Unlimited Network
Out-of-hospital, scheme pays for some: comprehensive plan, with out of hospital benefits paid by scheme from threshold (with sub-limits), once savings run out and self payment gap has been paid.
Income level: All income levels

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F. Summit Plans

300% scheme rate. Scheme pays out-of-hospital claims for: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Pay for maximum 3 children.

Main Adult Child Savings? Fund? Threshold? Hospitals
Summit
Momentum
R 8,342 pm R 6,672 R 1,916 No Yes No Unlimited
Out-of-hospital, scheme pays for some: specialised radiology (co-payment), maternity, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
Income level: All income levels

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