2020-10-21

Momentum Medical Aid fee increase 2019

Date: 20 Nov 2018

Momentum Health has published its fee schedule for 2019, showing how much their members can expect to pay for their various schemes in 2019.

According to the group, the average increase in contributions across its plans is 10.7% – slightly above the industry corridor of 3% to 4% above CPI.

The group cited rising medical inflation and the April 2018 VAT hike to 15% as reason for the increase.

“The healthcare industry in South Africa is constant flux, perhaps more so at present than in recent years, given an increasingly unstable economic landscape and the proposal of new NHI regulations,” it said.

Despite the increase, Momentum said it still has one of the lowest average contributions on the market and has also avoided having to reduce benefits to achieve lower prices.

Momentum is the fourth biggest private medical aid scheme in South Africa with over 260,000 beneficiaries, behind Discovery, Bonitas and PolMed (fifth, if you include the government medical scheme, GEMS).

Here are the new prices for 2019 (principal member):

Ingwe

Plan based on monthly salary, with Hospital providers on a State, Ingwe or Any network. Chronic and day-to-day care are split between the Ingwe Primary Care Network (State or Ingwe) and the Ingwe Active Primary Care Network (Any).

Plan	Network	2018	2019	Change (%)
Ingwe <=R700	State Ingwe Any	R370	R407	10.0%
Ingwe R701 – R6 800	State Ingwe Any	R603 R759 R986	R664 R835 R1 085	10.1% 10.0% 10.0%
Ingwe R6 801 – R9 000	State Ingwe Any	R691 R965 R1 378	R761 R1 062 R1 517	10.1% 10.4% 10.1%
Ingwe R9 001 – R12 500	State Ingwe Any	R806 R1 344 R1 877	R887 R1 479 R2 066	10.0% 10.0% 10.1%
Ingwe R12 501+	State Ingwe Any	R1 393 R1 903 R2 409	R1 533 R2 094 R2 651	10.1% 10.0% 10.0%

Impact

Hospital, chronic and day-to-day care on the Impact Network.

Plan	Network	2018	2019	Change (%)
Impact	Impact Network	R2 025	R2 229	10.1%

Custom

Associated and Any hospital plans, with chronic care at State, Associated and Any provider.

Plan	Network	2018	2019	Change (%)
Custom Associated	State Associated Any	R1 366 R1 750 R1 885	R1 515 R1 944 R2 113	10.9% 11.1% 12.1%
Custom Any	State Associated Any	R1 743 R2 074 R2 249	R1 938 R2 304 R2 521	11.2% 11.0% 12.1%

Incentive

Associated and Any hospital plans, with chronic care at State, Associated and Any provider.

Plan	Network	2018	2019	Change (%)
Incentive Associated	State Associated Any	R1 834 R2 514 R2 737	R2 006 R2 770 R3 012	9.4% 10.2% 10.0%
Incentive Any	State Associated Any	R2 249 R2 737 R3 052	R2 464 R3 014 R3 406	9.6% 10.1% 11.6%

Extender

Associated and Any hospital plans, with chronic care at State, Associated and Any provider.

Plan	Network	2018	2019	Change (%)
Extender Associated	State Associated Any	R4 129 R4 715 R5 113	R4 580 R5 240 R5 684	10.9% 11.1% 11.2%
Extender Any	State Associated Any	R4 723 R5 232 R5 816	R5 249 R5 813 R6 464	11.1% 11.1% 11.1%