What does the Chronic
Benefit cover?
The Chronic Benefit covers a variety of life-threatening conditions that require ongoing treatment. These include the 26 conditions on the Chronic Disease List, according to the Medical Schemes Act’s Prescribed Minimum Benefits*, which ensures access to certain medical treatments for all medical scheme members, regardless of their level of cover.
Momentum Medical Scheme offers a unique structure that empowers you to choose a chronic provider that suits you, your family, and your pocket.
Momentum Medical Scheme offers a unique structure that empowers you to choose a chronic provider that suits you, your family, and your pocket.
Cover
- 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*.
- No annual limit applies.
Provider
- Ingwe Primary Care Network or
- Ingwe Active Network or
- State facilities
Cover
- 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*.
- No annual limit applies.
Provider
- State
Cover
- 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*.
- No annual limit applies.
Provider
- Any, Associated or State.
Cover
- 32 conditions; 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*. No annual limit applies.
- 6 additional conditions: limited to R13 100 per family per year.
Provider
- Any, Associated or State.
Cover
- 62 conditions; 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*. No annual limit applies.
- 36 additional conditions: limited to R13 100 per family per year.
Provider
- Any, Associated or State.
Cover
- 62 conditions; 26 conditions according to the Chronic Disease List in the Prescribed Minimum Benefits*. No annual limit applies.
- 36 additional conditions: subject to an overall day-to-day limit of R33 000 per beneficiary per year.
Provider
- Any
*The Prescribed Minimum Benefits (PMB) are 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.
How does it work?
How to register for chronic medication
To activate your Chronic Benefit from Momentum Medical Scheme, simply ask your treating doctor to call us on 0860 117 859. Once approved, you will receive your medication from your chosen pharmacy.
Learn more about Chronic Registration
Clinical Criteria.