Momentum Health has published its fee schedule for 2019, showing how much clients 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% |
Summit
Any hospital with freedom of choice for chronic and day-to-day care.
| Plan | Network | 2018 | 2019 | Change (%) |
|---|---|---|---|---|
| Summit | Freedom of choice | R8 342 | R9 269 | 11.1% |
This article was sourced from BusinessTech; for the original article, click here.
