• Benefits, Momentum Plan, prosthetics, Scheme Plans

Momentum Extender Network (for chronic):
prosthetic benefits (2025)

Contents:

This page has information on: Costs and Prosthetics for Momentum Extender (Network provider for chronic)

Terminology:

  • PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
  • DSPs: Designated Service Providers. Where stipulated, you must use specific providers to get full benefit.
  • Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product.
  • All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2026)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Momentum:Extender (Network provider for chronic) (2026)
Main member: Adult member: Child member:
Total Cost pm:
  • R10,079
  • R8,117
  • R2,899
Savings:
  • R30,240
  • R24,348
  • R8,700
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R6,660
  • R7,652
  • R1,900
Children Rates:
  • Under 21yrs
  • Only pay for 3 children
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Prosthetics benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Momentum: Extender (Network provider for chronic)
Assume scheme pays all these costs, unless otherwise stated
Overall Limit:
  • Internal: R88,200 per person per event, maximum 2 events per year
  • External, in-hospital: R30,600 per family
  • Prosthetics required for PMB conditions are always paid in full by scheme, with no co-payment, if you follow the protocols. More info here
 Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Sub-limits:
  • Intraocular lenses: R89,130 per person per event, maximum 2 events per year
  • This is an additional limit to the prosthetic benefit
 Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Note:
  • PMBs: Prescribed Minimum Benefits. PMBs cannot have sublimits or co-payments if protocols are followed. You can read more about PMBs here.
  • DSPs: Designated Service Providers. Where stipulated, you must use specific providers to get full benefit.
  • Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product.
    Important!
  • Unless specified, assume that all benefits are paid at 100% scheme rate.
  • No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
  • "Unlimited" benefits are still subject to authorisation, protocols and sublimits.
  • Assume that all benefits need to be pre-authorised.
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