Momentum Incentive State (for chronic):
prosthetic benefits (2025)

This page has information on: Costs and Prosthetics for Momentum Incentive (State provider for chronic)

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Monthly Costs (2025)

Incentive (State provider for chronic) 2025 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R3,801	R2,994	R1503 Only pay for 3 children
Savings:	R4,560	R3,588	R1,800
Children Rates:	Under 21yrs Only pay for 3 children
Note:	Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list. All treatments and procedures are subject to authorisation and protocols All benefits are listed as an indication only. Please verify with your broker and scheme
View all the other benefits for this plan: In-hospital \| Out-of-hospital \| Medication \| Maternity Cancer \| Mental Health \| Dentistry \| Optometry Other/Extra Benefits \| Wellness \| Prosthetics You can also: Compare any two plans, side by side \| View all the Momentum plans, with costs and brief summary. Find all other open medical aid plans here.
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Momentum: Incentive (State provider for chronic)
Overal Limit:	Internal: R61,000 per person per event, maximum 2 events per year External, in-hospital: R27,900 per family	Prosthetics required for PMB conditions are always paid paid in full* by scheme, with no co-payment, if you follow the protocols. More info here*
Sub-limits:	Intraocular lenses: R8,110 per person per event, maximum 2 events per year This is an additional limit to the prosthetic benefit
Note:	PMBs: Prescribed Minimum Benfits. PMBs cannot have sublimits or co-payments if protocols are followed. You can read more about PMBs here. DSPs: Designated Service Provders. Where stipulated, you must use specific 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
View all the other benefits for this plan: In-hospital \| Out-of-hospital \| Medication \| Maternity Cancer \| Mental Health \| Dentistry \| Optometry Other/Extra Benefits \| Wellness \| Prosthetics You can also: Compare any two plans, side by side \| View all the Momentum plans, with costs and brief summary. Find all other open medical aid plans here.

Always consult with your broker before making final decisions regarding your healthcare cover.

Important!

Unless specified, assume that all benefits are paid 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