Fedhealth vs. Momentum Medical Scheme
Fedhealth versus Momentum Medical Scheme compared and revealed.
We tested them side by side and verified their medical aid plans benefits, affordability, and much more.
This is a complete guide to Fedhealth and Momentum Medical Scheme in South Africa.
In this in-depth guide you’ll learn:
- What is a Medical Scheme?
- Which medical aid is the best for young families?
- Which medical aid is best for a young person?
- How to compare medical aids against each other?
- Which should you choose: Fedhealth or Momentum?
So if you’re ready to go “all in” with the Fedhealth versus Momentum Medical Scheme in South Africa, this guide is for you.
Let’s dive right in…
Fedhealth vs. Momentum Medical Scheme Summary
Overall Comparison
| ✅ Feature | 🥇 Fedhealth | 🥇 Momentum Medical Scheme |
| General comparison | 5/5 | 5/5 |
| Number of plans | 7 | 6 |
| Lowest premium | R965.00 (FlexiFED Savvy) | R541.00 (Ingwe) |
| Highest premium | R14 289.00 (maxima PLUS) | R13 573.00 (Summit) |
| Student Plan | No | Yes |
| Gap Cover | No | Yes |
| Hospital plans | Yes | Yes |
| Maternity benefits | Yes | Yes |
| Number of members | 200 000+ | 293 000 |
Plan benefits
| ✅ Feature | 🥇 Fedhealth | 🥇 Momentum Medical Scheme |
| Name of Plan | • FlexiFED Savvy • FlexiFED 1 • FlexiFED 2 • FlexiFED 3 • FlexiFED 4 • Maxima EXEC • Maxima PLUS | • Evolve • Custom • Incentive • Extender • Summit • Ingwe |
| Price per plan | • FlexiFED Savvy: R965.00 • FlexiFED 1: R1 716.00 • FlexiFED 2: R2 491.00 • FlexiFED 3: R2 844.00 • FlexiFED 4: R3 805.00 • Maxima EXEC: R8 456.00 • Maxima PLUS: R14 289.00 | • Evolve: R1 687.00 • Custom: R2 149.00 • Incentive: R2 79400 • Extender: R6 589.00 • Summit: R13 573.00 • Ingwe: R541.00 |
| GP Visits | Network GP | Yes |
| GP in room visits | Network GP | Yes |
| Specialist visits | Yes | Yes |
| Acute medication | Yes | Yes |
| Chronic medication | Yes | Yes |
| Basic pathology | Basic from day to day benefits | Yes |
| Basic and emergency dentistry | Basic from day to day benefits | Yes depending on the plan you choose |
| HIV benefit | Yes | Yes depending on the plan you choose |
| Maternity benefit | Yes | Yes |
| Road accident claims | Yes | Yes |
Fedhealth vs Momentum Medical Scheme
👉 Both Fedhealth and Momentum Medical Scheme are known leading medical aid schemes that provide a comprehensive selection of tailored plans. Here, we compare in these two medical aid schemes to help you decide on the best option for your healthcare needs in 2024.
Which offers more affordable cover – Fedhealth or Momentum Medical Scheme?
👉 Although Momentum Medical Scheme has the lowest premium with its Ingwe plan that specifically focusses on students, Fedhealth also offers a low premium on its FlexiFed Savvy plan. Overall, both Fedhealth and Momentum Medical Scheme offers a good selection of affordable medical aid plans designed for singles, couples, families, and pensioners.
Do both schemes offer gap cover?
👉 Gap coverage is a short-term insurance policy that provides shortfall coverage when doctors and specialists charge fees in excess of those covered by medical assistance. Gap coverage complements your medical aid coverage.
👉 In exchange for a monthly premium, the gap cover provider will compensate you for a portion of the difference between your medical expenses and what your medical insurance would cover. If you use a healthcare provider who is not in your medical plan’s network, you may pay more for private hospital services than your plan would cover.
👉 Fedhealth does not offer Gap Cover options within the medical scheme but advise you to take out gap cover from an independent insurer.
👉 It should be noted that Momentum does not only provide medical aid but also has a number of other divisions under its umbrella. Gap cover is one of them but does not fall directly under the medical scheme.
Do both schemes offer hospital plans?
👉 Yes, both Fedhealth and Momentum Medical Scheme offer hospital plans. Fedhealth’s hospital plans cover the treatment costs if you’re admitted to hospital such as ward costs, theatre fees, and accounts from other in-hospital providers such as anesthetists or radiologists.
👉 Hospital plans also typically cover emergency medical expenses, whether you are admitted to hospital or not. To qualify as an emergency, the condition or event must be unexpected and need immediate treatment, for example treatment in the casualty ward of a hospital, trauma counselling oremergency medical services.
👉 All of Momentum Medical Scheme’s plans come with hospital plans that will pay for the costs of your care if you are admitted to the hospital, including ward costs, theatre fees, and accounts from other in-hospital providers like anesthesiologists or radiologists. All of its hospital plans are governed by the terms of the Scheme, pre-approval, case management, clinical guidelines, and the benefit choice you have selected.
Who is Fedhealth?
👉 Since 1936, South Africans have received health care from Fedhealth. Although a lot has changed over the years, the organisation’s dedication to offering inexpensive, high-quality healthcare has not.
👉 Even today, its medical assistance is still administered by members for members, and it is continually evolving to meet the requirements of those who are concerned about their health while navigating a world that is changing quickly.
👉 Fedhealth has maintained a Global Credit Rating of AA- for 14 consecutive years, and with reserves well over the required 25%, the Scheme’s healthy financial position enables it to take care of its members when needed most.
👉 At Fedhealth it is all about customisation and allowing its clients to enjoy medical aid that you can create and control.
👉 Fedhealth is known for its unique benefits paid from Risk to help members’ day-to-day benefits stretch even further. These include upgrades any time of the year within 30 days of a life-changing event, child rates for financially dependent children up to the age of 27, and unlimited network GP visits.
Fedhealth offers 8 medical aid plans:
Who will benefit from Fedhealth?
👉 Fedhealth offers comprehensive medical cover that is well-suited towards individuals, families and pensioners. It offers a fair amount of comprehensive plans, with great coverage that is affordable and start a very low plan for individuals just starting out in the professional world.
👉 Fedhealth also works on a network-based coverage basis, so individuals should first check whether they reside in areas that fall within the pre-selected GP, hospital and specialist network, making it a good option for those residing in urban areas.
Who is Momentum Medical Scheme?
👉 Momentum is a financial services company and provider of healthcare, insurance and investment solutions in SA. It provides tailor made solutions to over 293 000 beneficiaries.
👉 The Council for Medical Schemes (CMS) regulates Momentum Medical Scheme, a not-for-profit open medical scheme that is registered and controlled in accordance with the Medical Schemes Act 131 of 1998, as modified (the Act). The Scheme was founded in 1963 as a cooperative organisation with the primary goal of offering dependable healthcare benefits to its expanding membership.
👉 The Scheme aims to strike a balance between the needs of the individual members and those of the combined membership. You get medical aid cover to match your needs and your budget packed with added benefits and monthly rewards. As one of the most trusted medical aid schemes in South Africa, you can find the most affordable medical aid option to suit your individual or family needs, with industry-leading benefits.
👉 Since its inception, Momentum have been offering a secure future for its clients and their loved ones by providing financial advice, supported by innovative product solutions and excellent service to all its clients.
Momentum Medical Scheme has a Momentum Multiply Rewards Program and also the following medical aid plans:
- ✅ Momentum Summit
- ✅ Momentum Ingwe
- ✅ Momentum Incentive
- ✅ Momentum Extender
- ✅ Momentum Evolve
- ✅ Momentum Custom
Who will benefit from Momentum Medical Scheme?
👉 With Momentum Medical Scheme, you have access to a wide range of medical aid options and industry-leading benefits. Whether you’re a student looking for the most affordable medical aid, a young professional, or a breadwinner who needs extensive cover for your whole family.
Frequently Asked Questions
Which medical aid offers the cheapest medical plan, Fedhealth or Momentum Medical Scheme?
Momentum Medical Scheme offers the cheapest medical plan between the two medical aids with its Ingwe plan at R541.00 per month.
What are the membership numbers of Fedhealth vs Momentum Medical Scheme?
Membership of Momentum (293 000+) exceeds that of Fedhealth (200 000+).
Do Fedhealth and Momentum Medical Scheme medical aids offer the option of gap cover?
Fedhealth does not offer the option to apply for gap cover but advises the members apply for gap cover from an independent insurer. Momentum Medical Scheme does offer the option to apply for gab cover but it is done through one of the company’s other divisions.
Do Fedhealth and Momentum Medical Scheme medical aids have a waiting period?
Yes, both Fedhealth and Momentum Medical Scheme have a general three-month waiting period during which you are unable to submit a claim.
Does Fedhealth and Momentum Medical Scheme offer hospital plans?
Yes, both Fedhealth and Momentum offers their members the option of hospital plans.
