KeyHealth vs. Momentum Medical Scheme
Keyhealth 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 Keyhealth 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: Keyhealth vs Momentum Medical Scheme?
So if you’re ready to go “all in” with the Keyhealth vs. Momentum Medical Scheme in South Africa, this guide is for you.
Let’s dive right in…
KeyHealth vs. Momentum Medical Scheme Summary
Overall Comparison
| ℹ️ Feature | 🥇 KeyHealth | 🥈 Momentum Medical Aid |
| General comparison | 4/5 | 5/5 |
| Number of plans | 6 | 6 |
| Lowest premium | R1 990.00 (Essence) | R541.00 (Ingwe) |
| Highest premium | R11 308.00 (Platinum) | R13 573.00 (Summit) |
| Student Plan | No | Yes |
| Gap Cover | No | Yes |
| Hospital plans | Yes | Yes |
| Maternity benefits | Yes | Yes |
| Number of members | 69 000+ | 293 000 |
Plan benefits
| ℹ️ Feature | 🥇 KeyHealth | 🥈 Momentum Medical Aid |
| Name of Plan | • Essence • Origin • Equilibrium • Silver • Gold • Platinum | • Evolve • Custom • Incentive • Extender • Summit • Ingwe |
| Price per plan | • Essence: R1 990.00 • Origin: R2 250.00 • Equilibrium: 2 778.00 • Silver: R4 799.00 • Gold: R7 036.00 • Platinum: R11 308.00 | • Evolve: R1 687.00 • Custom: R2 149.00 • Incentive: R2 794.00 • Extender: R6 589.00 • Summit: R13 573.00 • Ingwe: R541.00 |
| GP Visits | Yes | Yes |
| GP in room visits | Yes | Yes |
| Specialist visits | Yes | Yes |
| Acute medication | Yes | Yes |
| Chronic medication | Yes | Yes |
| Basic pathology | Yes | Yes |
| Basic and emergency dentistry | Yes on basic dentistry | Yes depending on the plan you choose |
| Basic optometry | Yes | Yes depending on the plan you choose |
| HIV benefit | Yes | Yes |
| Maternity benefit | Yes | Yes |
| Road accident claims | No | Yes but not linked to medical aid scheme |
KeyHealth vs. Momentum Medical Scheme
Both KeyHealth and Momentum Medical Scheme are known medical aid schemes in South Africa that provide a comprehensive selection of tailored plans. Here, we compare in these two medical aid schemes to help you decide on the best medical aid option for your healthcare needs in 2024.
Which offers more affordable cover – KeyHealth or Momentum Medical Scheme?
Momentum Medical Scheme has the lowest premium with its Ingwe plan that specifically focusses on students. Both medical aids, KeyHealth as well as Momentum Medical Scheme gives a choice between only six plans. Overall, both medical aids offer fairly affordable medical aid plans designed for singles, couples, families, and pensioners.
Try out: Compare medical aid schemes in South Africa with rates and benefits.
Do both schemes offer gap cover?
A gap coverage policy is a temporary insurance plan that fills up the financial gaps left when patients visit doctors and specialists who charge more than the patient’s medical aids would pay for. Your medical aid and gap insurance will work together to protect you from financial hardship.
The gap cover provider will reimburse you for a specified percentage of the difference between the full cost of your medical care and the amount your health insurance policy would cover in exchange for a regular premium payment. It is common practice for private hospitals to charge patients more for the identical procedures if they are performed by a healthcare provider who is not included in the medical plan’s network.
Although KeyHealth does not make specific provision for Gap Cover options, it has adopted two approaches to tackle this issue. The first is to keep its products as affordable as possible. Equilibrium includes a savings account which could be used to meet co-payments or day-to-day expenses if necessary.
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 Momentum Medical Scheme.
Do both schemes offer hospital plans?
Yes, both KeyHealth and Momentum Medical Scheme offer hospital plans. All six plans offered by KeyHealth include hospital plans to 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. All its hospital plans are subject to Scheme rules, pre-authorization, case management, clinical protocols and the benefit option you have chosen.
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 KeyHealth?
KeyHealth is a well-known medical plan and health insurance company in South Africa. The Scheme, which is managed by PPS Healthcare, places a high value on transparency in the way it presents its health advantages, steering clear of “nice to haves” and emphasising the provision of “pure” medical aid benefits.
KeyHealth Medical Aid, strive to keep its members’ contributions as affordable as possible, throughout all its options, from the most basic to the most comprehensive plan. Members are given fair and reasonable value and cover in return for their monthly contributions.
All KeyHealth plans come with three additional complimentary benefits, namely Easy-ER, Health Booster, and Smart Baby, and all provide limitless coverage for Prescribed Medical Conditions (PMBs) in compliance with South African law. Some exclusions apply based on the chosen plan. The Chronic Disease List is covered by all options.
The most affordable option with Health is Essence. Some exclusions apply, such as day-to-day medical costs, dentistry, prostheses, and hospitalisation benefits for some surgical operations. Disaster and other significant medical expenses caused by accidents (in hospitals) are covered. Essence makes sure that users of this plan have access to basic, necessary medical coverage. The next option, equilibrium, is also reasonably priced, but although daily medical coverage is provided, some hospital benefits are excluded.
With the Silver plan two in-hospital treatment benefits and specialised dentistry are excluded. Gold is the recommended plan which offers comprehensive and complete cover. While member contributions are higher, the benefits are also higher. There are no in-hospital benefit exclusions, and coverage is limitless for both general and specialty dentistry operations.
The Platinum option is at the top of the list. A Threshold Zone that funds extra expenses after the predetermined Self-Payment Gap has been closed is one of the benefits. Other benefits include those for routine, daily expenses. The benefits of this complete choice go beyond the 26 ailments on the Chronic Disease List and cover 29 more chronic conditions.
KeyHealth offers 6 medical aid plans:
- ✅ KeyHealth Essence Medical Aid Plan
- ✅ KeyHealth Origin Medical Aid Plan
- ✅ Keyhealth Equilibrium Medical Aid Plan
- ✅ Keyhealth Silver Medical Aid Plan
- ✅ Keyhealth Gold Medical Aid Plan
- ✅ Keyhealth Platinum Medical Aid Plan
Who will benefit from KeyHealth?
KeyHealth offers a fairly comprehensive medical cover that is well-suited towards individuals, families and pensioners. It offers comprehensive plans, with good coverage that is affordable.
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.
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, KeyHealth or Momentum Medical Scheme?
Momentum Medical Scheme has the cheapest plan between the two medical aids with its Ingwe plan at R541.00 per month. KeyHealth’s cheapest plan is its Essence plan at R1 990.00 per month.
Which medical aid, KeyHealth or Momentum Medical Scheme are the most popular?
Momentum Medical Scheme boast the most members at 293 000+ compared to KeyHealth with 69 000+ members. Both medical aids have an option to choose between six different plans.
Do KeyHealth and Momentum Medical Scheme medical aids offer the option of gap cover?
KeyHealth, does not make specific provision for gap cover but opts to rather keep its products as affordable as possible. However, it does advise its members to take out gap cover from an independent insurer. Momentum Medical Scheme does provide the option to apply for gap cover although with Momentum it is covered by another division of the company.
Do KeyHealth and Momentum Medical Scheme medical aids have a waiting period?
Yes, both KeyHealth and Momentum Medical Scheme have a three-month waiting period during which you are unable to submit a claim.
Which is the best medical aid between KeyHealth and Momentum Medical Scheme?
KeyHealth has been operating since 1968 and has maintained the necessary high membership figures since then. The key to its success has been an unwavering determination to offer its members the best possible value for their hard-earned cash. Momentum Medical Scheme was founded in 1963 and besides offering affordable medical aid options to its members, it also provides financial advice which is supported by innovative product solutions.
