Momentum: Custom Option
Hospital Plan
2026 Plan
From R 3 749/monthGet a free callback
Heads up: This is general information, not financial advice. Pricing is sourced from the official Momentum 2026 brochure but may change — always confirm directly with Momentum before joining.
Monthly Contributions
Main memberR 3 749
Adult dependantR 2 958
Child dependantR 1 322
Max 3 children billed. Child rates apply up to age 21.
Hospital Cover
Limit: Unlimited
Network: Any private hospital
Chronic Cover
26 conditions covered (26 PMB + 0 additional)
Non-formulary co-pay: 30%
Maternity
12 antenatal consultations
2 ultrasound scans
Plan highlights
- Hospital cover only — choose any private hospital
- Associated specialists covered in full
- 26 PMB chronic conditions in full
- Day-to-day cover via complementary HealthSaver+
Who is Custom Option for?
- People who only need cover for emergencies and hospitalisation
- Younger, generally healthy members who pay for GP visits and medication out of pocket
This is general guidance. Use our free calculator to see whether this plan matches your specific needs and budget.
What's covered
- Unlimited hospital cover at any private hospital
- 26 chronic conditions (26 PMB + 0 additional)
- 12 antenatal consultations
- 2 pregnancy ultrasound scans
- All Prescribed Minimum Benefits (PMB) — required by South African law
What to watch out for
- GP consultations (you pay out of pocket)
- Acute medication from your local pharmacy
- Routine dental check-ups and optometry
- Non-formulary chronic medication is subject to a 30% co-payment
- Chronic conditions outside the 27 statutory PMB list
- Cosmetic procedures, alternative therapies and certain elective treatments
- Out-of-hospital costs above your annual day-to-day limit (where applicable)
Compare with similar Momentum plans
Ingwe Option
Network
From R 4 546/month
26 chronic conditions
Restrictive network
Incentive Option
Savings
From R 5 333/month
26 chronic conditions
Any private hospital
Evolve Option
Network
From R 2 029/month
26 chronic conditions
Comprehensive network
Frequently asked questions
Source: Momentum Custom Option 2026 — accessed 2026-04-28.
All benefits and limits are per calendar year, unless otherwise stated.
Subject to Council for Medical Schemes approval.
Pre-authorisation required — 30% co-payment if not obtained (excluding emergencies).
Pricing and benefits sourced from the official 2026 Momentum Medical Scheme brochure. Final premiums confirmed by Momentum at application.