Brochures /Guides

Income definition on the Ingwe Option

On the Ingwe Option, the higher of your or your spouse/partner's gross income, if he/she is inclu...

Focus on the coronavirus

Momentum Medical Scheme will cover the cost of diagnosis and treatment for confirmed COVID-19 cas...

Focus on the Maternity Programme

Momentum Medical Scheme's comprehensive maternity programme is aimed at providing members with th...

Focus on Prescribed Minimum Benefits

This article provides an overview of Prescribed Minimum Benefits and how Momentum Medical Scheme ...

Summary of Changes 2021

Amongst the uncertainty of a global pandemic and economic hardship, Momentum Medical Scheme focus...

Summary of Benefits 2021

Click here for a full summary of 2021 benefits 

Average contribution increase - 2021

Momentum Medical Scheme's average weighted average contribution increase for 2021 is 3.9% with st...

Momentum Medical Scheme Contributions

To view the medical scheme contributions for 2021 please click here 

GapCover Claim Application

To access the GapCover Claim Application please click on the link.  

GapCover Application - Compulsory Group

To access the GapCover Application - Compulsory Group please click on this link.  

GapCover Application - Voluntary Group (payroll deduction)

To access the GapCover Application - Voluntary Group please click on the link.  

GapCover Application - Millennial

To access the GapCover Application – Millennial please click on this link.  

GapCover Application - Intermediary

To access the GapCover Application – Intermediary please click on the link.  

Consent Form

For information on the Consent Form , please click on the link.

GapCover Application - Company

To access the GapCover Application – Company please click on this link.  

GapCover Application - 65 years & older

To access the GapCover Application - 65 years & older please click on this link.  

HealthSaver Deed of Suretyship

For HealthSaver deed of suretyship please click on link.

GapCover Application

To access the GapCover Application please click on this link.  

Application for Multiply - Individual

To access the Application for Multiply – Individual please click on this link.

Application for Complementary Products - Employer

To access the Application for Complementary Products – Employer please click on: 2020 2021

Option Selection Form

For information on Option selections and option changes forms , please click on: 2020 2021  

Application for Complementary Products - Individual

To access the Application for Complementary Products – Individual please click on : 2020 2021

Option Selection Form - Including Declaration of Income

For information pertaining to Option Selection Form and / or Declaration of Income, please click ...

Application for HealthWaiver

To access the Application for HealthWaiver please click on 1 of the following links 2020 2021

Declaration of Health

To access the Declaration of Health form please click on: 2020 2021

Declaration of Medical Schemes

To access the Declaration of Medical Schemes form please click on this link.

Application for HealthSaver

To access the HealthSaver application please click on 1 of the following links 2020 2021

Chest Pain Questionnaire

To access the Chest Pain Questionnaire please click on link.

Confidential Medical Report by Doctor

To access the Confidential Medical Report by Doctor please click on link.

Confidential Medical Report by Doctor

To access the Confidential Medical Report by Doctor please click on link.

Contact Momentum Medical Scheme

For local emergencies



Available 24 hours a day, 7 days a week, 365 days a year.

For international emergencies



Available 24 hours a day, 7 days a week, 365 days a year.

Client service, claims and authorisations






Business hours are Monday to Friday from 07:30 to 17:00. Saturdays from 08:00 to 12:00. Closed on Sundays and public holidays.