Medical scheme increases for 2027 range from 7.35% to 8.9%, as rising healthcare utilisation, ageing membership and expensive new treatments continue to push costs above inflation. Industry representatives say schemes must raise contributions to cover growing claims expenditure. According to the Council for Medical Schemes (CMS), healthcare costs can absorb up to R96 of every R100 contributed. Why Medical Scheme…
Tag: Momentum Health
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Prescribed Minimum Benefits and Cost Control Solutions
Medical scheme members cannot keep absorbing above-inflation increases or downgrading to cheaper options indefinitely, the Board of Healthcare Funders (BHF) says. The industry body is therefore calling for long-delayed reform of prescribed minimum benefits (PMBs) and collective tariff bargaining. BHF managing director Katlego Mothudi told Moneyweb that reform must address what schemes cover. The BHF has written to the Council…
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Medical Aid Contributions for 2027 from Discovery and Momentum
TWO of South Africa’s largest open medical schemes have unveiled their 2027 medical aid contribution increases. Discovery Health Medical Scheme (DHMS) is raising rates by an average weighted increase of 8.2%. Momentum Health is raising rates by 7.9%. Both framed the increases as a response to mounting medical inflation. Discovery: 8.2% on average DHMS contributions will rise between 7.4% and…
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Momentum Group Posts Record Earnings
Momentum Group has reported record earnings for the year to end-June, with normalised headline earnings passing the R7bn mark set under its Impact strategy a full year ahead of schedule. The insurer credited a strong operational showing across most of its business units. Behind Momentum Group’s record earnings Normalised headline earnings, which strip out items such as treasury shares held…
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Health Insurance Growth Reshapes Private Healthcare Market
Health insurance is now the fastest-growing segment of South Africa’s private healthcare market, driven by consumers seeking more affordable options than traditional medical aid. Momentum Health estimates the health insurance market is growing by 14% to 16% annually, significantly outpacing the largely stagnant medical scheme sector. Over 1.2 million principal members now hold health insurance policies, covering nearly 2 million…
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Medscheme Bonitas Court Bid Withdrawal Clears CMS Probe
Medscheme has withdrawn its legal application against Bonitas Medical Fund. The decision clears the way for the Council for Medical Schemes (CMS) to continue a forensic investigation into disputed procurement processes. The legal action concerned contracts for medical scheme administration, managed care, marketing and sales distribution. Medscheme claimed to have evidence of significant irregularities in tender processes involving Bonitas’s BonCap…
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Momentum Bonitas Deal Lifts Market Share To 30%
The Momentum Bonitas deal is set to reshape South Africa’s tightly concentrated medical scheme administration market. This follows Momentum Health winning the tender to administer the Bonitas Medical Fund. The transfer takes effect on 1 June 2026. It is being positioned by Momentum as a springboard for further growth in a sector dominated by a handful of large players. Momentum’s…
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Bonitas Medscheme Split Sees Momentum and PHA Win Contracts
The Bonitas Medscheme Split has become a major topic in the South African healthcare sector. Bonitas Medical Fund, South Africa’s second-largest open medical scheme, has confirmed a major supplier shake-up. It will end its long-running administration relationship with Medscheme and hand key roles to Momentum Health and Private Health Administrators (PHA). The changes cover all Bonitas options except Boncap, its…
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Medical Aid Contribution Increases Squeeze Household Budgets
South African households are bracing for another year of financial pressure as major medical schemes begin announcing their contribution increases and benefit changes for 2026. In a familiar and unwelcome trend, the announced premium hikes are set to outpace the country’s general inflation rate significantly. This will deepen the long-standing healthcare affordability crisis. While the Council for Medical Schemes (CMS)…