AC
As-Ad Cassiem

1 reviews | Active since Jul 2024

27 Jan 2026, 15:05

Don't sign up with Momentum Health!

I am extremely disappointed with the way Momentum Health is handling my authorisation. When I joined the scheme, I was informed that I had no waiting periods. I was admitted from the Emergency Centre to the ward on 13 January 2026 for tests relating to a life‑threatening condition, yet to date Momentum Health has still not provided authorisation for this admission. I was scheduled for a second hospital admission on 20 January for further testing. Momentum then requested a 12‑month Clinical Patient History from all doctors and GP’s I have consulted, which I can understand as I have not been on the scheme for a full year. However, it is completely unreasonable that the authorisation for my initial Emergency Centre admission for a life‑threatening condition is now also being made dependent on this. I was told the investigation and review process would take 24–48 hours, yet more than a week has passed. When I followed up on Friday, I was informed that additional information was required—information Momentum never requested proactively. Each time I call to check on the progress, I am told something new is needed, which only delays the process further. My admission was based on a PMB code. As I understand it, Prescribed Minimum Benefits (PMBs) must be covered by all medical schemes in South Africa in accordance with the Medical Schemes Act 131 of 1998. I therefore cannot understand why a patient clinical history investigation is being conducted for a condition that qualifies as a PMB, is life‑threatening, and also I do not have a waiting period Momentum.

0
Replies (2)
Momentum Health
Momentum Health's reply28 Jan 2026, 09:14
Official
Dear As-Ad Cassiem 

Thank you for bringing this matter to us. 

We will contact you to discuss further. 

Kind Regards 
Cerys 
AC
As-Ad Cassiem's update03 Feb 2026, 12:31
Reviewer Update
Hi Cerys

I’ve only received a maximum of two calls from you, and unfortunately nothing was resolved during those conversations. I’ve been emailing you for the past two days requesting an update, but I haven’t received any response from you—neither via email nor a follow‑up call.

I genuinely thought this matter would be treated with more urgency by you like you promised, but it now seems the initial call may have been only in response to the Hello Peter review.