Disclaimer: All Benefits approved by the council of medical schemes. You are currently viewing 2024 plans

EDGE PLANS

BonStart

STARTING FROM

R1 378 PM

Ts & Cs apply

Bonstart and bonstart plus
BonStart
Basic Summary
Main Adult Children
Monthly contribution R 1378 R 1378 R 1378
Hospital cover

Unlimited at a the applicable hospital network. R1 690 co-payment per admission, except for PMB emergencies

GP and specialist consultations

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Blood tests limited to R29 350 per family unless PMB. X-rays unlimited, 100% of the Bonitas Rate

MRIs and CT scans

R13 390 per family unless PMB
(R2 660 co-payment per scan event)

Allied medical professionals
(such as dietician, speech and occupational therapy)

PMB only

physiotherapy and biokinetics

PMB only

Childbirth

Natural birth: Unlimited at the applicable hospital network (Emergency approved C-sections only)

Neonatal care

Limited to R52 360 per family, except for PMB

Internal and external prosthesis

PMB only

Mental health hospitalisation

PMB only at a DSP

Take-home medicine

Limited to a 7-day supply up to R440 per hospital stay

Physical rehabilitation

R57 230 per family

Alternatives to hospital
(Hospice, step-down facilities)

R16 480 per family

Palliative care
(cancer only)

Unlimited, subject at a DSP

Dentistry

PMB only

Cancer treatment

PMB only, at a DSP or a 30% co-payment applies

Kidney dialysis

PMB only, at a DSP or a 30% co-payment applies

Organ transplants

PMB only, at a DSP or a 30% co-payment applies

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Antenatal consultations

No benefit

2D Ultrasound scans

No benefit

Amniocentesis

No benefit

Postnatal consultations
(with a midwife)

No benefit

Hearing screening

N/A

Congenital hypothyroidism screening

N/A

24/7 telephonic baby advice line

For children under 3 years

Childhood immunisations up to the age of 12

N/A

GP consultations

Unlimited Network GP consultations, R120 co-payment per visit. Pre-authorisation required from 6th visit

Virtual Care GP and Nurse consultations

Unlimited

Emergency room benefit
(for emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

GP-referred acute medicine, X-rays and blood tests
Combined benefit & subject to the applicable formulary

Limited to R1 690 per family. Acute medicine: 20% co-payment per script, 40% co-payment for non-DSP/non-formulary use

Specialist consultations
(subject to GP referral and applicable formulary)

Limited to 1 visit per family up to R1 250. R250 co-payment per visit. Including all acute medicine, basic radiology, specialised radiology and pathology pescribed by the specialist

Over-the-counter medicine

Limited to R105 per event, R520 per family per year. Avoid a 20% co-payment by using a Bonitas Network Pharmacy, medicine that is on the formulary and completing your wellness screening

General medical appliances

PMB only

Optometry

1 eye test per beneficiary, R110 co-payment

Basic dentistry

1 consultation per beneficiary, R120 co-payment

Physiotherapy

2 consultations per beneficiary for sport related injuries, R120 co-payment

Mental health

PMB only, subject to the use of DSP

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or
a R12 050 co-payment applies

Co-payments for certain procedures

Yes

Chronic medicine

Unlimited for PMB, subject to use of DSP (20% co-payment for non-DSP/non-formulary use)

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Contraceptives (per family for women aged up to 50)

R1 210

Wellness screening

1 per beneficiary

International travel
(per trip)

Up to R10 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure.)

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

R1 100 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL: R 1378

BonStart Plus

STARTING FROM

R1 754 PM

Ts & Cs apply

Bonstart and bonstart plus
BonStart Plus
Basic Summary
Main Adult Children
Monthly contribution R 1754 R 1668 R 773
Hospital cover

Unlimited at the applicable hospital network. R1 130 co-payment per admission, except for PMB emergencies

GP and specialist consultations

Unlimited, 100% of the Bonitas Rate

Blood tests and X-rays

Blood tests unlimited, 100% of the Bonitas Rate. X-rays unlimited, 100% of the Bonitas Rate

MRIs and CT scans

R18 180 per family unless PMB
(R2 130 co-payment per scan event)

Allied medical professionals
(such as dietician, speech and occupational therapy)

PMB only

physiotherapy and biokinetics

PMB only

Childbirth

Natural birth: Unlimited at the applicable hospital network (Emergency approved C-sections only)

Neonatal care

Limited to R52 360 per family, except for PMB

Internal and external prosthesis

Internal: R18 180 per family (no cover for joint replacement except for PMB)

External: PMB only

Mental health hospitalisation

PMB only at a DSP

Take-home medicine

Limited to a 7-day supply up to R440 per hospital stay

Physical rehabilitation

R57 230 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 100 per family

Palliative care
(cancer only)

Unlimited, subject at a DSP

Dentistry

PMB only

Cancer treatment

PMB only, at a DSP or a 30% co-payment applies

Kidney dialysis

PMB only, at a DSP or a 30% co-payment applies

Organ transplants

PMB only, at a DSP or a 30% co-payment applies

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Antenatal consultations

6

2D Ultrasound scans

2

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be used for a consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Childhood immunisations up to the age of 12

According to the Expanded Programme on Immunaisation in South Africa

GP consultations

Unlimited Network GP consultations, R65 co-payment per visit. Pre-authorisation required from 10th visit

Virtual Care GP and Nurse consultations

Unlimited

Emergency room benefit
(for emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

GP-referred acute medicine, X-rays and blood tests
Combined benefit & subject to the applicable formulary

Limited to R3 160 per family. Acute medicine: 20% co-payment per script, 40% co-payment for non-DSP/non-formulary use

Specialist consultations
(subject to GP referral and applicable formulary)

Limited to 1 visit per family up to R2 260. R120 co-payment per visit. Including all acute medicine, basic radiology, specialised radiology and pathology pescribed by the specialist

Over-the-counter medicine

Limited to R165 per event, R785 per family per year. Avoid a 20% co-payment by using a Bonitas Network Pharmacy, medicine that is on the formulary and completing your wellness screening

General medical appliances

R6 270 per family

Optometry

1 eye test per beneficiary, R110 co-payment

Basic dentistry

1 consultation per beneficiary, R65 co-payment

Physiotherapy

4 consultations per beneficiary for sport related injuries, R65 co-payment

Mental health

PMB only, subject to the use of DSP

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or
a R12 050 co-payment applies

Co-payments for certain procedures

Yes

Chronic medicine

Unlimited for PMB, subject to use of DSP (20% co-payment for non-DSP/non-formulary use)

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Contraceptives (per family for women aged up to 50)

R1 460

Wellness screening

1 per beneficiary

International travel
(per trip)

Up to R10 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure.)

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

R1 100 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL: R 1754
TRADITIONAL PLANS

Standard

STARTING FROM

R4 922 PM

Ts & Cs apply

standard and standard select image
Standard
Basic Summary
Main Adult Children
Monthly contribution R 4922 R 4267 R 1444
Hospital cover

Unlimited

GP and specialist consultations
(Network doctors covered in full at the Bonitas Rate)

Unlimited, 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited, 100% of the Bonitas Rate

MRIs and CT scans

R32 340 per family in and out-of-hospital.
R1 770 Co-payment per scan even unless PMB

Internal and external prosthesis

R54 780 per family.

Internal nerve stimulators

R205 100 per family

Cochlear implants

N/A

Mental health hospitalisation

R49 330 per family

Sublimit of hospitalisation for mental health consultations per family
(In or out-of-hospital)

R19 310 per family

Take-home medicine

Limited to a 7-day supply up to R575 per hospital stay

Physical rehabilitation

R61 480 per family

Alternatives to hospital
(Hospice, step-down facilities)

R20 500 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment
(30% a co-payment applies at non-DSP)

Unlimited for PMBs, R266 300 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 590 co-payment will apply

Co-payments for certain procedures

Co-payment applies for hip and knee replacements at a non-DSP. Co-payment applies for cataract surgery at a non-DSP

Privacy ward after delivery

N/A

Antenatal consultations

12

2D Ultrasound scans

2

Antenatal classes

R1 500

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be use for consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

2

Paediatric consultations for children between ages 2 and 12

2

GP consultations for children between ages 2 and 12

2

Childhood immunisations up to the age of 12

According to the Private Vaccination schedule in South Africa

GP consultations
(including virtual care consultations)

Paid from available GP & specialist consultations sublimit. 2 Additional network GP consultations per family when the GP & specialist consultations sublimit is reached.

Specialist consultations

2 Additional network specialist consultations.

X-rays and ultrasounds

Paid from available X-rays and blood tests sublimit.

Blood tests

Paid from available X-rays and blood tests sublimit.

Acute medicine
20% co-payment for non-DSP/non-formulary

Paid from available acute and over-the-counter medicine sublimit.

Over-the-counter medicine
20% co-payment for non-DSP/non-formulary

Over-the-counter medicine is limited to: R850 per beneficiary. R2 660 per family.

Allied medical professionals
(Such as dietician, speech and occupational therapists)

Paid from available auxiliary services sublimit.

physiotherapy, podiatry and biokinetics

Paid from available auxiliary services sublimit.

General medical appliances

Subject to the available overall day-to-day limit R8 130 per family for Stoma Care and CPAP machines. Note: CPAP machines subject to Managed Care protocols

Emergency room benefit (NEW)
(For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(Limited to one device per type 1 diabetic for beneficiaries younger than 18)

R85 000 per family every 5 years(Consumables limited to R85 000 per family)

Audiology
(Hearing aids, consultations and tests)

R8 650 per device (maximum two devices per family), once every 3 years (based on the date of your previous claim). All tests and consultations limited to the audiology Benefit Management Programme and use of network provider

Optometry
(Once every 2 years)

R7 385 per family

Refractive surgery

N/A

Basic dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme

Specialised dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tariff

Chronic benefits
(40% co-payment for non-DSP/non-formulary use)

45 chronic conditions. R11 910 per beneficiary, R23 900 per family. Unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Full lipogram every 5 years, members aged 20 and over

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Whooping cough booster vaccine every 10 years, members between ages 7 and 64

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Bone density screening every 5 years, women aged 65 and men aged 70 and over

N/A

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 950

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

Up to R5 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL:R 4922

Standard Select

STARTING FROM

R4 448 PM

Ts & Cs apply

standard and standard select image
Standard Select
Basic Summary
Main Adult Children
Monthly contribution R 4448 R 3849 R 1302
Hospital cover

Unlimited, network applies

GP and specialist consultations
(Network doctors covered in full at the Bonitas Rate)

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans

R32 340 per family in and out-of-hospital
R1 170 Co-payment per scan event unless PMB

Internal and external prosthesis

R54 780 per family in and out-of-hospital

Internal nerve stimulators

R205 100 per family

Cochlear implants

N/A

Mental health hospitalisation

R49 330 per family

Sublimit of hospitalisation for mental health consultations per family
(In or out-of-hospital)

R19 310 per family

Take-home medicine

Limited to a 7-day supply up to R575 per hospital stay

Physical rehabilitation

R61 480 per family

Alternatives to hospital
(Hospice, step-down facilities)

R20 500 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment
(30% a co-payment applies at non-DSP)

Unlimited for PMBs, R266 300 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R5 170 co-payment will apply

Co-payments for certain procedures

Co-payment applies for hip and knee replacements at a non-DSP. Co-payment applies for cataract surgery at a non-DSP

Privacy ward after delivery

N/A

Antenatal consultations

12

2D Ultrasound scans

2

Antenatal classes

R1 500

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be use for consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

2

GP consultations for children between ages 2 and 12

2

Paediatric consultations for children between ages 2 and 12

2

Childhood immunisations up to the age of 12

According to the Private Vaccination schedule in South Africa

GP consultations
(including virtual care consultations)

Paid from available GP & specialist consultations sublimit. 2 Additional network GP consultations per family when the GP & specialist consultations sublimit is reached.

Specialist consultations

2 Additional network specialist consultations.

X-rays and ultrasounds

Paid from available X-rays and blood tests sublimit.

Blood tests

Paid from available X-rays and blood tests sublimit.

Acute medicine
20% co-payment for non-DSP/non-formulary

Paid from available acute and over-the-counter medicine sublimit.

Over-the-counter medicine
20% co-payment for non-DSP/non-formulary

Over-the-counter medicine is limited to: R850 per beneficiary. R2 660 per family.

Allied medical professionals
(Such as dietician, speech and occupational therapists)

Paid from available auxiliary services sublimit.

physiotherapy, podiatry and biokinetics

Paid from available auxiliary services sublimit.

General medical appliances

Subject to the available overall day-to-day limit R8 130 per family for Stoma Care and CPAP machines. Note: CPAP machines subject to Managed Care protocols.

Emergency room benefit (NEW)
(For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(Limited to one device per type 1 diabetic for beneficiaries younger than 18)

R85 000 per family every 5 years(Consumables limited to R85 000 per family)

Audiology
(Hearing aids, consultations and tests)

R8 650 per device (maximum two devices per family), once every 3 years (based on the date of your previous claim). All tests and consultations limited to the audiology Benefit Management Programme and use of network provider

Optometry
(Once every 2 years)

R7 385 per family

Refractive surgery

N/A

Basic dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme

Specialised dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tariff

Chronic benefits
(40% co-payment for non-DSP/non-formulary use)

45 chronic conditions. R11 910 per beneficiary, R23 900 per family. Unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Full lipogram every 5 years, members aged 20 and over

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Whooping cough booster vaccine every 10 years, members between ages 7 and 64

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Bone density screening every 5 years, women aged 65 and men aged 70 and over

N/A

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 950 at the DSP

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

Up to R5 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL:R 4448

Primary

STARTING FROM

R2 993 PM

Ts & Cs apply

primary and primary select image
Primary
Basic Summary
Main Adult Children
Monthly contribution R 2993 R 2341 R 952
Hospital cover

Unlimited

GP and specialist consultations
(network doctors covered in full at the Bonitas Rate)

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited, 100% of the Bonitas Rate

MRIs and CT scans

R15 170 per family in and out-of-hospital.
R2 130 Co-payment per scan event unless PMB

Internal and external prosthesis

PMB only

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R18 120 per family

Sublimit of hospitalisation for mental health consultations per family
(In or out-of-hospital)

R11 630 per family

Take-home medicine

Limited to a 7-day supply up to R445 per hospital stay

Physical rehabilitation

R57 890 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 310 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment
(30% a co-payment applies at non-DSP)

Unlimited for PMBs, R213 000 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Organ transplants

PMB only

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 590 co-payment will apply

Co-payments for certain procedures

Yes

Privacy ward after delivery

N/A

Antenatal consultations

6

2D Ultrasound scans

2

Antenatal classes

N/A

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be use for consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

1

Paediatric consultations for children between ages 2 and 12

1

GP consultations for children between ages 2 and 12

1

Childhood immunisations up to the age of 12

According to the Private Vaccination schedule in South Africa

GP consultations
(including virtual care consultations)

Paid from available GP & specialist consultations sublimit. 1 Additional network GP consultations per family when the GP & specialist consultations sublimit is reached.

Specialist consultations

1 Additional network specialist consultations.

X-rays and ultrasounds

Paid from available X-rays and blood tests sublimit.

Blood tests

Paid from available X-rays and blood tests sublimit.

Acute medicine
20% co-payment for non-DSP/non-formulary

Paid from available acute and over-the-counter medicine sublimit.

Over-the-counter medicine
20% co-payment for non-DSP/non-formulary

Over-the-counter medicine is limited to: R535 per beneficiary. R2 130 per family.

Allied medical professionals
(Such as dietician, speech and occupational therapists)

Paid from available auxiliary services sublimit.

physiotherapy, podiatry and biokinetics

Paid from available auxiliary services sublimit.

General medical appliances

Subject to the available overall day-to-day limit R7 820 per family for Stoma Care and CPAP machines. Note: CPAP machines subject to Managed Care protocols.

Emergency room benefit (NEW)
(For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(Limited to one device per type 1 diabetic for beneficiaries younger than 18)

N/A

Audiology
(Hearing aids, consultations and tests)

N/A

Optometry
(Once every 2 years)

R5 695 per family

Refractive surgery

N/A

Basic dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme

Specialised dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tariff

Chronic benefits
(40% co-payment for non-DSP/non-formulary use)

28 chronic conditions. Unlimited, subject to use of DSP and formulary

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Full lipogram every 5 years, members aged 20 and over

N/A

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Whooping cough booster vaccine every 10 years, members between ages 7 and 64

N/A

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Bone density screening every 5 years, women aged 65 and men aged 70 and over

N/A

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 870 at the DSP

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

Up to R3 500 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL:R 2993

Primary Select

STARTING FROM

R2 619 PM

Ts & Cs apply

primary and primary select image
Primary Select
Basic Summary
Main Adult Children
Monthly contribution R 2619 R 2048 R 832
Hospital cover

Unlimited, network applies

GP and specialist consultations
(Network doctors covered in full at the Bonitas Rate)

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans

R15 170 per family in and out-of-hospital
R2 130 Co-payment per scan event unless PMB

Internal and external prosthesis

PMB only

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R18 120 per family

Sublimit of hospitalisation for mental health consultations per family
(In or out-of-hospital)

R11 630 per family

Take-home medicine

Limited to a 7-day supply up to R445 per hospital stay

Physical rehabilitation

R57 890 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 310 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment
(30% a co-payment applies at non-DSP)

Unlimited for PMBs, R213 000 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Organ transplants

PMB only

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R5 170 co-payment will apply

Co-payments for certain procedures

Yes

Privacy ward after delivery

N/A

Antenatal consultations

6

2D Ultrasound scans

2

Antenatal classes

N/A

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be use for consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

1

Paediatric consultations for children between ages 2 and 12

1

GP consultations for children between ages 2 and 12

1

Childhood immunisations up to the age of 12

According to the Private Vaccination schedule in South Africa

GP consultations
(including virtual care consultations)

Paid from available GP & specialist consultations sublimit. 1 Additional network GP consultations per family when the GP & specialist consultations sublimit is reached.

Specialist consultations

1 Additional network specialist consultations.

X-rays and ultrasounds

Paid from available X-rays and blood tests sublimit.

Blood tests

Paid from available X-rays and blood tests sublimit.

Acute medicine
20% co-payment for non-DSP/non-formulary

Paid from available acute and over-the-counter medicine sublimit.

Over-the-counter medicine
20% co-payment for non-DSP/non-formulary

Over-the-counter medicine is limited to: R535 per beneficiary. R2 130 per family.

Allied medical professionals
(Such as dietician, speech and occupational therapists)

Paid from available auxiliary services sublimit.

physiotherapy, podiatry and biokinetics

Paid from available auxiliary services sublimit.

General medical appliances

Subject to the available overall day-to-day limit R7 820 per family for Stoma Care and CPAP machines. Note: CPAP machines subject to Managed Care protocols.

Emergency room benefit (NEW)
(For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(Limited to one device per type 1 diabetic for beneficiaries younger than 18)

N/A

Audiology
(Hearing aids, consultations and tests)

N/A

Optometry
(Once every 2 years)

R5 695 per family

Refractive surgery

N/A

Basic dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme

Specialised dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tariff

Chronic benefits
(40% co-payment for non-DSP/non-formulary use)

28 chronic conditions. Unlimited, subject to use of DSP and formulary

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Full lipogram every 5 years, members aged 20 and over

N/A

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Whooping cough booster vaccine every 10 years, members between ages 7 and 64

N/A

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Bone density screening every 5 years, women aged 65 and men aged 70 and over

N/A

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 870 at the DSP

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

Up to R3 500 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL:R 2619
SAVINGS PLANS

BonFit Select

STARTING FROM

R2 295 PM

Ts & Cs apply

Bonsave and bonfit select image
BonFit Select
Basic Summary
Main Adult Children
Monthly contribution R 2295 R 1719 R 772
Hospital cover

Unlimited, network applies

GP and specialist consultations
(Network doctors covered in full at the Bonitas Rate)

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans

R19 530 per family in hospital
R1 170 Co-payment per scan event unless PMB

Internal and external prosthesis

PMB only

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R39 150 per family

Sublimit of hospitalisation for mental health consultations per family
(In or out-of-hospital)

PMB only

Take-home medicine

Limited to a 7-day supply up to R475 per hospital stay

Physical rehabilitation

R61 480 per family

Alternatives to hospital
(Hospice, step-down facilities)

R20 500 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment
(30% a co-payment applies at non-DSP)

Unlimited for PMBs, R213 000 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R5 170 co-payment will apply

Co-payments for certain procedures

Yes

Privacy ward after delivery

N/A

Antenatal consultations

6

2D Ultrasound scans

2

Antenatal classes

Paid from savings

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be use for consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

2

Paediatric consultations for children between ages 2 and 12

1

GP consultations for children between ages 2 and 12

1

Childhood immunisations up to the age of 12

According to the Expanded Programme on Immunisation in South Africa

GP consultations
(including virtual care consultations)

Paid from available savings Additional benefit for GP consultations when savings are finished (limited to 1 per beneficiary, maximum 2 per family) paid at the Bonitas Rate

Specialist consultations

Paid from available savings

X-rays and ultrasounds

Paid from available savings

Blood tests

Paid from available savings

Acute medicine
20% co-payment for non-DSP/non-formulary

Paid from available savings

Over-the-counter medicine
20% co-payment for non-DSP/non-formulary

Paid from available savings

Allied medical professionals
(Such as dietician, speech and occupational therapists)

Paid from available savings

physiotherapy, podiatry and biokinetics

Paid from available savings

General medical appliances

Paid from available savings

Emergency room benefit (NEW)
(For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(Limited to one device per type 1 diabetic for beneficiaries younger than 18)

N/A

Audiology
(Hearing aids, consultations and tests)

N/A

Optometry
(Once every 2 years)

Paid from available savings

Refractive surgery

N/A

Basic dentistry
(Managed Care protocols apply)

Paid from available savings

Specialised dentistry
(Managed Care protocols apply)

Paid from available savings

Chronic benefits
(40% co-payment for non-DSP/non-formulary use)

28 chronic conditions. Unlimited, subject to use of DSP and formulary

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Full lipogram every 5 years, members aged 20 and over

N/A

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Whooping cough booster vaccine every 10 years, members between ages 7 and 64

N/A

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Bone density screening every 5 years, women aged 65 and men aged 70 and over

N/A

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 870

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

Up to R1 440 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL:R 2295

BonSave

STARTING FROM

R3 447 PM

Ts & Cs apply

Bonsave and bonfit select image
BonSave
Basic Summary
Main Adult Children
Monthly contribution R 3447 R 2671 R 1032
Hospital cover

Unlimited, network applies

GP and specialist consultations
(Network doctors covered in full at the Bonitas Rate)

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans

R28 930 per family in and out-of-hospital
R1 170 Co-payment per scan event unless PMB

Internal and external prosthesis

R39 040 per family (internal only)

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R39 150 per family

Sublimit of hospitalisation for mental health consultations per family
(In or out-of-hospital)

R19 310 per family

Take-home medicine

Limited to a 7-day supply up to R475 per hospital stay

Physical rehabilitation

R61 480 per family

Alternatives to hospital
(Hospice, step-down facilities)

R20 500 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment
(30% a co-payment applies at non-DSP)

Unlimited for PMBs, R213 000 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 590 co-payment will apply

Co-payments for certain procedures

Yes

Privacy ward after delivery

N/A

Antenatal consultations

6

2D Ultrasound scans

2

Antenatal classes

R1 450

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be use for consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

2

Paediatric consultations for children between ages 2 and 12

1

GP consultations for children between ages 2 and 12

1

Childhood immunisations up to the age of 12

According to the Expanded Programme on Immunisation in South Africa

GP consultations
(including virtual care consultations)

Paid from available savings Additional benefit for GP consultations when savings are finished (limited to 1 per beneficiary, maximum 2 per family) paid at the Bonitas Rate

Specialist consultations

Paid from available savings

X-rays and ultrasounds

Paid from available savings

Blood tests

Paid from available savings

Acute medicine
20% co-payment for non-DSP/non-formulary

Paid from available savings

Over-the-counter medicine
20% co-payment for non-DSP/non-formulary

Paid from available savings

Allied medical professionals
(Such as dietician, speech and occupational therapists)

Paid from available savings

physiotherapy, podiatry and biokinetics

Paid from available savings

General medical appliances

Paid from available savings

Emergency room benefit (NEW)
(For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(Limited to one device per type 1 diabetic for beneficiaries younger than 18)

N/A

Audiology
(Hearing aids, consultations and tests)

N/A

Optometry
(Once every 2 years)

Paid from available savings

Refractive surgery

N/A

Basic dentistry
(Managed Care protocols apply)

Paid from available savings

Specialised dentistry
(Managed Care protocols apply)

Paid from available savings

Chronic benefits
(40% co-payment for non-DSP/non-formulary use)

28 chronic conditions. Unlimited, subject to use of DSP and formulary

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Full lipogram every 5 years, members aged 20 and over

N/A

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Whooping cough booster vaccine every 10 years, members between ages 7 and 64

N/A

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Bone density screening every 5 years, women aged 65 and men aged 70 and over

N/A

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 870

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

Up to R5 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL:R 3447

BonComplete

STARTING FROM

R5 359 PM

Ts & Cs apply

Boncomprehensive and boncomplete
BonComplete
Basic Summary
Main Adult Children
Monthly contribution R 5359 R 4293 R 1455
Hospital cover

Unlimited, network applies

GP and specialist consultations
(Network doctors covered in full at the Bonitas Rate)

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans

R28 930 per family in and out-of-hospital
R2 660 Co-payment per scan event unless PMB

Internal and external prosthesis

R54 780 per family

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R39 150 per family

Sublimit of hospitalisation for mental health consultations per family
(In or out-of-hospital)

R19 310 per family

Take-home medicine

Limited to a 7-day supply up to R510 per hospital stay

Physical rehabilitation

R61 480 per family

Alternatives to hospital
(Hospice, step-down facilities)

R20 500 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment
(30% a co-payment applies at non-DSP)

Unlimited for PMBs, R266 300 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 590 co-payment will apply

Co-payments for certain procedures

Co-payments applies for hip and knee replacements at a non-DSP. Co-payments applies for cataract surgery at a non-DSP

Privacy ward after delivery

N/A

Antenatal consultations

6

2D Ultrasound scans

2

Antenatal classes

R1 500

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be use for consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

2

Paediatric consultations for children between ages 2 and 12

1

GP consultations for children between ages 2 and 12

1

Childhood immunisations up to the age of 12

According to the Expanded Programme on Immunisation in South Africa

GP consultations
(including virtual care consultations)

Paid from available savings and/or above threshold benefit

Specialist consultations

Paid from available savings and/or above threshold benefit

X-rays and ultrasounds

Paid from available savings and/or above threshold benefit

Blood tests

Paid from available savings and/or above threshold benefit

Acute medicine
20% co-payment for non-DSP/non-formulary

Paid from available savings and/or above threshold benefit

Over-the-counter medicine
20% co-payment for non-DSP/non-formulary

Paid from available savings and/or above threshold benefit

Allied medical professionals
(Such as dietician, speech and occupational therapists)

Paid from available savings and/or above threshold benefit

physiotherapy, podiatry and biokinetics

Paid from available savings and/or above threshold benefit

General medical appliances

Paid from available savings and/or above threshold benefit

Emergency room benefit (NEW)
(For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. If it is not classified as an emergency, it will be paid from available savings and/or above threshold benefit

Insulin pump or continuous glucose monitor
(Limited to one device per type 1 diabetic for beneficiaries younger than 18)

R85 000 per family every 5 years (Consumables limited to R85 000 per family)

Audiology
(Hearing aids, consultations and tests)

R9 200 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim). All tests and consultations limited to the Audiology Benenfit Management Programme and use of a network provider

Optometry
(Once every 2 years)

Paid from available savings and/or above threshold

Refractive surgery

N/A

Basic dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tarrif, subject to use of DSP and formulary

Specialised dentistry
(Managed Care protocols apply)

Covered at the Bonitas Dental Tarrif, subject to use of DSP and formulary

Chronic benefits
(40% co-payment for non-DSP/non-formulary use)

32 chronic conditions. Unlimited, subject to use of DSP and formulary

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Full lipogram every 5 years, members aged 20 and over

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Whooping cough booster vaccine every 10 years, members between ages 7 and 64

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Bone density screening every 5 years, women aged 65 and men aged 70 and over

N/A

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 950 at the DSP

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

R2 070 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL:R 5359

BonClassic

STARTING FROM

R6 732 PM

Ts & Cs apply

bonclassic image
BonClassic
Basic Summary
Main Adult Children
Monthly contribution R 6732 R 5780 R 1662
Hospital cover

Unlimited, network applies

GP and specialist consultations
(Network doctors covered in full at the Bonitas Rate)

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans

R35 930 per family in and out-of-hospital
R2 660 Co-payment per scan event unless PMB

Internal and external prosthesis

R67 670 per family

Internal nerve stimulators

N/A

Cochlear implants

R344 200 per family

Mental health hospitalisation

R50 070 per family

Sublimit of hospitalisation for mental health consultations per family
(In or out-of-hospital)

R19 310 per family

Take-home medicine

Limited to a 7-day supply up to R575 per hospital stay

Physical rehabilitation

R61 480 per family

Alternatives to hospital
(Hospice, step-down facilities)

R20 500 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment
(30% a co-payment applies at non-DSP)

Unlimited for PMBs, R319 500 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R150 000 of this can be used for specialised drugs (including biological drugs)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 590 co-payment will apply

Co-payments for certain procedures

Co-payments applies for hip and knee replacements at a non-DSP. Co-payments applies for cataract surgery at a non-DSP

Privacy ward after delivery

N/A

Antenatal consultations

12

2D Ultrasound scans

2

Antenatal classes

R1 500

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be use for consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

N/A

Paediatric consultations for children between ages 2 and 12

N/A

GP consultations for children between ages 2 and 12

N/A

Childhood immunisations up to the age of 12

According to the Private Vaccination schedule in South Africa

GP consultations
(including virtual care consultations)

Paid from available savings

Specialist consultations

Paid from available savings

X-rays and ultrasounds

R3 860 per beneficiary. R8 540 per family (Combined benefit)

Blood tests

R3 860 per beneficiary. R8 540 per family (Combined benefit)

Acute medicine
20% co-payment for non-DSP/non-formulary

Paid from available savings

Over-the-counter medicine
20% co-payment for non-DSP/non-formulary

Paid from available savings

Allied medical professionals
(Such as dietician, speech and occupational therapists)

Paid from available savings

physiotherapy, podiatry and biokinetics

Paid from available savings

General medical appliances

Paid from available savings

Emergency room benefit (NEW)
(For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. If it is not classified as an emergency, it will be paid from available savings

Insulin pump or continuous glucose monitor
(Limited to one device per type 1 diabetic for beneficiaries younger than 18)

R85 000 per family every 5 years (Consumables limited to R85 000 per family)

Audiology
(Hearing aids, consultations and tests)

R9 200 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim). All tests and consultations limited to the Audiology Benenfit Management Programme and use of a network provider

Optometry
(Once every 2 years)

R6 440 per family

Refractive surgery

N/A

Basic dentistry
(Managed Care protocols apply)

R5 812 per family, per year

Specialised dentistry
(Managed Care protocols apply)

R6 997 per family, per year Covered at the Bonitas Dental Tariff

Chronic benefits
(40% co-payment for non-DSP/non-formulary use)

47 chronic conditions. R14 050 per beneficiary. R29 040 per family. Unlimited for PMB, subject to the use of DSP and formulary

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Full lipogram every 5 years, members aged 20 and over

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Whooping cough booster vaccine every 10 years, members between ages 7 and 64

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Bone density screening every 5 years, women aged 65 and men aged 70 and over

1

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 950 at the DSP

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

R2 070 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL:R 6732

BonComprehensive

STARTING FROM

R9 853 PM

Ts & Cs apply

Boncomprehensive and boncomplete
BonComprehensive
Basic Summary
Main Adult Children
Monthly contribution R 9853 R 9292 R 2006
Hospital cover

Unlimited. Specialist covered ar 150%, GP covered at 100% of the Bonitas rate

GP and specialist consultations
(Network doctors covered in full at the Bonitas Rate)

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans

R36 570 per family in and out-of-hospital
R2 660 Co-payment per scan event unless PMB

Internal and external prosthesis

R64 300 for internal prosthesis per family.
R64 300 for external prosthesis per family

Internal nerve stimulators

R193 200 per family

Cochlear implants

R324 100 per family

Mental health hospitalisation

R56 960 per family

Sublimit of hospitalisation for mental health consultations per family
(In or out-of-hospital)

R19 310 per family

Take-home medicine

Limited to a 7-day supply up to R635 per hospital stay

Physical rehabilitation

R57 890 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 310 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment
(30% a co-payment applies at non-DSP)

Unlimited for PMBs, R426 000 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R426 000 of this can be used for specialised drugs (including biological drugs)

Non-cancer specialised drugs
(Including biological drugs)

R235 200 per family

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 590 co-payment will apply

Co-payments for certain procedures

Co-payments applies for hip and knee replacements at a non-DSP. Co-payments applies for cataract surgery at a non-DSP

Privacy ward after delivery

Yes

Antenatal consultations

12

2D Ultrasound scans

2

Antenatal classes

R1 500

Amniocentesis

1

Postnatal consultations
(with a midwife)

4 (1 can be use for consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

3

Paediatric consultations for children between ages 2 and 12

2

GP consultations for children between ages 2 and 12

2

Childhood immunisations up to the age of 12

According to the Private Vaccination schedule in South Africa

GP consultations
(including virtual care consultations)

Paid from available savings

Specialist consultations

Paid from available savings and/or above threshold

X-rays and ultrasounds

Paid from available savings and/or above threshold

Blood tests

Paid from available savings and/or above threshold

Acute medicine
20% co-payment for non-DSP/non-formulary

Paid from available savings and/or above thresholdPaid from available savings

Over-the-counter medicine
20% co-payment for non-DSP/non-formulary

medicine limited to R16 970 per family above threshold

Allied medical professionals
(Such as dietician, speech and occupational therapists)

Paid from available savings and/or above threshold

physiotherapy, podiatry and biokinetics

Paid from available savings and/or above threshold

General medical appliances

Paid from available savings

Emergency room benefit (NEW)
(For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. If it is not classified as an emergency, it will be paid from available savings and/or above threshold

Insulin pump or continuous glucose monitor
(Limited to one device per type 1 diabetic for beneficiaries younger than 18)

R85 000 per family every 5 years (Consumables limited to R85 000 per family)

Audiology
(Hearing aids, consultations and tests)

R10 300 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim). All tests and consultations limited to the Audiology Benenfit Management Programme and use of a network provider

Optometry
(Once every 2 years)

Paid from available savings and/or above threshold benefit, limited to R3 860 per beneficiary

Refractive surgery

R24 240 per family

Basic dentistry
(Managed Care protocols apply)

Paid from available savings and/or above threshold benefit

Specialised dentistry
(Managed Care protocols apply)

Paid from available savings and/or above threshold benefit

Chronic benefits
(40% co-payment for non-DSP/non-formulary use)

60 chronic conditions. R17 150 per beneficiary. R34 140 per family. Unlimited for PMB, subject to the use of Bonitas Pharmacy Network and formulary

Dental fissure sealants

To prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Full lipogram every 5 years, members aged 20 and over

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Whooping cough booster vaccine every 10 years, members between ages 7 and 64

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Bone density screening every 5 years, women aged 65 and men aged 70 and over

1

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 950

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

R3 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate.

Adult dependant 0
Child dependant 0
TOTAL:R 9853
HOSPITAL PLANS

BonEssential

STARTING FROM

R2 287 PM

Ts & Cs apply

BonEssential
Basic Summary
Main Adult Children
Monthly contribution R 2287 R 1690 R 739
Hospital cover

Unlimited

GP and specialist consultations

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans (in and out-of-hospital)

R15 170 per family. R2 660 co-payment per scan event except for PMB

Internal prosthesis
(no cover for joint replacementsor back and neck surgery)

PMB only

External prosthesis

PMB only

Mental health hospitalisation

R36 860 per family

Take-home medicine

Limited to a 7-day supply up to R445 per hospital stay

Physical rehabilitation

R57 890 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 310 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Organ transplants

PMB only at a DSP

Cancer treatment

Unlimited for PMBs at a DSP

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 590 co-payment will apply

Co-payments for certain procedures

Yes

Chronic medicine
(40% co-payment for non-DSP/non-formulary use)

Unlimited for PMB at the DSP

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Antenatal consultations

6

2D ultrasound scans

2

Amniocentesis

1

Postnatal consultations (with a midwife)

4 (1 can be used for a consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospita

Congenital hypothyroidism screening

For infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

N/A

Paediatric consultations for children between ages 1 and 2

N/A

GP consultations for children between ages 2 and 12

1

Emergency room benefit (For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

Dental fissure sealants

One per tooth once every 3 years to prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1 (including the cost of the GP or nurse visit)

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 500 at the DSP

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure Up to R10 million cover per family for medical emergencies when you travel outside South Africa Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

R1 100 per family Consultations and treatment paid at 100% of the Bonitas Rate

Adult dependant 0
Child dependant 0
TOTAL:R 2287

BonEssential Select

STARTING FROM

R1 998 PM

Ts & Cs apply

BonEssential Select
Basic Summary
Main Adult Children
Monthly contribution R 1998 R 1464 R 659
Hospital cover

Unlimited, network applies

GP and specialist consultations

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans (in and out-of-hospital)

R15 170 per family. R2 660 co-payment per scan event except for PMB

Internal prosthesis
(no cover for joint replacementsor back and neck surgery)

PMB only

External prosthesis

PMB only

Mental health hospitalisation

R36 860 per family

Take-home medicine

Limited to a 7-day supply up to R445 per hospital stay

Physical rehabilitation

R57 890 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 310 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Organ transplants

PMB only at a DSP

Cancer treatment

Unlimited for PMBs at a DSP

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 170 co-payment will apply

Co-payments for certain procedures

Yes

Chronic medicine
(40% co-payment for non-DSP/non-formulary use)

Unlimited for PMB at the DSP

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Antenatal consultations

6

2D ultrasound scans

2

Amniocentesis

1

Postnatal consultations (with a midwife)

4 (1 can be used for a consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospita

Congenital hypothyroidism screening

For infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

N/A

Paediatric consultations for children between ages 1 and 2

N/A

GP consultations for children between ages 2 and 12

1

Emergency room benefit (For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

Dental fissure sealants

One per tooth once every 3 years to prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1 (including the cost of the GP or nurse visit)

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 500 at the DSP

Wellness screening

1 per beneficiary

International travel
(per trip)

You must register for this benefit prior to departure Up to R10 million cover per family for medical emergencies when you travel outside South Africa Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

R1 100 per family Consultations and treatment paid at 100% of the Bonitas Rate

Adult dependant 0
Child dependant 0
TOTAL:R 1998

Hospital Standard

STARTING FROM

R2 964 PM

Ts & Cs apply

hospital standard image
Hospital Standard
Basic Summary
Main Adult Children
Monthly contribution R 2964 R 2497 R 1127
Hospital cover

Unlimited, network applies

GP and specialist consultations

Unlimited at 100% of the Bonitas Rate

Blood tests and X-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans (in and out-of-hospital)

R30 460 per family. R2 660 co-payment per scan event except for PMB

Internal prosthesis
(no cover for joint replacementsor back and neck surgery)

R51 590 per family

External prosthesis

PMB only

Mental health hospitalisation

R36 860 per family

Take-home medicine

Limited to a 7-day supply up to R545 per hospital stay

Physical rehabilitation

R57 890 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 310 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Organ transplants

Unlimited, subject to the DSP

Cancer treatment

Unlimited for PMBs R159 800 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 590 co-payment will apply

Co-payments for certain procedures

Yes

Chronic medicine
(40% co-payment for non-DSP/non-formulary use)

Unlimited for PMB at the DSP

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Antenatal consultations

6

2D ultrasound scans

2

Amniocentesis

1

Postnatal consultations (with a midwife)

4 (1 can be used for a consultation with a lactation specialist)

Hearing screening

For newborns up to 8 weeks, in or out-of-hospita

Congenital hypothyroidism screening

For infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Paediatric consultations for children under 1 year

2

Paediatric consultations for children between ages 1 and 2

1

GP consultations for children between ages 2 and 12

1

Emergency room benefit (For emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

Dental fissure sealants

N/A

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Prostate screening antigen test, men between ages 55 and 69

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 950 at the DSP

Wellness screening

1

International travel
(per trip)

Up to R10 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure.)

Africa
(Per trip)

In and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)

An additional amount to use for any out-of-hospital expenses, available when you complete a wellness screening

R1 100 per family Consultations and treatment paid at 100% of the Bonitas Rate

Adult dependant 0
Child dependant 0
TOTAL:R 2964
INCOME-BASED PLANS

BonCap

STARTING FROM

R1 430 PM

Ts & Cs apply

boncap image
BonCap
Basic Summary
Main Adult Children
Monthly contribution R 1430 R 1430 R 673
Income Bracket
Hospital cover

Unlimited at a DSP

GP and specialist consultations
(Network doctors covered in full at negotiated rates)

Unlimited at 100% of the BonCap Rate. Non-network specialists and GPs are covered at 70% of the BonCap Rate

Blood tests and X-rays

Blood tests R29 690 per family. X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans (Co-payment per scan event unless PMB)

R13 550 per family, R1 170 co-payment per scan event, except for PMB

Internal and external prosthesis

PMB only at a DSP

Mental health hospitalisation

PMB only at a DSP, 30% co-payment applies at non-DSP

Take-home medicine

Limited to a 7-day supply up to R445 per hospital stay

Physical rehabilitation

R57 890 per family

Alternatives to hospital
(Hospice, step-down facilities)

R16 680 per family

Palliative care
(cancer only)

Unlimited, subject to the DSP

Cancer treatment

PMB only at a DSP (30% co-payment applies at a non-DSP)

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies at a non-DSP (subject to Managed Care protocols)

Organ transplants

MB only at a DSP

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Hearing screening

For newborns up to 8 weeks, in or out-of-hospital

Congenital hypothyroidism screening

Infants under 1 month old

24/7 telephonic baby advice line

For children under 3 years

Childhood immunisations up to the age of 12

According to the Private Vaccination schedule in South Africa

GP consultations including virtual care consultations
(Gp nomination applies)

Unlimited, using a maximum of 2 nominated BonCap network GPs Pre-authorisation required from 8th visit

Non-network GP consultations

1 out-of-network consultation per beneficiary, maximum 2 consultations per family, limited to R400 per visit 30% co-payment applies, unless PMB

Network specialist consultations (this benefit inlcludes acute medicine, blood tests, X-rays, MRIs and CT scans)

Maximum of 3 visits limited to R3 710 per beneficiary or a maximum of 5 visits limited to R5 510 per family Subject to the BonCap Specialist network and referral from a BonCap network GP Pre-authorisation required (including MRIs and CT scans)

GP-referred acute medicine, X-rays and blood tests
(*based on family size)

*Ranges from R2 190 - R5 290. Subject to the applicable formularies and pharmacy and pathology networks For acute medicine and blood tests: 20% co-payment applies at non-DSP

Over-the-counter medicine

R110 per event, R315 per beneficiary per year Subject to the BonCap DSP network and medicine formulary

Allied medical professionals
(Such as dietician, speech and occupational therapists)

PMB only

General medical appliances
(Managed Care protocols apply)

R6 740 per family

Basic dentistry

Managed Care protocols apply

Optometry
(once every 2 years)

Managed Care protocols apply

Day surgery procedures
(applies to selected procedures)

Paid from available savings and/or above threshold benefit

Chronic benefits

28 chronic conditions. Unlimited, subject to the use of DSP and formulary. Subject to nomination of a network GP for management of chronic conditions

Dental fissure sealants

One per tooth once every 3 years to prevent tooth decay on permanent teeth for children under 16

HIV test per beneficiary

1

Flu vaccine per beneficiary

1

Mammogram every 2 years, women over 40

1

Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 65

1

Pneumococcal vaccine every 5 years, members aged 65 and over

1

Stool test for colon cancer, members between ages 45 and 75

1

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 14

2

Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 26

3

Free online hearing screening, beneficiaries aged 18 and over

Unlimited

Contraceptives (per family for women aged up to 50)

R1 260 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary
(Blood pressure, glucose, cholesterol, Body Mass Index and waist-to-hip ratio)

1

Adult dependant 0
Child dependant 0
TOTAL: R 1430
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