PrimaryFrom R1 719 p/m

Keep things simple with the plan that offers affordable healthcare when you need it. The Primary Option features straightforward cover for you and your loved ones.

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What will it cost?

    Your fourth and subsequent children will be covered free of charge.
Main member R1 719
Adult dependant R1 345
Child dependant R548

GP benefits that treat you right

You and your dependants get benefits to use for GPs in and out of the Bonitas network.

  GP benefit
Main member only R1 800 (only R560 can be used at GPs outside our network)
Main member + 1 dependant R3 250 (only R1 050 can be used at GPs outside our network)
Main member + 2 dependant R3 800 (only R1 200 can be used at GPs outside our network)
Main member + 3 dependant R4 100 (only R1 350 can be used at GPs outside our network)
Main member + 4 dependant R4 450 (only R1 550 can be used at GPs outside our network)

Day-to-day benefits to help you stay healthy

The day-to-day benefit covers out-of-hospital radiology, pathology, paramedical services (such as audiology, physiotherapy, occupational therapy and so on) and special consultations if referred by your family doctor.

  Day-to-day benefit
Main member only R1 700 in Network
Main member + 1 dependant R3 150 in Network
Main member + 2 dependant R3 700 in Network
Main member + 3 dependant R4 000 in Network
Main member + 4 dependant R4 500 in Network

Our optical benefits help you see things more clearly

Optical benefits work on a 2-year cycle so you can only access your benefits once every two years. You get either spectacles or contact lenses, not both:

  • R4 270 per family

  • Spectacles, or
  • R300 per person for frames
  • R160 per lens per person for single vision lenses, or
  • R350 per lens per person for bifocal lenses, or
  • R700 per lens per person for multifocal lenses

  • Contact lenses
  • R1 225 per beneficiary for contact lenses

Eye tests are covered at R490 per person at a preferred provider and R350 at a non-network provider.

Keep your teeth in tip-top condition with our basic dentistry benefits

We cover you and your family for conservative dentistry (such as cleaning and polishing). This is based on the Bonitas Dental Tariff and clinical protocols.

Get medical cover while you’re on holiday

The international travel benefit ensures you and your dependants have access to medical care while travelling in a foreign country.

You will have to pay a co-payment for certain procedures as shown below

Get full cover for hospital stays at any private hospital in South Africa. Hospitalisation is covered at 100% of the Bonitas Rate. We cover all major hospital events including oncology treatment and renal dialysis.

You will have to pay a deductible for certain procedures as shown in the table below.

  1. R1 050 Co-payment
  2. 1.  Colonoscopy
  3. 2.  Conservative back treatment
  4. 3.  Cystoscopy
  5. 4.  Facet joint injections
  6. 5.  Flexible sigmoidoscopy
  7. 6.  Functional nasal surgery
  8. 7.  Gastroscopy
  9. 8.  Umbilical hernia repair
  10. 9.  Hysteroscopy
    (not endometrial ablation)
  11. 10.  Myringotomy
  12. 11.  Tonsillectomy and adenoidectomy (not PMBs)
  13. 12.  Varicose vein surgery
  17. R2 650 Co-payment
  18. 1.  Arthroscopy
  19. 2.  Diagnostic laparoscopy
  20. 3.  Laparoscopic Hysterectomy
    (except cancer and PMBs)
  21. 4.  Percutaneous rhizotomies
  22. 5.  Laparoscopic appendectomy
  33. R5 250 Co-payment
  34. 1.  Nissen fundoplication
    (reflux surgery)
  35. 2.  Back surgery including spinal fusion
  36. 3.  Joint replacement (except PMBs)
  37. 4.  Laparoscopic pyeloplasty
  38. 5.  Laparoscopic radical prostatectomy

Chronic cover for Prescribed Minimum Benefits at a DSP

The Primary Option gives you and your dependants cover for 27 chronic conditions and delivers your medicine to you through Pharmacy Direct. This is subject to pre-authorisation.

  1. Addison’s disease
  2. Asthma
  3. Bipolar disorder
  4. Bronchiectasis
  5. Cardiac failure
  6. Cardiomyopathy
  7. Chronic obstructive pulmonary disease
  8. Chronic renal disease
  9. Coronary artery disease
  10. Crohn’s disease
  11. Diabetes insipidus
  12. Diabetes Type 1
  13. Diabetes Type 2
  14. Dysrhythmias
  15. Epilepsy
  16. Glaucoma
  17. Haemophilia
  18. HIV/Aids
  19. Hyperlipidaemia
  20. Hypertension
  21. Hypothyroidism
  22. Multiple sclerosis
  23. Parkinson’s disease
  24. Rheumatoid arthritis
  25. Schizophrenia
  26. Systemic lupus erythematosus
  27. Ulcerative colitis

Bring your baby into the world with the best possible start

We cover the following maternity benefits from risk so it won’t impact your other benefits:

  • 6 x ante-natal consultations
  • 2 x 2D scans
  • 4 x post-natal consultations with a midwife
  • 1 x amniocentesis

Wellness benefits to keep you in tip-top condition

The Primary Option offers each member and their dependants one wellness assessment a year. This must be done by a registered provider and includes:

  • A blood pressure test
  • A glucose test
  • A cholesterol test
  • A BMI test
  • A waist to hip ratio measurement

Infant Paediatric Benefit for children under 2

This benefit can be used at a GP or paediatrician and offers:

  • 1 consultation per child for children under 1 year old
  • 1 consultation per child for children between 1 and 2 years old

Get more value with supplementary benefits

Our supplementary benefits are paid from risk so they won’t impact your other benefits. These include:

  • R11 150 per family for specialised radiology. Subject to pre-authorisation
  • A flu vaccine and HIV test per person per year
  • Emergency medical transport with ER24
  • R13 550 per family for mental health hospitalisation
  • R6 200 per family for general appliances such as wheelchairs
  • R7 800 per family for hearing aids once every two years (a 10% co-payment applies)
  • R3 900 per person for foot orthotics (a 10% co-payment applies)
  • Cover for internal and external prostheses for Prescribed Minimum Benefit conditions