Standard Select

From R 2597

Plan summary

Monthly contributions

Monthly contributions
Main member
R 2597
Adult dependant
R 2247
Child dependant
R 760
Your 4th and subsequent children will be covered free of charge.

Savings

Savings N/A
GP benefit Ranges from R3 750 - R6 950, based on family size / Subject to use of nominated GPs
Day-to-day benefit Ranges from R5 232 - R10 966, based on family size
Self payment gap N/A
Above threshold benefit N/A

Hospital benefits

Unlimited hospital cover Yes
Bonitas Rate for hospital cover 100%
Hospital network Yes
GP and specialist consultations Unlimited, covered at 100% of the Bonitas Rate / Network doctors covered in full
Blood tests and x-rays Unlimited, covered at 100% of the Bonitas Rate
MRIs and CT scans (specialised radiology) R23 500 per family, in and out of hospital
Paramedical/Allied medical professionals (such as physiotherapists, occupational therapists, dieticians and biokineticists) Unlimited, covered at 100% of the Bonitas Rate
Internal and external prostheses R39 800 per family
Internal nerve stimulators R149 100 per family
Cochlear implants R250 000 per family
Mental health hospitalisation and consultations R36 550 per family in hospital / R14 300 per family for consultations
Take-home medicine R420 per hospital stay
Physical rehabilitation R44 650 per family
Alternatives to hospital (hospice, step-down facilities) R14 900 per family
Cancer treatment R310 150 per family
Non-cancer specialised drugs (including biological drugs) N/A
Organ transplants Unlimited
Kidney dialysis Unlimited
HIV/AIDS Unlimited, if you register on the HIV/AIDS programme
Co payments for certain procedures N/A

Out-of-hospital

GP consultations Paid from available GP benefit
Specialist consultations Paid from available day-to-day benefits
X-rays and ultrasounds Paid from available day-to-day benefits
MRIs and CT scans (specialised radiology) R23 500 per family, in and out of hospital
Acute and over-the-counter medicine Paid from available day-to-day benefits
Paramedical/Allied medical professionals Paid from available day-to-day benefits
Optometry R5 550 per family, once every 2 years
Basic dentistry Covered at the Bonitas Dental Tariff
Specialised dentistry Covered at the Bonitas Dental Tariff
Chronic benefits Cover for 44 chronic conditions / R8 650 per beneficiary, R17 350 per family / Unlimited for PMBs

Additional benefits

International travel benefit R5 million per beneficiary, R10 million per family, per trip
Maternity benefits per pregnancy 12 antenatal consultations / 2 2D ultrasound scans / R1 100 for antenatal classes / 1 amniocentesis / 4 postnatal consultations
24/7 telephonic baby advice line Yes
Paediatric consultations for children under 1 year 2
Paediatric consultations for children between ages 1 and 2 2
GP consultations for children between ages 2 and 12 2

Preventative care

General health 1 HIV test per beneficiary / 1 flu vaccine per beneficiary
Cardiac health 1 full lipogram every 5 years, for members aged 20 and over
Children's health N/A
Women's health 1 mammogram every 2 years / 1 pap smear every 3 years
Men's health N/A
Elderly health 1 pneumococcal vaccine every 5 years / 1 stool test for colon cancer

Wellness benefits

Wellness screening (Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio) 1 per beneficiary
Wellness extender Choose from the following:
GP consultation(s)
Biokineticist consultation(s)
Dietician consultation(s)
Physiotherapy consultation(s)
A programme to stop smoking
R1 450 per family / Consultations paid at the 100% of the Bonitas Rate