OUR PLANS

2026

2027

All benefits are subject to approval by the Council for Medical Schemes.
Where there is a discrepancy between the content provided here and the Scheme Rules, the Scheme Rules will prevail.

EDGE

BonStart

Starting From

R1 720

/month

Ts & Cs apply

BonStart

Monthly Contribution

Main

R1 720

Adult

R1 720

Child

R1 720

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

Hospital cover Unlimited at the applicable hospital network R1 930 co-payment per admission, except for PMB emergencies GP and specialist consultations Unlimited, 100% of the Bonitas Rate Non-network GPs and specialists are covered at 70% of the Bonitas Rate Blood tests and X-rays Blood tests limited to R33 500 per family unless PMB X-rays unlimited, 100% of the Bonitas Rate MRIs and CT scans R14 700 per family unless PMB (R2 920 co-payment per scan event) Allied medical professionals (such as dietician, speech and occupational therapist) 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 R59 740 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 R490 per hospital stay Physical rehabilitation R65 310 per family Alternatives to hospital (hospice, step-down facilities) R18 090 per family Dentistry PMB only Palliative care (cancer only) Unlimited, subject to the DSP PET scans PMB only, at a network provider or a 25% co-payment applies Cancer treatment PMB only, at a DSP or a 30% co-payment applies Organ transplants PMB only, at a DSP or a 30% co-payment applies Kidney dialysis PMB only, at a DSP or a 30% co-payment applies HIV/AIDS Unlimited, if you register on the HIV/AIDS programme

GP consultations Unlimited Network GP consultations, R135 co-payment per visit Pre-authorisation required after 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 930 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 430 R285 co-payment per visit Including all acute medicine, basic radiology and pathology prescribed by the specialist Over-the-counter medicine Limited to R120 per event, R590 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, R120 co-payment Basic dentistry 1 consultation per beneficiary, R135 co-payment Physiotherapy 2 consultations per beneficiary for sport-related injuries, R135 co-payment Mental health PMB only, subject to use of DSP Day surgery procedures (applies to selected procedures) You must use a network day hospital or a R13 230 co-payment applies Co-payments for certain procedures Yes Chronic medicine Unlimited for PMB, subject to use of DSP (30% co-payment for non-DSP/non-formulary use)

Benefit Booster (Available after completing required actions) Up to R4 000 per family International travel (per trip) Up to R1.5 million cover per family for medical emergencies when you travel outside South Africa You must register for this benefit prior to departure

Antenatal consultations No benefit 2D ultrasound scans No benefit Amniocentesis No benefit Postnatal consultations (with a midwife) No benefit Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month Paid from available Benefit Booster Hearing screening N/A Vision screening 2 screening tests for premature newborns up to 6 weeks, in or out-of-hospital 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

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 55) R1 320 Wellness screening per beneficiary, aged 21 and over 1

BonStart Plus

Starting From

R2 189

/month

Ts & Cs apply

BonStart Plus

Monthly Contribution

Main

R2 189

Adult

R2 082

Child

R965

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

Hospital cover Unlimited at the applicable hospital network R1 290 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 R14 700 per family unless PMB (R2 920 co-payment per scan event) Allied medical professionals (such as dietician, speech and occupational therapist) 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 R59 740 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 R490 per hospital stay Physical rehabilitation R65 310 per family Alternatives to hospital (hospice, step-down facilities) R20 950 per family Dentistry PMB only Palliative care (cancer only) Unlimited, subject to the DSP PET scans PMB only, at a network provider or a 25% co-payment applies Cancer treatment PMB only, at a DSP or a 30% co-payment applies Organ transplants PMB only, at a DSP or a 30% co-payment applies Kidney dialysis PMB only, at a DSP or a 30% co-payment applies HIV/AIDS Unlimited, if you register on the HIV/AIDS programme

GP consultations Unlimited Network GP consultations, R80 co-payment per visit. Pre-authorisation required after 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 600 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 2 visits per family up to R2 590 R135 co-payment per visit Including all acute medicine, basic radiology and pathology prescribed by the specialist Over-the-counter medicine Limited to R190 per event, R895 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 R7 150 per family Optometry 1 eye test per beneficiary, R120 co-payment Basic dentistry 1 consultation per beneficiary, R80 co-payment Physiotherapy 4 consultations per beneficiary for sport-related injuries, R80 co-payment Mental health PMB only, subject to use of DSP Day surgery procedures (applies to selected procedures) You must use a network day hospital or a R13 230 co-payment applies Co-payments for certain procedures Yes Chronic medicine Unlimited for PMB, subject to use of DSP (30% co-payment for non-DSP/non-formulary use)

Antenatal consultations 6 2D ultrasound scans 2 Amniocentisis 1 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month Paid from available Benefit Booster Hearing screening For newborns up to 8 weeks, in or out-of-hospital Vision screening 2 screening tests for premature newborns up to 6 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 Immunisation in South Africa

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 55) R1 320 Wellness screening per beneficiary, aged 21 and over 1

OUR PLANS

TRADITIONAL PLANS

Standard

Starting From

R6 474

/month

Ts & Cs apply

Standard

Monthly Contribution

Main

R6 474

Adult

R5 612

Child

R1 900

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

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 at 100% of the Bonitas Rate MRIs and CT scans R35 480 per family (in and out-of-hospital) (R1 940 co-payment per scan, unless PMB) Internal and external prosthesis R60 110 per family Internal nerve stimulators R234 000 per family Cochlear implants N/A Mental health hospitalisation R54 130 per family Sublimit of hospitalisation for mental health consultations per family (in or out-of-hospital) R21 180 per family Take-home medicine Limited to a 7-day supply up to R630 per hospital stay Physical rehabilitation R70 160 per family Alternatives to hospital (hospice, step-down facilities) R22 500 per family Palliative care (cancer only) Unlimited, subject to the DSP Cancer treatment (30% co-payment applies at non-DSP) Unlimited for PMBs R292 140 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached) R171 200 of this can be used for specialised drugs (including biological drugs) PET scans (25% co-payment for non-network provider use) 1 per family Non-cancer specialised drugs (including biological drugs) PMB only Organ transplants Unlimited Kidney dialysis Unlimited at a DSP or a 20% co-payment applies at a non-DSP 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 670 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

GP consultations (including virtual care consultations) Paid from available GP & specialist benefit sublimit 2 Additional nominated 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 benefit sublimit Blood tests Paid from available X-rays and blood tests benefit sublimit Acute medicine (20% co-payment for non-DSP/non-formulary use) Paid from available acute and over-the-counter medicine benefit sublimit Over-the-counter medicine (20% co-payment for non-DSP/non-formulary use) Over-the-counter medicine is limited to: R970 per beneficiary, R3 040 per family Allied medical professionals (such as dietician, speech and occupational therapist) Paid from available auxiliary services benefit sublimit Physiotherapy, podiatry and biokinetics Paid from available auxiliary services benefit sublimit General medical appliances Subject to the available overall day-to-day limit R9 270 per family for Stoma Care and CPAP machines Note: CPAP machines subject to Managed Care protocols Emergency room benefit (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 & consumables (limited to one device per type 1 diabetic for beneficiaries younger than 18) 1 insulin pump: R67 800 per family every 5years 1 continuous glucose monitor: R29 200 per family every year Consumables limited to R97 000 per family Blood pressure monitor (subject to registration of chronic condition – hypertension) Subject to the general medical appliances benefit R1 300 per family every 2 years Audiology (hearing aids, consultations and tests) Avoid a 25% co-payment by using a DSP and formulary Maximum two devices per family, once every 3 years, based on the date of your previous claim. All tests and consultations limited to the Hearing Loss Management Programme and use of a network provider Optometry (once every 2 years) Paid from Risk 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 medicine (30% co-payment for non-DSP/non-formulary use) 34 chronic conditions: R13 590 per beneficiary, R27 270 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Benefit Booster (Available after completing required actions) Up to R12 000 per family International travel (per trip) Up to R1.5 million cover per family for medical emergencies when you travel outside South Africa You must register for this benefit prior to departure

Private ward after delivery N/A Amniocentesis 1 Antenatal consultations 12 Antenatal classes R1 650 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) 2D Ultrasound scans 2 Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month Paid from available acute medicine benefit or Benefit Booster Vision screening 2 screening tests for premature newborns up to 6 weeks, in or out-of-hospital 24/7 telephonic baby advice line For children under 3 years Congenital hypothyroidism screening Infants under 1 month old GP consultations (children between ages 2 and 12) 2 Hearing screening For newborns up to 8 weeks, in or out-of-hospital Childhood immunisations up to the age of 12 According to the Private Vaccination schedule in South Africa Paediatric consultations (children between ages 1 and 2) 2 Paediatric consultations (children under the age of 1) 2

Dental fissure sealants To prevent tooth decay on permanent teeth for children under 16 Flu vaccine per beneficiary 1 HIV test and counselling per beneficiary 1 Full lipogram (every 5 years, for 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 21-65) 1 Pneumococcal vaccine (every 5 years, members aged 65 and over) 1 Prostate screening antigen test (men between ages 55-69) 1 Stool test for colon cancer (members between ages 45-75) 1 Whooping cough booster vaccine (every 10 years, members between 7-64) 1 Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 9-14) 2 Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 15-26) 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 on the Bonitas website Contraceptives (per family for women aged up to 55) R2 140 Wellness screening (per beneficiary, aged 21 and over) 1

Primary

Starting From

R3 875

/month

Ts & Cs apply

Primary

Monthly Contribution

Main

R3 875

Adult

R3 032

Child

R1 232

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

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 R16 650 per family (in and out-of-hospital) (R2 340 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 R40 450 per family Sublimit of hospitalisation for mental health consultations per family (in or out-of-hospital) R10 200 per family Take-home medicine Limited to a 7-day supply up to R490 per hospital stay Physical rehabilitation R66 060 per family Alternatives to hospital (hospice, step-down facilities) R21 180 per family Palliative care (cancer only) Unlimited, subject to DSP Cancer treatment (30% co-payment applies at non-DSP) Unlimited for PMBs R233 740 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached) PET scans (25% co-payment for non-network provider use) PMB only Non-cancer specialised drugs (including biological drugs) PMB only Organ transplants PMB only Kidney dialysis Unlimited at a DSP or 20% co-payment applies at a non-DSP 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 R6 780 co-payment will apply Co-payments for certain procedures Yes

GP consultations (including virtual care consultations) Paid from available GP & specialist benefit sublimit. 1 Additional nominated GP consultation per family when the GP & specialist consultations sublimit is reached Specialist consultations 1 Additional network specialist consultation X-rays and ultrasounds Paid from available X-rays and blood tests benefit sublimit Blood tests Paid from available X-rays and blood tests benefit sublimit Acute medicine (20% co-payment for non-DSP/non-formulary use) Paid from available acute and over-the-counter medicine benefit sublimit Over-the-counter medicine (20% co-payment for non-DSP/non-formulary use) Over-the-counter medicine is limited to: R615 per beneficiary, R2 430 per family Allied medical professionals (such as dietician, speech and occupational therapist) Paid from available auxiliary services benefit sublimit Physiotherapy, podiatry and biokinetics Paid from available auxiliary services benefit sublimit General medical appliances Subject to the available overall day-to-day limit R8 930 per family for Stoma Care and CPAP machines Note: CPAP machines subject to Managed Care protocols Emergency room benefit (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 Blood pressure monitor (subject to registration of chronic condition – hypertension) N/A Audiology (hearing aids, consultations and tests) N/A Optometry (once every 2 years) Paid from Risk Basic dentistry (Managed Care protocols apply) Covered at 75% of the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme and a Designated Service Provider Specialised dentistry (Managed Care protocols apply) Covered at 75% of the Bonitas Dental Tariff Chronic medicine (30% co-payment for non-DSP/non-formulary use) 28 chronic conditions. Unlimited, subject to use of DSP and formulary

Benefit Booster (Available after completing required actions) Up to R8 000 per family International travel (per trip) Up to R1.5 million cover per family for medical emergencies when you travel outside South Africa You must register for this benefit prior to departure

Private ward after delivery N/A Amniocentesis 1 Antenatal consultations 6 Antenatal classes R1 150 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) 2D Ultrasound scans 2 Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month Paid from available acute medicine benefit or Benefit Booster Vision screening 2 screening tests for premature newborns up to 6 weeks, in or out-of-hospital 24/7 telephonic baby advice line For children under 3 years Congenital hypothyroidism screening Infants under 1 month old GP consultations (children between ages 2 and 12) 1 Hearing screening For newborns up to 8 weeks, in or out-of-hospital Childhood immunisations up to the age of 12 According to the Expanded Programme on Immunisation in South Africa Paediatric consultations (children between ages 1 and 2) 1 Paediatric consultations (children under the age of 1) 1

Dental fissure sealants To prevent tooth decay on permanent teeth for children under 16 Flu vaccine per beneficiary 1 HIV test and counselling per beneficiary 1 Full lipogram (every 5 years, for 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 21-65) 1 Pneumococcal vaccine (every 5 years, members aged 65 and over) 1 Prostate screening antigen test (men between ages 55-69) 1 Stool test for colon cancer (members between ages 45-75) 1 Whooping cough booster vaccine (every 10 years, members between ages 7-64) N/A Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 9-14) 2 Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 15-26) 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 on the Bonitas website Contraceptives (per family for women aged up to 55) R2 050 Wellness screening (per beneficiary, aged 21 and over) 1

OUR PLANS

SAVINGS PLANS

BonFit

Starting From

R2 894

/month

Ts & Cs apply

BonFit

Monthly Contribution

Main

R2 894

Adult

R2 168

Child

R974

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

Hospital cover Unlimited, network applies 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 at 100% of the Bonitas Rate MRIs and CT scans R16 650 per family in hospital Out-of-hospital paid from available savings (R2 920 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 R19 880 per family Sublimit of hospitalisation for mental health consultations per family (in or out-of-hospital) Paid from available savings Take-home medicine Limited to a 7-day supply up to R490 per hospital stay Physical rehabilitation R70 160 per family Alternatives to hospital (hospice, step-down facilities) R21 180 per family Palliative care (cancer only) Unlimited, subject to the DSP Cancer treatment (30% co-payment applies at non-DSP) Unlimited for PMBs R175 330 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached) PET scans (25% co-payment for non-network provider use) PMB only Non-cancer specialised drugs (including biological drugs) PMB only Organ transplants Unlimited Kidney dialysis Unlimited at a DSP or 20% co-payment applies at a non-DSP 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 R6 780 co-payment will apply Co-payments for certain procedures Yes

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 use) Paid from available savings Over-the-counter medicine (20% co-payment for non-DSP/non-formulary use) Paid from available savings Allied medical professionals (such as dietician,speech and occupational therapist) Paid from available savings Physiotherapy, podiatry and biokinetics Paid from available savings General medical appliances Paid from available savings Emergency room benefit (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 savings Insulin pump or continuous glucose monitor & consumables (limited to one device per type 1 diabetic for beneficiaries younger than 18) N/A Blood pressure monitor (subject to registration of chronic condition – hypertension) N/A Audiology (hearing aids, consultations and tests) N/A Optometry (once every 2 years) Paid from available savings Basic dentistry (Managed Care protocols apply) Paid from available savings Specialised dentistry (Managed Care protocols apply) Paid from available savings Chronic medicine (30% co-payment for non-DSP/non-formulary use) 28 chronic conditions. Unlimited, subject to use of DSP and formulary

Benefit Booster (Available after completing required actions) Up to R6 000 per family International travel (per trip) Up to R1.5 million cover per family for medical emergencies when you travel outside South Africa You must register for this benefit prior to departure

Private ward after delivery N/A Antenatal consultations 6 2D ultrasound scans 2 Antenatal classes R1 150 Amniocentesis 1 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month. Paid from available savings or Benefit Booster Hearing screening For newborns up to 8 weeks, in or out-of-hospital Vision screening 2 screening tests for premature newborns up to 6 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 1 and 2 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

Dental fissure sealants To prevent tooth decay on permanent teeth for children under 16 HIV and counselling 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 on the Bonitas website Contraceptives (per family for women aged up to 55) R1 650 Wellness screening per beneficiary, aged 21 and over 1

BonPrime

Starting From

R3 548

/month

Ts & Cs apply

BonPrime

Monthly Contribution

Main

R3 548

Adult

R2 776

Child

R1 128

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

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 R16 650 per family in hospital. R4 160 out-of-hospital (R2 340 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 R29 820 per family Sublimit of hospitalisation for mental health consultations per family (in or out-of-hospital) Paid from available savings Take-home medicine Limited to a 7-day supply up to R490 per hospital stay Physical rehabilitation R66 060 per family Alternatives to hospital (hospice, step-down facilities) R21 180 per family Palliative care (cancer only) Unlimited, subject to DSP Cancer treatment (30% co-payment applies at non-DSP) Unlimited for PMBs R233 740 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached) PET scans (25% co-payment for non-network provider use) PMB only Non-cancer specialised drugs (including biological drugs) PMB only Organ transplants PMB only Kidney dialysis Unlimited at a DSP or 20% co-payment applies at a non-DSP 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 R7 410 co-payment will apply Co-payments for certain procedures Yes

GP consultations (including virtual care consultations) Paid from available savings Additional benefit for GP consultations when savings are finished (limited to 1 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 use) Paid from available savings Over-the-counter medicine (20% co-payment for non-DSP/non-formulary use) Paid from available savings Allied medical professionals (such as dietician, speech and occupational therapist) Paid from available savings Physiotherapy, podiatry and biokinetics Paid from available savings General medical appliances Paid from available savings Emergency room benefit (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 savings Insulin pump & continuous glucose monitor & consumables (per type 1 diabetic for beneficiaries younger than 18) N/A Blood pressure monitor (Subject to Managed Care protocols & registration of chronic condition – hypertension) N/A Audiology (hearing aids, consultations and tests) N/A Optometry (once every 2 years) Paid from available savings Basic dentistry (Managed Care protocols apply) Paid from available savings Specialised dentistry (Managed Care protocols apply) Paid from available savings Chronic medicine (30% co-payment for non-DSP/non-formulary use) 28 chronic conditions. Unlimited, subject to use of DSP and formulary

Private ward after delivery N/A Antenatal consultations 6 2D ultrasound scans 2 Antenatal classes R1 150 Amniocentesis 1 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month. Paid from available savings or Benefit Booster Hearing screening For newborns up to 8 weeks, in or out-of-hospital Vision screening 2 screening tests for premature newborns up to 6 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 1 and 2) 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

Dental fissure sealants To prevent tooth decay on permanent teeth for children under 16 HIV test and counselling 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 55-69 1 Pneumococcal vaccine every 5 years, members aged 65 and over 1 Stool test for colon cancer members between ages 45-75 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 on the Bonitas website Contraceptives (per family for women aged up to 55) R2 050 Wellness screening per beneficiary, aged 21 and over 1

BonComprehensive

Starting From

R13 786

/month

Ts & Cs apply

BonComprehensive

Monthly Contribution

Main

R13 786

Adult

R13 000

Child

R2 808

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

Hospital cover Unlimited GP and specialist consultations (network doctors covered in full at the Bonitas Rate) Unlimited. Specialist covered at 150%, GP covered at 100% of the Bonitas Rate Blood tests and X-rays Unlimited at 100% of the Bonitas Rate MRIs and CT scans R40 100 per family in and out-of-hospital (R2 920 co-payment per scan event unless PMB) Internal and external prosthesis R70 500 for internal prosthesis per family R70 500 for external prosthesis per family Internal nerve stimulators R220 400 per family Cochlear implants R369 800 per family Mental health hospitalisation R62 500 per family Sublimit of hospitalisation for mental health consultations per family (in or out-of-hospital) R21 180 per family Take-home medicine Limited to a 7-day supply up to R700 per hospital stay Physical rehabilitation R66 060 per family Alternatives to hospital (hospice, step-down facilities) R22 500 per family Palliative care (cancer only) Unlimited, subject to the DSP Cancer treatment (30% co-payment applies at non-DSP) Unlimited for PMBs. R467 500 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R467 500 of this can be used for specialised drugs (including biological drugs) PET scans (25% co-payment for non-network provider use) 2 per family Non-cancer specialised drugs (including biological drugs) R268 400 per family Organ transplants Unlimited Kidney dialysis Unlimited at a DSP or 20% co-payment applies at a non-DSP 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 670 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

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 use) Paid from available savings and/or above threshold benefit Over-the-counter medicine (20% co-payment for non-DSP/non-formulary use) Medicine limited to R19 360 per family above threshold Allied medical professionals (such as dietician,speech and occupational therapist) 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 Emergency room benefit (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 & consumables (limited to one device per type 1 diabetic for beneficiaries younger than 18) 1 insulin pump: R67 800 per family every 5 years 1 continuous glucose monitor: R29 200 per family every year(consumables limited to R97 000 per family) Blood pressure monitor (subject to registration of chronic condition – hypertension) Paid from available savings. R1 300 per family every 2 years Audiology (Hearing aids, consultations and tests) Avoid a 25% co-payment by using a DSP and formulary Maximum two devices per beneficiary, once every 3 years, based on the date of your previous claim. All tests and consultations limited to the Hearing Loss Management Programme and use of a network provider Optometry (once every 2 years) Paid from available savings and/or above threshold benefit, limited to R4 435 per beneficiary 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 medicine (30% co-payment for non-DSP/non-formulary use) 61 chronic conditions: R19 570 per beneficiary. R38 970 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Benefit Booster (Available after completing required actions) N/A International travel (per trip) Up to R1.5 million cover per family for medical emergencies when you travel outside South Africa You must register for this benefit prior to departure

Private ward after delivery Yes Antenatal consultations 12 2D ultrasound scans 2 Antenatal classes R1 710 Amniocentesis 1 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month. Paid from available savings and/or above threshold benefit Hearing screening For newborns up to 8 weeks, in or out-of-hospital Vision screening 2 screening tests for premature newborns up to 6 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 1 and 2 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

Dental fissure sealants To prevent tooth decay on permanent teeth for children under 16 HIV and counselling 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 on the Bonitas website Contraceptives (per family for women aged up to 55) R2 140 Wellness screening per beneficiary, aged 21 and over 1

BonClassic

Starting From

R9 078

/month

Ts & Cs apply

BonClassic

Monthly Contribution

Main

R9 078

Adult

R7 792

Child

R2 241

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

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 R39 430 per family in and out-of-hospital (R2 920 Co-payment per scan event unless PMB) Internal and external prosthesis R70 500 per family Internal nerve stimulators N/A Cochlear implants R392 800 per family Mental health hospitalisation R54 930 per family Sublimit of hospitalisation for mental health consultations per family (in or out-of-hospital) R21 180 per family Take-home medicine Limited to a 7-day supply up to R630 per hospital stay Physical rehabilitation R70 160 per family Alternatives to hospital (hospice, step-down facilities) R22 500 per family Palliative care (cancer only) Unlimited, subject to the DSP Cancer treatment (30% co-payment applies at non-DSP) Unlimited for PMBs. R350 550 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R171 160 of this can be used for specialised drugs (including biological drugs) PET scans (25% co-payment for non-network provider use) 1 per family Non-cancer specialised drugs (including biological drugs) 200 000 per family Organ transplants Unlimited Kidney dialysis Unlimited at a DSP or 20% co-payment applies at a non-DSP 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 670 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

GP consultations (including virtual care consultations) Paid from available savings Specialist consultations Paid from available saving X-rays and ultrasounds Paid from available savings Blood tests Paid from available savings Acute medicine (20% co-payment for non-DSP/non-formulary use) Paid from available savings Over-the-counter medicine (20% co-payment for non-DSP/non-formulary use) Paid from available savings Allied medical professionals (such as dietician,speech and occupational therapist) Paid from available savings Physiotherapy, podiatry and biokinetics Paid from available savings General medical appliances Paid from available savings Emergency room benefit (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 & consumables (limited to one device per type 1 diabetic for beneficiaries younger than 18) 1 Insulin pump: R67 800 per family every 5 years 1 continuous glucose monitor: R29 200 per family every year(consumables limited to R97 000 per family) Blood pressure monitor (subject to registration of chronic condition – hypertension) Paid from available savings. R1 300 per family every 2 years Audiology (hearing aids, consultations and tests) Avoid a 25% co-payment by using a DSP and formulary Maximum two devices per beneficiary, once every 3 years, based on the date of your previous claim. All tests and consultations limited to the Hearing Loss Management Programme and use of a network provider Optometry (once every 2 years) Paid from Risk Basic dentistry (Managed Care protocols apply) R6 680 per family, per year Specialised dentistry (Managed Care protocols apply) R8 040 per family, per year. Covered at the Bonitas Dental Tariff Chronic medicine (30% co-payment for non-DSP/non-formulary use) 46 chronic conditions: R16 030 per beneficiary R33 140 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Private ward after delivery N/A Antenatal consultations 12 2D ultrasound scans 2 Antenatal classes R1 650 Amniocentesis 1 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month. Paid from available savings or Benefit Booster Hearing screening For newborns up to 8 weeks, in or out-of-hospital Vision screening 2 screening tests for premature newborns up to 6 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 1 and 2 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

Dental fissure sealants To prevent tooth decay on permanent teeth for children under 16 HIV and counselling 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 on the Bonitas website Contraceptives (per family for women aged up to 55) R2 140 Wellness screening per beneficiary, aged 21 and over 1

BonSave

Starting From

R4 343

/month

Ts & Cs apply

BonSave

Monthly Contribution

Main

R4 343

Adult

R3 282

Child

R1 299

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

Hospital cover Unlimited, network applies 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 at 100% of the Bonitas Rate MRIs and CT scans R31 740 per family in and out-of-hospital (R1 940 co-payment per scan event unless PMB) Internal and external prosthesis R42 840 per family (internal only) Internal nerve stimulators N/A Cochlear implants N/A Mental health hospitalisation R42 960 per family Sublimit of hospitalisation for mental health consultations per family (in or out-of-hospital) R16 100 per family Take-home medicine Limited to a 7-day supply up to R520 per hospital stay Physical rehabilitation R70 160 per family Alternatives to hospital (hospice, step-down facilities) R22 500 per family Palliative care (cancer only) Unlimited, subject to the DSP Cancer treatment (30% co-payment applies at non-DSP) Unlimited for PMBs R233 740 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached) PET scans (25% co-payment for non-network provider use) PMB only Non-cancer specialised drugs (including biological drugs) PMB only Organ transplants Unlimited Kidney dialysis Unlimited at a DSP or 20% co-payment applies at a non-DSP 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 670 co-payment will apply Co-payments for certain procedures Yes

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 use) Paid from available savings Over-the-counter medicine (20% co-payment for non-DSP/non-formulary use) Paid from available savings Allied medical professionals (Such as dietician,speech and occupational therapist) Paid from available savings Physiotherapy, podiatry and biokinetics Paid from available savings General medical appliances Paid from available savings Emergency room benefit (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 savings Insulin pump or continuous glucose monitor & consumables (Limited to one device per type 1 diabetic for beneficiaries younger than 18) N/A Blood pressure monitor (Subject to registration of chronic condition – hypertension) N/A Audiology (Hearing aids, consultations and tests) N/A Optometry (Once every 2 years) Paid from available savings Basic dentistry (Managed Care protocols apply) Paid from available savings Specialised dentistry (Managed Care protocols apply) Paid from available savings Chronic medicine (30% co-payment for non-DSP/non-formulary use) 28 chronic conditions. Unlimited, subject to use of DSP and formulary

Private ward after delivery N/A Antenatal consultations 6 2D ultrasound scans 2 Antenatal classes R1 600 Amniocentesis 1 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month. Paid from available savings or Benefit Booster Hearing screening For newborns up to 8 weeks, in or out-of-hospital Vision screening 2 screening tests for premature newborns up to 6 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 1 and 2 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

Dental fissure sealants To prevent tooth decay on permanent teeth for children under 16 HIV and counselling 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 on the Bonitas website Contraceptives (per family for women aged up to 55) R2 050 Wellness screening per beneficiary, aged 21 and over 1

BonComplete

Starting From

R7 256

/month

Ts & Cs apply

BonComplete

Monthly Contribution

Main

R7 256

Adult

R5 812

Child

R1 968

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

Hospital cover Unlimited, network applies 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 at 100% of the Bonitas Rate MRIs and CT scans R31 740 per family in and out-of-hospital (R2 920 co-payment per scan event unless PMB) Internal and external prosthesis R60 110 per family Internal nerve stimulators N/A Cochlear implants N/A Mental health hospitalisation R42 960 per family Sublimit of hospitalisation for mental health consultations per family (in or out-of-hospital) R21 180 per family Take-home medicine Limited to a 7-day supply up to R560 per hospital stay Physical rehabilitation R70 160 per family Alternatives to hospital (hospice, step-down facilities) R22 500 per family Palliative care (cancer only) Unlimited, subject to the DSP Cancer treatment (30% co-payment applies at non-DSP) Unlimited for PMBs R292 140 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached) PET scans (25% co-payment for non-network provider use) PMB only Non-cancer specialised drugs (including biological drugs) PMB only Organ transplants Unlimited Kidney dialysis Unlimited at a DSP or 20% co-payment applies at a non-DSP 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 670 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

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 use) Paid from available savings and/or above threshold benefit Over-the-counter medicine (20% co-payment for non-DSP/non-formulary use) Paid from available savings and/or above threshold benefit Allied medical professionals (such as dietician, speech and occupational therapist) 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 (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 & consumables (per type 1 diabetic for beneficiaries younger than 18) 1 Insulin pump: R67 800 per family every 5 years 1 Continuous glucose monitor: R29 200 per family every year Consumables limited to R97 000 per family Blood pressure monitor (Subject to Managed Care protocols & registration of chronic condition-hypertension) Paid from available savings and/or above threshold benefit R1 300 per family every 2 years Audiology (Hearing aids, consultations and tests) Avoid a 25% co-payment by using a DSP and formulary Maximum two devices per beneficiary, once every 3 years, based on the date of your previous claim All tests and consultations limited to the Hearing Loss Management Programme and use of a network provider Optometry (once every 2 years) Paid from available savings and/or above threshold benefit 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, subject to the Bonitas Dental Management Programme Chronic medicine (30% co-payment for non-DSP/non-formulary use) 32 chronic conditions unlimited, subject to use of Bonitas Pharmacy Network and formulary

Private ward after delivery N/A Antenatal consultations 6 2D ultrasound scans 2 Antenatal classes R1 650 Amniocentesis 1 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month. Paid from available savings and/or above threshold benefit or Benefit Booster Hearing screening For newborns up to 8 weeks, in or out-of-hospital Vision screening 2 screening tests for premature newborns up to 6 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 1 and 2 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

Dental fissure sealants To prevent tooth decay on permanent teeth for children under 16 HIV test and counselling 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 on the Bonitas website Contraceptives (per family for women aged up to 55) R2 140 Wellness screening per beneficiary, aged 21 and over 1

OUR PLANS

HOSPITAL PLANS

BonCore

Starting From

R1 368

/month

Ts & Cs apply

BonCore

Monthly Contribution

Main

R1 368

Adult

R1 368

Child

R1 368

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

Hospital cover Unlimited, network applies GP and specialist consultations Unlimited, 100% of the Bonitas Rate (for BonCore network doctors) Non-network GPs and specialists are covered at 70% of the Bonitas Rate Blood tests PMB only X-rays Unlimited, 100% of the Bonitas Rate Non-network GPs and specialists are covered at 70% of the Bonitas Rate MRIs and CT scans (in hospital) PMB only Pre-authorisation required Internal prosthesis (no cover for joint replacements or back and neck surgery) PMB only at DSP External prosthesis PMB only at DSP Mental health hospitalisation PMB only Take-home medicine Limited to a 7-day supply up to R415 per hospital stay Physical rehabilitation PMB only Alternatives to hospital (hospice, step-down facilities) PMB only Chronic medicine (30% co-payment for non-DSP/non-formulary use) Unlimited for PMB at the DSP Cancer treatment (30% co-payment applies for use of a non-DSP) Unlimited for PMBs at a DSP Palliative care (cancer only) PMB only PET scans PMB only, at a network provider or a 25% co-payment applies Kidney dialysis PMB only at a DSP or a 30% co-payment applies at non-DSP Organ transplants PMB only at a DSP HIV/AIDS Unlimited, if you register on the HIV/AIDS programme Co-payments for certain procedures Yes Day surgery procedures (applies to selected procedures) You must use a network day hospital or a R15 310 co-payment will apply

Emergency room benefits (for emergencies only) 2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

Benefit Booster (Available after completing required actions) Up to R2 000 per family International travel benefit (per trip) Up to R1.5 million cover per family for medical emergencies when you travel outside South Africa You must register for this benefit prior to departure

Amniocentesis N/A Antenatal vitamins (during pregnancy, subject to formulary) N/A Antenatal consultations N/A Postnatal consultations (with a midwife) N/A 2D Ultrasound scans N/A 24/7 telephonic baby advice line For children under 3 years Congenital hypothyroidism screening N/A GP consultations N/A Hearing screening N/A Vision screening N/A Paediatric consultations (children between ages 1 and 2) N/A Paediatric consultations (children under the age of 1) N/A

Dental fissure sealants N/A Flu vaccine per beneficiary 1 HIV test and counselling per beneficiary 1 Wellness screening (per beneficiary, aged 21 and over) 1 Mammogram N/A 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) N/A Prostate screening antigen test (men between ages 55-69) N/A Stool test for colon cancer (members between ages 45-75) N/A Free online hearing screening (beneficiaries aged 18 and over) Unlimited on the Bonitas website Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 9-14) N/A Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 15-26) N/A Contraceptives (per family for women aged up to 55) Paid from available Benefit Booster

BonEssential Select

Starting From

R2 526

/month

Ts & Cs apply

BonEssential Select

Monthly Contribution

Main

R2 526

Adult

R1 850

Child

R834

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

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 hospital) R16 650 per family R2 920 co-payment per scan event except for PMB Internal prosthesis (no cover for joint replacements or back and neck surgery) PMB only External prosthesis PMB only Mental health hospitalisation R19 880 per family Take-home medicine Limited to a 7-day supply up to R490 per hospital stay Physical rehabilitation R66 060 per family Alternatives to hospital (hospice, step-down facilities) R21 180 per family Chronic medicine (30% co-payment for non-DSP/non-formulary use) Unlimited for PMB at the DSP Cancer treatment (30% co-payment applies for use of a non-DSP) Unlimited for PMBs at a DSP Palliative care (cancer only) Unlimited, subject to the DSP PET scans PMB only, at a network provider or a 25% co-payment applies Kidney dialysis Unlimited at a DSP or a 20% co-payment applies at non-DSP Organ transplants PMB only at a DSP HIV/AIDS Unlimited, if you register on the HIV/AIDS programme Co-payments for certain procedures (refer to product brochure for details) Yes Day surgery procedures (applies to selected procedures) You must use a network day hospital or a R7 410 co-payment will apply

Emergency room benefits (for emergencies only) 2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

Benefit Booster (Available after completing required actions) Up to R4 000 per family International travel benefit (per trip) Up to R1.5 million cover per family for medical emergencies when you travel outside South Africa You must register for this benefit prior to departure

Amniocentesis 1 Antenatal vitamins (during pregnancy, subject to formulary) Limited to R210 per month. Paid from available Benefit Booster Antenatal consultations 6 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) 2D Ultrasound scans 2 24/7 telephonic baby advice line For children under 3 years Congenital hypothyroidism screening For infants under 1 month old GP consultations (children between ages 2 and 12) 1 Hearing screening For newborns up to 8 weeks, in or out-of-hospital Vision screening 2 screening tests for premature newborns up to 6 weeks, in or out-of-hospital Paediatric consultations (children between ages 1 and 2) N/A Paediatric consultations (children under the age of 1) N/A

Dental fissure sealants One per tooth once every 3 years to prevent tooth decay on permanent teeth for children under 16 Flu vaccine per beneficiary 1 HIV test and counselling per beneficiary 1 Wellness screening (per beneficiary, aged 21 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 (including the cost of the GP or nurse visit) Pneumococcal vaccine (every 5 years, members aged 65 and over) 1 Prostate screening antigen test (men between ages 55-69) 1 Stool test for colon cancer (members between ages 45-75) 1 Free online hearing screening (beneficiaries aged 18 and over) Unlimited on the Bonitas website Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 9-14) 2 Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 15-26) 3 Contraceptives (per family for women aged up to 55) R1 650 at the DSP

BonEssential

Starting From

R3 000

/month

Ts & Cs apply

BonEssential

Monthly Contribution

Main

R3 000

Adult

R2 217

Child

R970

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

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 hospital) R16 650 per family R2 920 co-payment per scan event except for PMB Internal prosthesis (no cover for joint replacements or back and neck surgery) PMB only External prosthesis PMB only Mental health hospitalisation R19 880 per family Take-home medicine Limited to a 7-day supply up to R490 per hospital stay Physical rehabilitation R66 060 per family Alternatives to hospital (hospice, step-down facilities) R21 180 per family Chronic medicine (30% co-payment for non-DSP/non-formulary use) Unlimited for PMB at the DSP Cancer treatment (30% co-payment applies for use of a non-DSP) Unlimited for PMBs at a DSP Palliative care (cancer only) Unlimited, subject to the DSP PET scans PMB only, at a network provider or a 25% co-payment applies Kidney dialysis Unlimited at a DSP or a 20% co-payment applies at non-DSP Organ transplants PMB only at a DSP HIV/AIDS Unlimited, if you register on the HIV/AIDS programme Co-payments for certain procedures Yes Day surgery procedures (applies to selected procedures) You must use a network day hospital or a R6 780 co-payment will apply

Benefit Booster (Available after completing required actions) Up to R4 000 per family International travel benefit (per trip) Up to R1.5 million cover per family for medical emergencies when you travel outside South Africa You must register for this benefit prior to departure

Hospital Standard

Starting From

R3 942

/month

Ts & Cs apply

Hospital Standard

Monthly Contribution

Main

R3 942

Adult

R3 320

Child

R1 498

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

Hospital cover Unlimited, network applies, 30% co-payment for using a non-network hospital 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 hospital) R33 420 per family R2 920 co-payment per scan event except for PMB Internal prosthesis (no cover for joint replacements or back and neck surgery) R56 600 per family External prosthesis PMB only Mental health hospitalisation R19 880 per family, 30% co-payment for using a non-network hospital Take-home medicine Limited to a 7-day supply up to R600 per hospital stay Physical rehabilitation R66 060 per family Alternatives to hospital (hospice, step-down facilities) R21 180 per family Chronic medicine (30% co-payment for non-DSP/non-formulary use) Unlimited for PMB at the DSP Cancer treatment (30% co-payment applies for use of a non-DSP) Unlimited for PMBs. R175 330 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached) Palliative care (cancer only) Unlimited, subject to the DSP PET scans PMB only, at a network provider or a 25% co-payment applies Kidney dialysis Unlimited at a DSP or a 20% co-payment applies at non-DSP Organ transplants Unlimited at a DSP HIV/AIDS Unlimited, if you register on the HIV/AIDS programme Co-payments for certain procedures (refer to product brochure for details) Yes Day surgery procedures (applies to selected procedures) You must use a network day hospital or a R6 780 co-payment will apply

Emergency room benefit (for emergencies only) 2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

Benefit Booster (Available after completing required actions) N/A International travel benefit (per trip) Up to R1.5 million cover per family for medical emergencies when you travel outside South Africa You must register for this benefit prior to departure

Amniocentesis 1 Antenatal vitamins (during pregnancy, subject to formulary) N/A Antenatal consultations 6 Postnatal consultations (with a midwife) 4 (1 can be used for a consultation with an accredited lactation specialist) 2D Ultrasound scans 2 24/7 telephonic baby advice line For children under 3 years Congenital hypothyroidism screening For infants under 1 month old GP consultations (children between ages 2 and 12) 1 Hearing screening For newborns up to 8 weeks, in or out-of-hospital Vision screening 2 screening tests for premature newborns up to 6 weeks, in or out-of-hospital Paediatric consultations (children between ages 1 and 2) 1 Paediatric consultations (children under the age of 1) 2

Dental fissure sealants One per tooth once every 3 years to prevent tooth decay on permanent teeth for children under 16 Flu vaccine per beneficiary 1 HIV test and counselling per beneficiary 1 Wellness screening (per beneficiary, aged 21 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 Pneumococcal vaccine (every 5 years, members aged 65 and over) 1 Prostate screening antigen test (men between ages 55-69) 1 Stool test for colon cancer (members between ages 45-75) 1 Free online hearing screening (beneficiaries aged 18 and over) Unlimited on the Bonitas website Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 9-14) 2 Human Papillomavirus (HPV) vaccines (female beneficiaries between ages 15-26) 3 Contraceptives (per family for women aged up to 55) R1 650 at the DSP

OUR PLANS

INCOME-BASED PLANS

INCOME BRACKET

BonCap (R0 to R12 400)
BonCap (R12 401 to R20 100)
BonCap (R20 101 to R26 200)
BonCap (R26 201+)

BonCap (R0 to R12 400)

Starting From

R1 929

/month

Ts & Cs apply

BonCap (R0 to R12 400)

Monthly Contribution

Main

R1 929

Adult

R1 929

Child

R909

In-Hospital (pre-authorisation required)

Adult Dependant

0 Child Dependant

0 R1498 / Month

Hospital cover Unlimited at a DSP GP and specialist consultations (network doctors covered in full at negotiated rates) Unlimited, covered 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 R33 780 per family X-rays unlimited, 100% of the BonCap Rate MRIs and CT scans R14 820 per family, R1 280 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 R490 per hospital stay Physical rehabilitation R65 870 per family Alternatives to hospital (hospice, step-down facilities) R18 250 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) PET scans PMB only at a network provider (25% co-payment applies at a non-network provider) Organ transplants PMB only at a DSP Kidney dialysis Unlimited at a DSP or 20% co-payment applies (subject to Managed Care protocols) HIV/AIDS Unlimited, if you register on the HIV/AIDS programme

Network GP or Registered Nurse consultations including virtual care consultations (GP nomination applies) Unlimited GP or Registered Nurse consultations, using a nominated BonCap network GP Pre-authorisation required from 8th visit Non-network GP consultations 1 out-of-network consultation per beneficiary, maximum 2 consultations per family, limited to R440 per visit, 30% co-payment applies, unless PMB Network specialist consultations (this benefit includes acute medicine, blood tests, X-rays, MRIs and CT scans) Maximum of 3 visits limited to R4 220 per beneficiary or a maximum of 5 visits limited to R6 270 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 490 – R6 020. 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 R125 per event, R350 per beneficiary per year. Subject to the BonCap DSP network and medicine formulary Allied medical professionals (such as dietician, speech and occupational therapist) PMB only General medical appliances (Managed Care protocols apply) R7 660 per family Optometry (Once every 2 years) Managed Care protocols apply Basic dentistry Managed Care protocols apply Day surgery procedures (applies to selected procedures) You must use a network day hospital or a 30% co-payment will apply Chronic benefits 28 chronic conditions unlimited, subject to use of the Bonitas Chronic Medicine Courier Pharmacy Network and formulary. Subject to nomination of a network GP for management of chronic conditions

Benefit Booster (Available after completing required actions) Up to R1 000 per family

Hearing screening 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 Immunisation in South Africa

Dental fissure sealants One per tooth once every 3 years to prevent tooth decay on permanent teeth for children under 16 HIV and counselling test per beneficiary 1 Flu vaccine per beneficiary 1 Mammogram and ultrasound 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 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 Contraceptives (per family for women aged up to 55) R1 380 at the DSP (40% co-payment applies at non-DSP) Wellness screening per beneficiary, aged 21 and over 1