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2026 Plan Comparison

Select 3 plans below to compare side-by-side.

Disclaimer: All benefits are subject to approval by the Council for Medical Schemes.

CHOOSE PLAN

BonCore

BonCore | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A digitally enabled hospital plan with unlimited hospital cover at a defined network of private hospitals, virtual-first primary care, and a limited number of face-to-face GP visits.

Starting From

R1 275

/month

Ts & Cs apply

Monthly Contribution
Main

R1 275

Adult

R1 275

Child

R1 275

In-Hospital

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 R400 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 R14 680 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
N/A

Antenatal vitamins
(during pregnancy, subject to formulary)

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

Be Better Benefit

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 50)
Paid from available Benefit Booster

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 000 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonCap (R19 351 to R25 170)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R3 404

/month

Ts & Cs apply

Monthly Contribution
Main

R3 404

Adult

R3 404

Child

R1 288

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R0 to R11 930)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R1 730

/month

Ts & Cs apply

Monthly Contribution
Main

R1 730

Adult

R1 730

Child

R815

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R25 171+)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R4 177

/month

Ts & Cs apply

Monthly Contribution
Main

R4 177

Adult

R4 177

Child

R1 585

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R11 931 to R19 350)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R2 111

/month

Ts & Cs apply

Monthly Contribution
Main

R2 111

Adult

R2 111

Child

R971

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

Hospital Standard

Hospital Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at a comprehensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R3 561

/month

Ts & Cs apply

Monthly Contribution
Main

R3 561

Adult

R2 999

Child

R1 353

In-Hospital

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)
R32 040 per family.
R2 800 co-payment per scan event except for PMB

Internal prosthesis
(no cover for joint replacements or back and neck surgery)
R54 270 per family

External prosthesis
PMB only

Mental health hospitalisation
R19 060 per family, 30% co-payment for using a non-network hospital

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

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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. R168 100 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

BonComplete

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive savings plan that offers extensive cover – including an above threshold benefit – for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R6 614

/month

Ts & Cs apply

Monthly Contribution
Main

R6 614

Adult

R5 298

Child

R1 794

In-Hospital

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
R30 430 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R535 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 Continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 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 250 per family every 2 years

Audiology
(Hearing aids, consultations and tests)
R10 090 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim)

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonSave

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers ample cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R4 047

/month

Ts & Cs apply

Monthly Contribution
Main

R4 047

Adult

R3 059

Child

R1 211

In-Hospital

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
R30 430 per family in and out-of-hospital.
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R41 070 per family (internal only)

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R15 440 per family

Take-home medicine
Limited to a 7-day supply up to R500 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 440 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 530

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure

i

BonClassic

BonClassic | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers broad cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R8 238

/month

Ts & Cs apply

Monthly Contribution
Main

R8 238

Adult

R7 071

Child

R2 034

In-Hospital

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
R37 800 per family in and out-of-hospital
(R2 800 Co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 per family

Internal nerve stimulators
N/A

Cochlear implants
R376 600 per family

Mental health hospitalisation
R52 670 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R336 100 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R164 100 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 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R10 090 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 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 400 per family, per year

Specialised dentistry
(Managed Care protocols apply)
R7 710 per family, per year. Covered at the Bonitas Dental Tariff

Chronic medicine
(30% co-payment for non-DSP/non-formulary use)
46 chronic conditions: R15 370 per beneficiary R31 770 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonComprehensive

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
Our most comprehensive savings plan that offers extensive cover – including an unlimited above threshold benefit – for day-to-day medical needs and unlimited hospital cover at any private hospital. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R12 509

/month

Ts & Cs apply

Monthly Contribution
Main

R12 509

Adult

R11 796

Child

R2 548

In-Hospital

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
R38 470 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 for internal prosthesis per family
R67 640 for external prosthesis per family

Internal nerve stimulators
R211 300 per family

Cochlear implants
R354 600 per family

Mental health hospitalisation
R59 920 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R670 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R448 200 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R448 200 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)
R257 300 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 440 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

Out-of-Hospital

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 R18 560 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R11 340 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 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 225 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: R18 760 per beneficiary. R37 360 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
Yes

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 640

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonEssential

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at an extensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 747

/month

Ts & Cs apply

Monthly Contribution
Main

R2 747

Adult

R2 030

Child

R888

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonEssential Select

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers comprehensive unlimited private hospital cover at a defined network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 345

/month

Ts & Cs apply

Monthly Contribution
Main

R2 345

Adult

R1 718

Child

R774

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 100 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

Standard

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to any private hospital.

Starting From

R5 929

/month

Ts & Cs apply

Monthly Contribution
Main

R5 929

Adult

R5 139

Child

R1 740

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan, unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)
R164 100 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 440 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

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit 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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary, R26 150 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure

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BonFit

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers basic cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R2 698

/month

Ts & Cs apply

Monthly Contribution
Main

R2 698

Adult

R2 021

Child

R908

In-Hospital

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
R15 960 per family in hospital.
Out-of-hospital paid from available savings
(R2 800 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 060 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 R470 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R168 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 580

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 440 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

BonPrime

BonPrime | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers adequate cover for day-to-day medical needs and unlimited hospital cover at a defined list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R3 255

/month

Ts & Cs apply

Monthly Contribution
Main

R3 255

Adult

R2 546

Child

R1 035

In-Hospital

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 960 per family in hospital. R3 990 out-of-hospital
(R2 240 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
R28 590 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 100 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 and14
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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

Primary

Primary | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a comprehensive list of private hospitals.

Starting From

R3 588

/month

Ts & Cs apply

Monthly Contribution
Main

R3 588

Adult

R2 807

Child

R1 141

In-Hospital

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 960 per family (in and out-of-hospital)
(R2 240 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
R38 780 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R9 780 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit sublimit
1 Additional network 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)
Paid from available acute and over-the-counter medicine benefit sublimit
Over-the-counter medicine is limited to:
R590 per beneficiary
R2 330 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 560 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 
(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 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

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
6

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

Standard Select

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a defined list of private hospitals.

Starting From

R5 431

/month

Ts & Cs apply

Monthly Contribution
Main

R5 431

Adult

R4 700

Child

R1 590

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached).
R164 100 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 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 100 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

Out-of-Hospital

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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary and R26 150 per family. Unlimited for PMB, subject to use of DSP and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 ages 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 50)
R2 050 at the DSP

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonStart Plus

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, maternity and childcare benefits, dental and optical consultations.

Starting From

R2 040

/month

Ts & Cs apply

Monthly Contribution
Main

R2 040

Adult

R1 940

Child

R899

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 240 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 090 per family unless PMB (R2 800
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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R75 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 450 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 480.
R130 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R180 per event, R860 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 860 per family

Optometry
1 eye test per beneficiary, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R75 co-payment

Physiotherapy
4 consultations per beneficiary for sport-related injuries, R75 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (you must register for this benefit prior to departure)

i

BonStart

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, dental and optical consultations.

Starting From

R1 603

/month

Ts & Cs apply

Monthly Contribution
Main

R1 603

Adult

R1 603

Child

R1 603

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 850 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 R32 120 per family unless PMB
X-rays unlimited, 100% of the Bonitas Rate

MRIs and CT scans
R14 090 per family unless PMB (R2 800 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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 340 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R130 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 850 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 370
R275 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R115 per event, R565 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, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R125 co-payment

Physiotherapy
2 consultations per beneficiary for sport-related injuries, R130 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure)

i

CHOOSE PLAN

BonCore

BonCore | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A digitally enabled hospital plan with unlimited hospital cover at a defined network of private hospitals, virtual-first primary care, and a limited number of face-to-face GP visits.

Starting From

R1 275

/month

Ts & Cs apply

Monthly Contribution
Main

R1 275

Adult

R1 275

Child

R1 275

In-Hospital

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 R400 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 R14 680 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
N/A

Antenatal vitamins
(during pregnancy, subject to formulary)

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

Be Better Benefit

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 50)
Paid from available Benefit Booster

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 000 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonCap (R19 351 to R25 170)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R3 404

/month

Ts & Cs apply

Monthly Contribution
Main

R3 404

Adult

R3 404

Child

R1 288

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R0 to R11 930)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R1 730

/month

Ts & Cs apply

Monthly Contribution
Main

R1 730

Adult

R1 730

Child

R815

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R25 171+)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R4 177

/month

Ts & Cs apply

Monthly Contribution
Main

R4 177

Adult

R4 177

Child

R1 585

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R11 931 to R19 350)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R2 111

/month

Ts & Cs apply

Monthly Contribution
Main

R2 111

Adult

R2 111

Child

R971

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

Hospital Standard

Hospital Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at a comprehensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R3 561

/month

Ts & Cs apply

Monthly Contribution
Main

R3 561

Adult

R2 999

Child

R1 353

In-Hospital

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)
R32 040 per family.
R2 800 co-payment per scan event except for PMB

Internal prosthesis
(no cover for joint replacements or back and neck surgery)
R54 270 per family

External prosthesis
PMB only

Mental health hospitalisation
R19 060 per family, 30% co-payment for using a non-network hospital

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

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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. R168 100 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

BonComplete

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive savings plan that offers extensive cover – including an above threshold benefit – for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R6 614

/month

Ts & Cs apply

Monthly Contribution
Main

R6 614

Adult

R5 298

Child

R1 794

In-Hospital

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
R30 430 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R535 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 Continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 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 250 per family every 2 years

Audiology
(Hearing aids, consultations and tests)
R10 090 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim)

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonSave

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers ample cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R4 047

/month

Ts & Cs apply

Monthly Contribution
Main

R4 047

Adult

R3 059

Child

R1 211

In-Hospital

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
R30 430 per family in and out-of-hospital.
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R41 070 per family (internal only)

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R15 440 per family

Take-home medicine
Limited to a 7-day supply up to R500 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 440 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 530

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure

i

BonClassic

BonClassic | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers broad cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R8 238

/month

Ts & Cs apply

Monthly Contribution
Main

R8 238

Adult

R7 071

Child

R2 034

In-Hospital

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
R37 800 per family in and out-of-hospital
(R2 800 Co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 per family

Internal nerve stimulators
N/A

Cochlear implants
R376 600 per family

Mental health hospitalisation
R52 670 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R336 100 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R164 100 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 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R10 090 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 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 400 per family, per year

Specialised dentistry
(Managed Care protocols apply)
R7 710 per family, per year. Covered at the Bonitas Dental Tariff

Chronic medicine
(30% co-payment for non-DSP/non-formulary use)
46 chronic conditions: R15 370 per beneficiary R31 770 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

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BonComprehensive

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
Our most comprehensive savings plan that offers extensive cover – including an unlimited above threshold benefit – for day-to-day medical needs and unlimited hospital cover at any private hospital. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R12 509

/month

Ts & Cs apply

Monthly Contribution
Main

R12 509

Adult

R11 796

Child

R2 548

In-Hospital

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
R38 470 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 for internal prosthesis per family
R67 640 for external prosthesis per family

Internal nerve stimulators
R211 300 per family

Cochlear implants
R354 600 per family

Mental health hospitalisation
R59 920 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R670 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R448 200 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R448 200 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)
R257 300 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 440 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

Out-of-Hospital

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 R18 560 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R11 340 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 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 225 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: R18 760 per beneficiary. R37 360 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
Yes

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 640

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonEssential

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at an extensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 747

/month

Ts & Cs apply

Monthly Contribution
Main

R2 747

Adult

R2 030

Child

R888

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonEssential Select

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers comprehensive unlimited private hospital cover at a defined network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 345

/month

Ts & Cs apply

Monthly Contribution
Main

R2 345

Adult

R1 718

Child

R774

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 100 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

Standard

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to any private hospital.

Starting From

R5 929

/month

Ts & Cs apply

Monthly Contribution
Main

R5 929

Adult

R5 139

Child

R1 740

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan, unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)
R164 100 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 440 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

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit 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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary, R26 150 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure

i

BonFit

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers basic cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R2 698

/month

Ts & Cs apply

Monthly Contribution
Main

R2 698

Adult

R2 021

Child

R908

In-Hospital

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
R15 960 per family in hospital.
Out-of-hospital paid from available savings
(R2 800 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 060 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 R470 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R168 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 580

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 440 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

BonPrime

BonPrime | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers adequate cover for day-to-day medical needs and unlimited hospital cover at a defined list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R3 255

/month

Ts & Cs apply

Monthly Contribution
Main

R3 255

Adult

R2 546

Child

R1 035

In-Hospital

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 960 per family in hospital. R3 990 out-of-hospital
(R2 240 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
R28 590 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 100 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 and14
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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

Primary

Primary | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a comprehensive list of private hospitals.

Starting From

R3 588

/month

Ts & Cs apply

Monthly Contribution
Main

R3 588

Adult

R2 807

Child

R1 141

In-Hospital

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 960 per family (in and out-of-hospital)
(R2 240 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
R38 780 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R9 780 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit sublimit
1 Additional network 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)
Paid from available acute and over-the-counter medicine benefit sublimit
Over-the-counter medicine is limited to:
R590 per beneficiary
R2 330 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 560 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 
(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 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

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
6

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

Standard Select

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a defined list of private hospitals.

Starting From

R5 431

/month

Ts & Cs apply

Monthly Contribution
Main

R5 431

Adult

R4 700

Child

R1 590

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached).
R164 100 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 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 100 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

Out-of-Hospital

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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary and R26 150 per family. Unlimited for PMB, subject to use of DSP and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 ages 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 50)
R2 050 at the DSP

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonStart Plus

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, maternity and childcare benefits, dental and optical consultations.

Starting From

R2 040

/month

Ts & Cs apply

Monthly Contribution
Main

R2 040

Adult

R1 940

Child

R899

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 240 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 090 per family unless PMB (R2 800
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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R75 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 450 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 480.
R130 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R180 per event, R860 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 860 per family

Optometry
1 eye test per beneficiary, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R75 co-payment

Physiotherapy
4 consultations per beneficiary for sport-related injuries, R75 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (you must register for this benefit prior to departure)

i

BonStart

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, dental and optical consultations.

Starting From

R1 603

/month

Ts & Cs apply

Monthly Contribution
Main

R1 603

Adult

R1 603

Child

R1 603

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 850 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 R32 120 per family unless PMB
X-rays unlimited, 100% of the Bonitas Rate

MRIs and CT scans
R14 090 per family unless PMB (R2 800 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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 340 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R130 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 850 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 370
R275 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R115 per event, R565 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, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R125 co-payment

Physiotherapy
2 consultations per beneficiary for sport-related injuries, R130 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure)

i

CHOOSE PLAN

BonCore

BonCore | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A digitally enabled hospital plan with unlimited hospital cover at a defined network of private hospitals, virtual-first primary care, and a limited number of face-to-face GP visits.

Starting From

R1 275

/month

Ts & Cs apply

Monthly Contribution
Main

R1 275

Adult

R1 275

Child

R1 275

In-Hospital

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 R400 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 R14 680 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
N/A

Antenatal vitamins
(during pregnancy, subject to formulary)

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

Be Better Benefit

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 50)
Paid from available Benefit Booster

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 000 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonCap (R19 351 to R25 170)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R3 404

/month

Ts & Cs apply

Monthly Contribution
Main

R3 404

Adult

R3 404

Child

R1 288

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R0 to R11 930)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R1 730

/month

Ts & Cs apply

Monthly Contribution
Main

R1 730

Adult

R1 730

Child

R815

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R25 171+)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R4 177

/month

Ts & Cs apply

Monthly Contribution
Main

R4 177

Adult

R4 177

Child

R1 585

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R11 931 to R19 350)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R2 111

/month

Ts & Cs apply

Monthly Contribution
Main

R2 111

Adult

R2 111

Child

R971

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

Hospital Standard

Hospital Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at a comprehensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R3 561

/month

Ts & Cs apply

Monthly Contribution
Main

R3 561

Adult

R2 999

Child

R1 353

In-Hospital

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)
R32 040 per family.
R2 800 co-payment per scan event except for PMB

Internal prosthesis
(no cover for joint replacements or back and neck surgery)
R54 270 per family

External prosthesis
PMB only

Mental health hospitalisation
R19 060 per family, 30% co-payment for using a non-network hospital

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

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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. R168 100 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

BonComplete

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive savings plan that offers extensive cover – including an above threshold benefit – for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R6 614

/month

Ts & Cs apply

Monthly Contribution
Main

R6 614

Adult

R5 298

Child

R1 794

In-Hospital

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
R30 430 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R535 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 Continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 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 250 per family every 2 years

Audiology
(Hearing aids, consultations and tests)
R10 090 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim)

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonSave

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers ample cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R4 047

/month

Ts & Cs apply

Monthly Contribution
Main

R4 047

Adult

R3 059

Child

R1 211

In-Hospital

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
R30 430 per family in and out-of-hospital.
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R41 070 per family (internal only)

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R15 440 per family

Take-home medicine
Limited to a 7-day supply up to R500 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 440 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 530

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure

i

BonClassic

BonClassic | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers broad cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R8 238

/month

Ts & Cs apply

Monthly Contribution
Main

R8 238

Adult

R7 071

Child

R2 034

In-Hospital

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
R37 800 per family in and out-of-hospital
(R2 800 Co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 per family

Internal nerve stimulators
N/A

Cochlear implants
R376 600 per family

Mental health hospitalisation
R52 670 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R336 100 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R164 100 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 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R10 090 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 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 400 per family, per year

Specialised dentistry
(Managed Care protocols apply)
R7 710 per family, per year. Covered at the Bonitas Dental Tariff

Chronic medicine
(30% co-payment for non-DSP/non-formulary use)
46 chronic conditions: R15 370 per beneficiary R31 770 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonComprehensive

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
Our most comprehensive savings plan that offers extensive cover – including an unlimited above threshold benefit – for day-to-day medical needs and unlimited hospital cover at any private hospital. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R12 509

/month

Ts & Cs apply

Monthly Contribution
Main

R12 509

Adult

R11 796

Child

R2 548

In-Hospital

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
R38 470 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 for internal prosthesis per family
R67 640 for external prosthesis per family

Internal nerve stimulators
R211 300 per family

Cochlear implants
R354 600 per family

Mental health hospitalisation
R59 920 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R670 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R448 200 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R448 200 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)
R257 300 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 440 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

Out-of-Hospital

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 R18 560 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R11 340 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 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 225 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: R18 760 per beneficiary. R37 360 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
Yes

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 640

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonEssential

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at an extensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 747

/month

Ts & Cs apply

Monthly Contribution
Main

R2 747

Adult

R2 030

Child

R888

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonEssential Select

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers comprehensive unlimited private hospital cover at a defined network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 345

/month

Ts & Cs apply

Monthly Contribution
Main

R2 345

Adult

R1 718

Child

R774

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 100 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

Standard

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to any private hospital.

Starting From

R5 929

/month

Ts & Cs apply

Monthly Contribution
Main

R5 929

Adult

R5 139

Child

R1 740

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan, unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)
R164 100 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 440 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

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit 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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary, R26 150 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure

i

BonFit

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers basic cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R2 698

/month

Ts & Cs apply

Monthly Contribution
Main

R2 698

Adult

R2 021

Child

R908

In-Hospital

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
R15 960 per family in hospital.
Out-of-hospital paid from available savings
(R2 800 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 060 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 R470 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R168 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 580

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 440 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

BonPrime

BonPrime | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers adequate cover for day-to-day medical needs and unlimited hospital cover at a defined list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R3 255

/month

Ts & Cs apply

Monthly Contribution
Main

R3 255

Adult

R2 546

Child

R1 035

In-Hospital

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 960 per family in hospital. R3 990 out-of-hospital
(R2 240 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
R28 590 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 100 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 and14
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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

Primary

Primary | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a comprehensive list of private hospitals.

Starting From

R3 588

/month

Ts & Cs apply

Monthly Contribution
Main

R3 588

Adult

R2 807

Child

R1 141

In-Hospital

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 960 per family (in and out-of-hospital)
(R2 240 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
R38 780 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R9 780 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit sublimit
1 Additional network 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)
Paid from available acute and over-the-counter medicine benefit sublimit
Over-the-counter medicine is limited to:
R590 per beneficiary
R2 330 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 560 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 
(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 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

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
6

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

Standard Select

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a defined list of private hospitals.

Starting From

R5 431

/month

Ts & Cs apply

Monthly Contribution
Main

R5 431

Adult

R4 700

Child

R1 590

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached).
R164 100 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 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 100 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

Out-of-Hospital

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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary and R26 150 per family. Unlimited for PMB, subject to use of DSP and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 ages 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 50)
R2 050 at the DSP

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonStart Plus

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, maternity and childcare benefits, dental and optical consultations.

Starting From

R2 040

/month

Ts & Cs apply

Monthly Contribution
Main

R2 040

Adult

R1 940

Child

R899

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 240 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 090 per family unless PMB (R2 800
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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R75 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 450 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 480.
R130 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R180 per event, R860 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 860 per family

Optometry
1 eye test per beneficiary, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R75 co-payment

Physiotherapy
4 consultations per beneficiary for sport-related injuries, R75 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (you must register for this benefit prior to departure)

i

BonStart

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, dental and optical consultations.

Starting From

R1 603

/month

Ts & Cs apply

Monthly Contribution
Main

R1 603

Adult

R1 603

Child

R1 603

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 850 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 R32 120 per family unless PMB
X-rays unlimited, 100% of the Bonitas Rate

MRIs and CT scans
R14 090 per family unless PMB (R2 800 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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 340 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R130 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 850 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 370
R275 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R115 per event, R565 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, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R125 co-payment

Physiotherapy
2 consultations per beneficiary for sport-related injuries, R130 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure)

i

Disclaimer: For ease of reference, this comparison tool uses a summarised version of the product benefits.
For a more detailed version of the benefits, please refer to the plan brochures and/or the Scheme Rules.
If there is a discrepancy between the content provided in this tool and the Scheme Rules, the Scheme Rules will prevail.
CHOOSE PLAN

BonCore

BonCore | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A digitally enabled hospital plan with unlimited hospital cover at a defined network of private hospitals, virtual-first primary care, and a limited number of face-to-face GP visits.

Starting From

R1 275

/month

Ts & Cs apply

Monthly Contribution
Main

R1 275

Adult

R1 275

Child

R1 275

In-Hospital

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 R400 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 R14 680 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
N/A

Antenatal vitamins
(during pregnancy, subject to formulary)

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

Be Better Benefit

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 50)
Paid from available Benefit Booster

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 000 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonCap (R19 351 to R25 170)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R3 404

/month

Ts & Cs apply

Monthly Contribution
Main

R3 404

Adult

R3 404

Child

R1 288

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

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BonCap (R0 to R11 930)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R1 730

/month

Ts & Cs apply

Monthly Contribution
Main

R1 730

Adult

R1 730

Child

R815

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

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BonCap (R25 171+)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R4 177

/month

Ts & Cs apply

Monthly Contribution
Main

R4 177

Adult

R4 177

Child

R1 585

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

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BonCap (R11 931 to R19 350)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R2 111

/month

Ts & Cs apply

Monthly Contribution
Main

R2 111

Adult

R2 111

Child

R971

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

Hospital Standard

Hospital Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at a comprehensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R3 561

/month

Ts & Cs apply

Monthly Contribution
Main

R3 561

Adult

R2 999

Child

R1 353

In-Hospital

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)
R32 040 per family.
R2 800 co-payment per scan event except for PMB

Internal prosthesis
(no cover for joint replacements or back and neck surgery)
R54 270 per family

External prosthesis
PMB only

Mental health hospitalisation
R19 060 per family, 30% co-payment for using a non-network hospital

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

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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. R168 100 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

BonComplete

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive savings plan that offers extensive cover – including an above threshold benefit – for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R6 614

/month

Ts & Cs apply

Monthly Contribution
Main

R6 614

Adult

R5 298

Child

R1 794

In-Hospital

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
R30 430 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R535 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 Continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 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 250 per family every 2 years

Audiology
(Hearing aids, consultations and tests)
R10 090 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim)

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonSave

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers ample cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R4 047

/month

Ts & Cs apply

Monthly Contribution
Main

R4 047

Adult

R3 059

Child

R1 211

In-Hospital

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
R30 430 per family in and out-of-hospital.
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R41 070 per family (internal only)

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R15 440 per family

Take-home medicine
Limited to a 7-day supply up to R500 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 440 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 530

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure

i

BonClassic

BonClassic | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers broad cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R8 238

/month

Ts & Cs apply

Monthly Contribution
Main

R8 238

Adult

R7 071

Child

R2 034

In-Hospital

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
R37 800 per family in and out-of-hospital
(R2 800 Co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 per family

Internal nerve stimulators
N/A

Cochlear implants
R376 600 per family

Mental health hospitalisation
R52 670 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R336 100 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R164 100 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 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R10 090 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 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 400 per family, per year

Specialised dentistry
(Managed Care protocols apply)
R7 710 per family, per year. Covered at the Bonitas Dental Tariff

Chronic medicine
(30% co-payment for non-DSP/non-formulary use)
46 chronic conditions: R15 370 per beneficiary R31 770 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonComprehensive

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
Our most comprehensive savings plan that offers extensive cover – including an unlimited above threshold benefit – for day-to-day medical needs and unlimited hospital cover at any private hospital. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R12 509

/month

Ts & Cs apply

Monthly Contribution
Main

R12 509

Adult

R11 796

Child

R2 548

In-Hospital

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
R38 470 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 for internal prosthesis per family
R67 640 for external prosthesis per family

Internal nerve stimulators
R211 300 per family

Cochlear implants
R354 600 per family

Mental health hospitalisation
R59 920 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R670 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R448 200 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R448 200 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)
R257 300 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 440 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

Out-of-Hospital

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 R18 560 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R11 340 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 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 225 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: R18 760 per beneficiary. R37 360 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
Yes

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 640

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonEssential

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at an extensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 747

/month

Ts & Cs apply

Monthly Contribution
Main

R2 747

Adult

R2 030

Child

R888

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonEssential Select

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers comprehensive unlimited private hospital cover at a defined network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 345

/month

Ts & Cs apply

Monthly Contribution
Main

R2 345

Adult

R1 718

Child

R774

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 100 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

Standard

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to any private hospital.

Starting From

R5 929

/month

Ts & Cs apply

Monthly Contribution
Main

R5 929

Adult

R5 139

Child

R1 740

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan, unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)
R164 100 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 440 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

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit 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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary, R26 150 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure

i

BonFit

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers basic cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R2 698

/month

Ts & Cs apply

Monthly Contribution
Main

R2 698

Adult

R2 021

Child

R908

In-Hospital

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
R15 960 per family in hospital.
Out-of-hospital paid from available savings
(R2 800 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 060 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 R470 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R168 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 580

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 440 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

BonPrime

BonPrime | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers adequate cover for day-to-day medical needs and unlimited hospital cover at a defined list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R3 255

/month

Ts & Cs apply

Monthly Contribution
Main

R3 255

Adult

R2 546

Child

R1 035

In-Hospital

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 960 per family in hospital. R3 990 out-of-hospital
(R2 240 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
R28 590 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 100 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 and14
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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

Primary

Primary | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a comprehensive list of private hospitals.

Starting From

R3 588

/month

Ts & Cs apply

Monthly Contribution
Main

R3 588

Adult

R2 807

Child

R1 141

In-Hospital

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 960 per family (in and out-of-hospital)
(R2 240 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
R38 780 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R9 780 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit sublimit
1 Additional network 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)
Paid from available acute and over-the-counter medicine benefit sublimit
Over-the-counter medicine is limited to:
R590 per beneficiary
R2 330 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 560 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 
(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 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

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
6

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

Standard Select

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a defined list of private hospitals.

Starting From

R5 431

/month

Ts & Cs apply

Monthly Contribution
Main

R5 431

Adult

R4 700

Child

R1 590

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached).
R164 100 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 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 100 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

Out-of-Hospital

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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary and R26 150 per family. Unlimited for PMB, subject to use of DSP and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 ages 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 50)
R2 050 at the DSP

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonStart Plus

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, maternity and childcare benefits, dental and optical consultations.

Starting From

R2 040

/month

Ts & Cs apply

Monthly Contribution
Main

R2 040

Adult

R1 940

Child

R899

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 240 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 090 per family unless PMB (R2 800
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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R75 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 450 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 480.
R130 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R180 per event, R860 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 860 per family

Optometry
1 eye test per beneficiary, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R75 co-payment

Physiotherapy
4 consultations per beneficiary for sport-related injuries, R75 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (you must register for this benefit prior to departure)

i

BonStart

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, dental and optical consultations.

Starting From

R1 603

/month

Ts & Cs apply

Monthly Contribution
Main

R1 603

Adult

R1 603

Child

R1 603

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 850 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 R32 120 per family unless PMB
X-rays unlimited, 100% of the Bonitas Rate

MRIs and CT scans
R14 090 per family unless PMB (R2 800 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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 340 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R130 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 850 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 370
R275 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R115 per event, R565 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, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R125 co-payment

Physiotherapy
2 consultations per beneficiary for sport-related injuries, R130 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure)

i

CHOOSE PLAN

BonCore

BonCore | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A digitally enabled hospital plan with unlimited hospital cover at a defined network of private hospitals, virtual-first primary care, and a limited number of face-to-face GP visits.

Starting From

R1 275

/month

Ts & Cs apply

Monthly Contribution
Main

R1 275

Adult

R1 275

Child

R1 275

In-Hospital

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 R400 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 R14 680 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
N/A

Antenatal vitamins
(during pregnancy, subject to formulary)

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

Be Better Benefit

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 50)
Paid from available Benefit Booster

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 000 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonCap (R19 351 to R25 170)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R3 404

/month

Ts & Cs apply

Monthly Contribution
Main

R3 404

Adult

R3 404

Child

R1 288

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R0 to R11 930)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R1 730

/month

Ts & Cs apply

Monthly Contribution
Main

R1 730

Adult

R1 730

Child

R815

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R25 171+)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R4 177

/month

Ts & Cs apply

Monthly Contribution
Main

R4 177

Adult

R4 177

Child

R1 585

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R11 931 to R19 350)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R2 111

/month

Ts & Cs apply

Monthly Contribution
Main

R2 111

Adult

R2 111

Child

R971

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

Hospital Standard

Hospital Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at a comprehensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R3 561

/month

Ts & Cs apply

Monthly Contribution
Main

R3 561

Adult

R2 999

Child

R1 353

In-Hospital

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)
R32 040 per family.
R2 800 co-payment per scan event except for PMB

Internal prosthesis
(no cover for joint replacements or back and neck surgery)
R54 270 per family

External prosthesis
PMB only

Mental health hospitalisation
R19 060 per family, 30% co-payment for using a non-network hospital

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

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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. R168 100 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

BonComplete

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive savings plan that offers extensive cover – including an above threshold benefit – for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R6 614

/month

Ts & Cs apply

Monthly Contribution
Main

R6 614

Adult

R5 298

Child

R1 794

In-Hospital

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
R30 430 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R535 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 Continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 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 250 per family every 2 years

Audiology
(Hearing aids, consultations and tests)
R10 090 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim)

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonSave

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers ample cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R4 047

/month

Ts & Cs apply

Monthly Contribution
Main

R4 047

Adult

R3 059

Child

R1 211

In-Hospital

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
R30 430 per family in and out-of-hospital.
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R41 070 per family (internal only)

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R15 440 per family

Take-home medicine
Limited to a 7-day supply up to R500 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 440 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 530

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure

i

BonClassic

BonClassic | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers broad cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R8 238

/month

Ts & Cs apply

Monthly Contribution
Main

R8 238

Adult

R7 071

Child

R2 034

In-Hospital

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
R37 800 per family in and out-of-hospital
(R2 800 Co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 per family

Internal nerve stimulators
N/A

Cochlear implants
R376 600 per family

Mental health hospitalisation
R52 670 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R336 100 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R164 100 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 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R10 090 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 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 400 per family, per year

Specialised dentistry
(Managed Care protocols apply)
R7 710 per family, per year. Covered at the Bonitas Dental Tariff

Chronic medicine
(30% co-payment for non-DSP/non-formulary use)
46 chronic conditions: R15 370 per beneficiary R31 770 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

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BonComprehensive

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
Our most comprehensive savings plan that offers extensive cover – including an unlimited above threshold benefit – for day-to-day medical needs and unlimited hospital cover at any private hospital. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R12 509

/month

Ts & Cs apply

Monthly Contribution
Main

R12 509

Adult

R11 796

Child

R2 548

In-Hospital

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
R38 470 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 for internal prosthesis per family
R67 640 for external prosthesis per family

Internal nerve stimulators
R211 300 per family

Cochlear implants
R354 600 per family

Mental health hospitalisation
R59 920 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R670 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R448 200 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R448 200 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)
R257 300 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 440 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

Out-of-Hospital

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 R18 560 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R11 340 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 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 225 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: R18 760 per beneficiary. R37 360 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
Yes

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 640

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

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BonEssential

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at an extensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 747

/month

Ts & Cs apply

Monthly Contribution
Main

R2 747

Adult

R2 030

Child

R888

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonEssential Select

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers comprehensive unlimited private hospital cover at a defined network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 345

/month

Ts & Cs apply

Monthly Contribution
Main

R2 345

Adult

R1 718

Child

R774

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 100 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

Standard

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to any private hospital.

Starting From

R5 929

/month

Ts & Cs apply

Monthly Contribution
Main

R5 929

Adult

R5 139

Child

R1 740

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan, unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)
R164 100 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 440 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

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit 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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary, R26 150 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure

i

BonFit

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers basic cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R2 698

/month

Ts & Cs apply

Monthly Contribution
Main

R2 698

Adult

R2 021

Child

R908

In-Hospital

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
R15 960 per family in hospital.
Out-of-hospital paid from available savings
(R2 800 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 060 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 R470 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R168 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 580

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 440 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

BonPrime

BonPrime | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers adequate cover for day-to-day medical needs and unlimited hospital cover at a defined list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R3 255

/month

Ts & Cs apply

Monthly Contribution
Main

R3 255

Adult

R2 546

Child

R1 035

In-Hospital

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 960 per family in hospital. R3 990 out-of-hospital
(R2 240 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
R28 590 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 100 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 and14
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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

Primary

Primary | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a comprehensive list of private hospitals.

Starting From

R3 588

/month

Ts & Cs apply

Monthly Contribution
Main

R3 588

Adult

R2 807

Child

R1 141

In-Hospital

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 960 per family (in and out-of-hospital)
(R2 240 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
R38 780 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R9 780 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit sublimit
1 Additional network 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)
Paid from available acute and over-the-counter medicine benefit sublimit
Over-the-counter medicine is limited to:
R590 per beneficiary
R2 330 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 560 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 
(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 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

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
6

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

Standard Select

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a defined list of private hospitals.

Starting From

R5 431

/month

Ts & Cs apply

Monthly Contribution
Main

R5 431

Adult

R4 700

Child

R1 590

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached).
R164 100 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 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 100 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

Out-of-Hospital

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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary and R26 150 per family. Unlimited for PMB, subject to use of DSP and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 ages 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 50)
R2 050 at the DSP

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonStart Plus

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, maternity and childcare benefits, dental and optical consultations.

Starting From

R2 040

/month

Ts & Cs apply

Monthly Contribution
Main

R2 040

Adult

R1 940

Child

R899

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 240 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 090 per family unless PMB (R2 800
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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R75 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 450 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 480.
R130 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R180 per event, R860 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 860 per family

Optometry
1 eye test per beneficiary, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R75 co-payment

Physiotherapy
4 consultations per beneficiary for sport-related injuries, R75 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (you must register for this benefit prior to departure)

i

BonStart

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, dental and optical consultations.

Starting From

R1 603

/month

Ts & Cs apply

Monthly Contribution
Main

R1 603

Adult

R1 603

Child

R1 603

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 850 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 R32 120 per family unless PMB
X-rays unlimited, 100% of the Bonitas Rate

MRIs and CT scans
R14 090 per family unless PMB (R2 800 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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 340 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R130 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 850 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 370
R275 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R115 per event, R565 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, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R125 co-payment

Physiotherapy
2 consultations per beneficiary for sport-related injuries, R130 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure)

i

CHOOSE PLAN

BonCore

BonCore | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A digitally enabled hospital plan with unlimited hospital cover at a defined network of private hospitals, virtual-first primary care, and a limited number of face-to-face GP visits.

Starting From

R1 275

/month

Ts & Cs apply

Monthly Contribution
Main

R1 275

Adult

R1 275

Child

R1 275

In-Hospital

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 R400 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 R14 680 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
N/A

Antenatal vitamins
(during pregnancy, subject to formulary)

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

Be Better Benefit

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 50)
Paid from available Benefit Booster

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 000 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonCap (R19 351 to R25 170)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R3 404

/month

Ts & Cs apply

Monthly Contribution
Main

R3 404

Adult

R3 404

Child

R1 288

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R0 to R11 930)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R1 730

/month

Ts & Cs apply

Monthly Contribution
Main

R1 730

Adult

R1 730

Child

R815

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R25 171+)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R4 177

/month

Ts & Cs apply

Monthly Contribution
Main

R4 177

Adult

R4 177

Child

R1 585

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

BonCap (R11 931 to R19 350)

BonCap | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An income-based, entry level plan offering basic day-to-day benefits using a network of doctors and providers, as well as unlimited hospital cover at a defined list of private hospitals.

Starting From

R2 111

/month

Ts & Cs apply

Monthly Contribution
Main

R2 111

Adult

R2 111

Child

R971

In-Hospital

Hospital cover
Unlimited at a BonCap network hospital, covered at 100% of the BonCap Rate, 30% co-payment at a non-network hospital

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 R32 480 per family
X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans
R14 250 per family, R1 230 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 550 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

Out-of-Hospital

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 R420 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 060 per beneficiary or a maximum of 5 visits limited to R6 030 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 390 – R5 790. 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
R120 per event, R340 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 370 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

Mother & Child

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

Be Better Benefit

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 50)
R1 330 at the DSP (40% co-payment applies at non-DSP)

Wellness screening per beneficiary, aged 21 and over
1

i

Hospital Standard

Hospital Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at a comprehensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R3 561

/month

Ts & Cs apply

Monthly Contribution
Main

R3 561

Adult

R2 999

Child

R1 353

In-Hospital

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)
R32 040 per family.
R2 800 co-payment per scan event except for PMB

Internal prosthesis
(no cover for joint replacements or back and neck surgery)
R54 270 per family

External prosthesis
PMB only

Mental health hospitalisation
R19 060 per family, 30% co-payment for using a non-network hospital

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

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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. R168 100 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

BonComplete

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive savings plan that offers extensive cover – including an above threshold benefit – for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R6 614

/month

Ts & Cs apply

Monthly Contribution
Main

R6 614

Adult

R5 298

Child

R1 794

In-Hospital

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
R30 430 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R535 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 Continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 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 250 per family every 2 years

Audiology
(Hearing aids, consultations and tests)
R10 090 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim)

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonSave

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers ample cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R4 047

/month

Ts & Cs apply

Monthly Contribution
Main

R4 047

Adult

R3 059

Child

R1 211

In-Hospital

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
R30 430 per family in and out-of-hospital.
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R41 070 per family (internal only)

Internal nerve stimulators
N/A

Cochlear implants
N/A

Mental health hospitalisation
R41 190 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R15 440 per family

Take-home medicine
Limited to a 7-day supply up to R500 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 440 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 530

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure

i

BonClassic

BonClassic | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers broad cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R8 238

/month

Ts & Cs apply

Monthly Contribution
Main

R8 238

Adult

R7 071

Child

R2 034

In-Hospital

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
R37 800 per family in and out-of-hospital
(R2 800 Co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 per family

Internal nerve stimulators
N/A

Cochlear implants
R376 600 per family

Mental health hospitalisation
R52 670 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R336 100 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R164 100 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 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 440 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

Out-of-Hospital

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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R10 090 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 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 400 per family, per year

Specialised dentistry
(Managed Care protocols apply)
R7 710 per family, per year. Covered at the Bonitas Dental Tariff

Chronic medicine
(30% co-payment for non-DSP/non-formulary use)
46 chronic conditions: R15 370 per beneficiary R31 770 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R2 070 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure.

i

BonComprehensive

BonComprehensive & BonComplete | Plans | Medical Aid for South Africa | Bonitas Medical Fund
Our most comprehensive savings plan that offers extensive cover – including an unlimited above threshold benefit – for day-to-day medical needs and unlimited hospital cover at any private hospital. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R12 509

/month

Ts & Cs apply

Monthly Contribution
Main

R12 509

Adult

R11 796

Child

R2 548

In-Hospital

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
R38 470 per family in and out-of-hospital
(R2 800 co-payment per scan event unless PMB)

Internal and external prosthesis
R67 640 for internal prosthesis per family
R67 640 for external prosthesis per family

Internal nerve stimulators
R211 300 per family

Cochlear implants
R354 600 per family

Mental health hospitalisation
R59 920 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R670 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs. R448 200 per family for
non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached). R448 200 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)
R257 300 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 440 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

Out-of-Hospital

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 R18 560 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year(consumables limited to R93 000 per family)

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Paid from available savings. R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R11 340 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 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 225 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: R18 760 per beneficiary. R37 360 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
Yes

Antenatal consultations
12

2D ultrasound scans
2

Antenatal classes
R1 640

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
N/A

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonEssential

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers unlimited private hospital cover at an extensive network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 747

/month

Ts & Cs apply

Monthly Contribution
Main

R2 747

Adult

R2 030

Child

R888

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 500 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa

i

BonEssential Select

BonEssential & BonEssential Select | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A hospital plan that offers comprehensive unlimited private hospital cover at a defined network of private hospitals for emergencies and planned procedures. Some additional benefits include preventative care, cover for chronic medicine and contraceptives, as well as maternity and childcare benefits.

Starting From

R2 345

/month

Ts & Cs apply

Monthly Contribution
Main

R2 345

Adult

R1 718

Child

R774

In-Hospital

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)
R15 960 per family.
R2 800 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 060 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 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 100 co-payment will apply

Out-of-Hospital

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

Mother & Child

Amniocentesis
1

Antenatal Vitamins
(during pregnancy, subject to formulary)
Limited to R200 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

Be Better Benefit

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 50)
R1 580 at the DSP

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel benefit
(per trip)
You must register for this benefit prior to departure. Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.

i

Standard

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to any private hospital.

Starting From

R5 929

/month

Ts & Cs apply

Monthly Contribution
Main

R5 929

Adult

R5 139

Child

R1 740

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan, unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)
R164 100 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 440 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

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit 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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary, R26 150 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 50)
R2 050

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure

i

BonFit

BonSave & BonFit | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers basic cover for day-to-day medical needs and unlimited hospital cover at a comprehensive list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R2 698

/month

Ts & Cs apply

Monthly Contribution
Main

R2 698

Adult

R2 021

Child

R908

In-Hospital

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
R15 960 per family in hospital.
Out-of-hospital paid from available savings
(R2 800 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 060 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 R470 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to the DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R168 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 580

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 440 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

BonPrime

BonPrime | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A savings plan that offers adequate cover for day-to-day medical needs and unlimited hospital cover at a defined list of private hospitals. It also provides cover for chronic medicine, preventative dentistry, contraceptives, and maternity and childcare benefits.

Starting From

R3 255

/month

Ts & Cs apply

Monthly Contribution
Main

R3 255

Adult

R2 546

Child

R1 035

In-Hospital

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 960 per family in hospital. R3 990 out-of-hospital
(R2 240 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
R28 590 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 R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 100 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

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

Mother & Child

Private ward after delivery
N/A

Antenatal consultations
6

2D ultrasound scans
2

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 and14
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 50)
R1 970

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

Primary

Primary | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a comprehensive list of private hospitals.

Starting From

R3 588

/month

Ts & Cs apply

Monthly Contribution
Main

R3 588

Adult

R2 807

Child

R1 141

In-Hospital

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 960 per family (in and out-of-hospital)
(R2 240 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
R38 780 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R9 780 per family

Take-home medicine
Limited to a 7-day supply up to R470 per hospital stay

Physical rehabilitation
R63 340 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 310 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R224 100 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 500 co-payment will apply

Co-payments for certain procedures
Yes

Out-of-Hospital

GP consultations
(including virtual care consultations)
Paid from available GP & specialist benefit sublimit
1 Additional network 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)
Paid from available acute and over-the-counter medicine benefit sublimit
Over-the-counter medicine is limited to:
R590 per beneficiary
R2 330 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 560 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 
(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 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

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
6

Antenatal classes
R1 100

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 R200 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

Be Better Benefit

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 50)
R1 970

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R4 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa.
You must register for this benefit prior to departure.

i

Standard Select

Standard | Plans | Medical Aid for South Africa | Bonitas Medical Fund
A comprehensive traditional plan that gives you an overall day-to-day limit with sublimits for GP and specialist consultations, medicine, X-rays, blood tests and more, as well as additional benefits paid from risk. It also provides access to a defined list of private hospitals.

Starting From

R5 431

/month

Ts & Cs apply

Monthly Contribution
Main

R5 431

Adult

R4 700

Child

R1 590

In-Hospital

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
R34 020 per family (in and out-of-hospital)
(R1 860 co-payment per scan event unless PMB)

Internal and external prosthesis
R57 630 per family

Internal nerve stimulators
R224 400 per family

Cochlear implants
N/A

Mental health hospitalisation
R51 900 per family

Sublimit of hospitalisation for mental health consultations per family
(in or out-of-hospital)
R20 310 per family

Take-home medicine
Limited to a 7-day supply up to R605 per hospital stay

Physical rehabilitation
R67 270 per family

Alternatives to hospital
(hospice, step-down facilities)
R21 570 per family

Palliative care
(cancer only)
Unlimited, subject to DSP

Cancer treatment
(30% co-payment applies at non-DSP)
Unlimited for PMBs
R280 100 per family for non-PMBs (paid at 80% at a DSP and no cover at a non-DSP, once limit is reached).
R164 100 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 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 100 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

Out-of-Hospital

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 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: R930 per beneficiary, R2 910 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 890 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: R65 000 per family every 5 years
1 continuous glucose monitor: R28 000 per family every year
Consumables limited to R93 000 per family

Blood pressure monitor
(subject to registration of chronic
condition – hypertension)
Subject to the general medical appliances benefit R1 250 per family every 2 years

Audiology
(hearing aids, consultations and tests)
R9 460 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 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)
45 chronic conditions: R13 030 per beneficiary and R26 150 per family. Unlimited for PMB, subject to use of DSP and formulary

Mother & Child

Private ward after delivery
N/A

Amniocentesis
1

Antenatal consultations
12

Antenatal classes
R1 580

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 R200 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

Be Better Benefit

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 ages 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 50)
R2 050 at the DSP

Wellness screening
(per beneficiary, aged 21 and over)
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R5 000 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa. You must register for this benefit prior to departure.

i

BonStart Plus

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, maternity and childcare benefits, dental and optical consultations.

Starting From

R2 040

/month

Ts & Cs apply

Monthly Contribution
Main

R2 040

Adult

R1 940

Child

R899

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 240 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 090 per family unless PMB (R2 800
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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R20 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R75 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 450 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 480.
R130 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R180 per event, R860 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 860 per family

Optometry
1 eye test per beneficiary, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R75 co-payment

Physiotherapy
4 consultations per beneficiary for sport-related injuries, R75 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (you must register for this benefit prior to departure)

i

BonStart

BonStart & BonStart Plus | Plans | Medical Aid for South Africa | Bonitas Medical Fund
An innovative, digital-first plan driven by technology. It gives you access to a private hospital network as well as basic day-to-day benefits including unlimited GP consultations, virtual care, dental and optical consultations.

Starting From

R1 603

/month

Ts & Cs apply

Monthly Contribution
Main

R1 603

Adult

R1 603

Child

R1 603

In-Hospital

Hospital cover
Unlimited at the applicable hospital network
R1 850 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 R32 120 per family unless PMB
X-rays unlimited, 100% of the Bonitas Rate

MRIs and CT scans
R14 090 per family unless PMB (R2 800 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 R57 280 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 R470 per hospital stay

Physical rehabilitation
R62 620 per family

Alternatives to hospital
(hospice, step-down facilities)
R17 340 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

Out-of-Hospital

GP consultations
Unlimited Network GP consultations, R130 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 850 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 370
R275 co-payment per visit
Including all acute medicine, basic radiology and pathology prescribed by the specialist

Over-the-counter medicine
Limited to R115 per event, R565 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, R115 co-payment

Basic dentistry
1 consultation per beneficiary, R125 co-payment

Physiotherapy
2 consultations per beneficiary for sport-related injuries, R130 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 R12 680 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)

Mother & Child

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 R200 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

Be Better Benefit

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 270

Wellness screening per beneficiary, aged 21 and over
1

Additional Benefits

Benefit Booster
(available after completing a mental health assessment and a wellness screening)
R1 160 per family

International travel
(per trip)
Up to R1.2 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure)

i

NEW PLANS

BONCORE

Introducing BonCore, a digitally enabled hospital plan with day-to-day funding for GP consultations.

Disclaimer: All benefits are subject to approval by the Council for Medical Schemes.

BONPRIME

Designed to enhance flexibility for members in managing their day-to-day healthcare expenditure.

Disclaimer: All benefits are subject to approval by the Council for Medical Schemes.

DOWNLOAD THE BONITAS 2026 BROCHURE

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