Your are currently viewing 2023 plans

EDGE PLANS

BonStart

STARTING FROM

R 1338 PM

Ts & Cs apply

BonStart
Basic Summary
Main Adult Children
Monthly contribution R 1338 R 1338 R 1338
Hospital network

Yes

Hospital cover

Unlimited, at applicable Hospital network.
R1 590 co-payment per admission, except for PMB emergencies

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

Blood tests limited to R27 560 per family unless PMB. X-rays unlimited, 100% of the Bonitas Rate

MRIs and CT scans

R12 570 per family (R2 500 co-payment per scan, except PMB)

Internal and external prostheses

PMB only

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

PMB only, subject to use of DSP

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

N/A

Take-home medicine

Limited to a 7-day supply up to R415 per hospital stay

Physical rehabilitation

R53 740 per family

Alternatives to hospital
(Hospice, step-down facilities)

R15 470 per family

Terminal care

Unlimited for oncology

Cancer treatment

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

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

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

Organ transplants

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

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Co-payments for certain procedures
(Refer to product brochure for details)

Yes

Refractive surgery

N/A

Amniocentesis

N/A

Antenatal classes

N/A

Antenatal consultations

N/A

Postnatal consultations

N/A

Private ward

N/A

2D Ultrasound scans

N/A

Overall day-to-day limit

N/A

GP consultations

Unlimited Network GP consultations, R115 co-payment per visit. Pre-authorisation required from 6th visit.Unlimited Virtual Care GP and Nurse consultations

Specialist consultations

Limited to 1 visit per family up to R1 170. R235 co-payment per visit. Including all acute medicine, basic radiology, specialised radiology and pathology prescribed by the specialist

X-rays and ultrasounds

Limited to R1 590 per family (Combined benefit with blood tests and acute medicine)

Blood tests

Limited to R1 590 per family (Combined benefit with X-rays and acute medicine)

Acute medicine

A 20% co-payment will apply per script. Avoid a 40% co-payment by using a Bonitas Pharmacy Network. Subject to medicine formulary use

Over-the-counter medicine

Limited to R100 per event, R490 per family per year. Subject to the medicine formulary, 40% co-payment for non-DSP use

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)

N/A

General medical appliances

PMB only

Hearing aids

N/A

Optometry
(Once every 2 years)

1 eye test per beneficiary, R115 co-payment

Basic dentistry

1 consultation per beneficiary, R115 co-payment

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

Unlimited for PMB, subject to use of DSP

Baby advice line

For children under 3 years

Congenital hypothyroidism screening

N/A

GP consultations
(Children between ages 2 and 12)

N/A

Hearing screening

N/A

Immunisations

N/A

Paediatric consultations
(Infants between ages 1 and 2)

N/A

Paediatric consultations
(Infants under the age of 1)

N/A

Contraceptives
(Per family)

R1 140 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

0

Pap Smear
(Every 3 years, women between ages 21-65)

1

Pneumococcal vaccine
(Every 5 years, members aged 65 and over)

0

Prostate screening antigen test
(Men between ages 45-69)

0

Stool test for colon cancer
(Members between ages 50-75)

0

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL: R 1338

BonStart Plus

STARTING FROM

R 1703 PM

Ts & Cs apply

BonStart Plus
Basic Summary
Main Adult Children
Monthly contribution R 1703 R 1619 R 750
Hospital network

Yes

Hospital cover

Unlimited, at applicable Hospital network.
R1 060 co-payment per admission, except for PMB emergencies

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

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

MRIs and CT scans

R17 070 per family (R2 000 co-payment per scan, except PMB)

Internal and external prostheses

Yes

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

PMB only, subject to use of DSP

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

N/A

Take-home medicine

Limited to a 7-day supply up to R415 per hospital stay

Physical rehabilitation

R53 740 per family

Alternatives to hospital
(Hospice, step-down facilities)

R17 930 per family

Terminal care

Unlimited for oncology

Cancer treatment

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

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

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

Organ transplants

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

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Co-payments for certain procedures
(Refer to product brochure for details)

Yes

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

N/A

Antenatal consultations

6

Postnatal consultations

4 consultations with a midwife after delivery (1 of these can be used for a consultation with a lactation specialist)

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

N/A

GP consultations

Unlimited Network GP consultations, R60 co-payment per visit. Pre-authorisation required from 10th visit.Unlimited Virtual Care GP and Nurse consultations

Specialist consultations

Limited to 2 visit per family up to R2 120. R115 co-payment per visit. Including all acute medicine, basic radiology, specialised radiology and pathology prescribed by the specialist

X-rays and ultrasounds

Limited to R2 970 per family (Combined benefit with blood tests and acute medicine)

Blood tests

Limited to R2 970 per family (Combined benefit with X-rays and acute medicine)

Acute medicine

A 20% co-payment will apply per script. Avoid a 40% co-payment by using a Bonitas Pharmacy Network. Subject to medicine formulary use

Over-the-counter medicine

Limited to R155 per event, R735 per family per year. Subject to the medicine formulary, 40% co-payment for non-DSP use

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)

N/A

General medical appliances

R5 890 per family

Hearing aids

N/A

Optometry
(Once every 2 years)

1 eye test per beneficiary, R60 co-payment

Basic dentistry

1 consultation per beneficiary, R60 co-payment

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

Unlimited for PMB, subject to use of DSP

Baby advice line

For children under 3 years

Congenital hypothyroidism screening

Infants under 1 month old

GP consultations
(Children between ages 2 and 12)

N/A

Hearing screening

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

Immunisations

N/A

Paediatric consultations
(Infants between ages 1 and 2)

N/A

Paediatric consultations
(Infants under the age of 1)

N/A

Contraceptives
(Per family)

R1 370 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

0

Pap Smear
(Every 3 years, women between ages 21-65)

1

Pneumococcal vaccine
(Every 5 years, members aged 65 and over)

0

Prostate screening antigen test
(Men between ages 45-69)

0

Stool test for colon cancer
(Members between ages 50-75)

0

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL: R 1703
TRADITIONAL PLANS

Standard

STARTING FROM

R 4543 PM

Ts & Cs apply

Standard
Basic Summary
Main Adult Children
Monthly contribution R 4543 R 3938 R 1333
Hospital network

N/A

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

R30 370 per family (In and out-of-hospital) (R1 660 co-payment per scan, except PMB)

Internal and external prostheses

R30 370 per family (In and out-of-hospital) (R1 660 co-payment per scan, except PMB)

Internal nerve stimulators

R192 600 per family

Cochlear implants

PMB only

Mental health hospitalisation

R46 320 per family

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

R18 130 per family

Take-home medicine

Limited to a 7-day supply up to R540 per hospital stay

Physical rehabilitation

R57 730 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 250 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs, R250 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

PMB only, at a DSP or a 20% co-payment applies

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Co-payments for certain procedures
(Refer to product brochure for details)

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

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

R1 410

Antenatal consultations

12

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

*Ranges from R12 000 - R22 000

GP consultations

Paid from available GP & specialist consultations sublimit. *Ranges from R3 000 - R6 000

Specialist consultations

Paid from available GP & specialist consultations sublimit. *Ranges from R3 000 - R6 000

X-rays and ultrasounds

Paid from available X-rays and blood tests sublimit. *Ranges from R3 000 - R6 000

Blood tests

Paid from available X-rays and blood tests sublimit. *Ranges from R3 000 - R6 000

Acute medicine

Paid from available acute and over-the-counter medicine sublimit. *Ranges from R3 000 - R6 000

Over-the-counter medicine

Paid from available acute and over-the-counter medicine sublimit. Limited to R800 per beneficiary, R2 500 per family

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)

Paid from available auxiliary services sublimit. *Ranges from R3 000 - R6 000

General medical appliances

Subject to the available overall day-to-day limit

Hearing aids

R8 930 per family every 5 years (20% co-payment will apply). Once limit is reached, the balance is subject to the available overall day-to-day limit

Optometry
(Once every 2 years)

R7 035 per family, every 2 years

Basic dentistry

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

Specialised dentistry
(Subject to dental management protocols)

Covered at the Bonitas Dental Tariff

Chronic benefits
(Subject to Managed Care Protocols)

45 chronic conditions. R11 180 per beneficiary, R22 440 per family. Unlimited for PMB, subject to use of DSP

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

Immunisations

According to the Expanded Programme on Immunisation in South Africa

Paediatric consultations
(Infants between ages 1 and 2)

2

Paediatric consultations
(Infants under the age of 1)

2

Contraceptives
(Per family)

R1 830 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test 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, women between ages 21-65)

1

Pneumococcal vaccine
(Every 5 years, members aged 65 and over)

1

Prostate screening antigen test
(Men between ages 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

1

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

2

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R2 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 4543

Standard Select

STARTING FROM

R 4105 PM

Ts & Cs apply

Standard Select
Basic Summary
Main Adult Children
Monthly contribution R 4105 R 3552 R 1202
Hospital network

Yes

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

R30 370 per family (In and out-of-hospital) (R1 660 co-payment per scan, except PMB)

Internal and external prostheses

R51 440 per family (Sublimit of R6 120 per breast prosthesis (limited to 2 per year))

Internal nerve stimulators

R192 600 per family

Cochlear implants

PMB only

Mental health hospitalisation

R46 320 per family

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

R18 130 per family

Take-home medicine

Limited to a 7-day supply up to R540 per hospital stay

Physical rehabilitation

R57 730 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 250 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs, R250 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

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

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Co-payments for certain procedures
(Refer to product brochure for details)

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

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

R1 410

Antenatal consultations

12

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

*Ranges from R12 000 - R22 000

GP consultations

Paid from available GP & specialist consultations sublimit. *Ranges from R3 000 - R6 000 (GP nomination applies to Standard Select)

Specialist consultations

Paid from available GP & specialist consultations sublimit. *Ranges from R3 000 - R6 000

X-rays and ultrasounds

Paid from available X-rays and blood tests sublimit. *Ranges from R3 000 - R6 000

Blood tests

Paid from available X-rays and blood tests sublimit. *Ranges from R3 000 - R6 000

Acute medicine

Paid from available acute and over-the-counter medicine sublimit. *Ranges from R3 000 - R6 000

Over-the-counter medicine

Paid from available acute and over-the-counter medicine sublimit. Limited to R800 per beneficiary, R2 500 per family

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)

Paid from available auxiliary services sublimit. *Ranges from R3 000 - R6 000

General medical appliances

Subject to the available overall day-to-day limit

Hearing aids

R8 930 per family every 5 years (20% co-payment will apply). Once limit is reached, the balance is subject to the available overall day-to-day limit

Optometry
(Once every 2 years)

R7 035 per family, every 2 years

Basic dentistry

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

Specialised dentistry
(Subject to dental management protocols)

Covered at the Bonitas Dental Tariff

Chronic benefits
(Subject to Managed Care Protocols)

45 chronic conditions. R11 180 per beneficiary, R22 440 per family. Unlimited for PMB, subject to use of DSP

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

Immunisations

According to the Expanded Programme on Immunisation in South Africa

Paediatric consultations
(Infants between ages 1 and 2)

2

Paediatric consultations
(Infants under the age of 1)

2

Contraceptives
(Per family)

R1 830 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test 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, women between ages 21-65)

1

Pneumococcal vaccine
(Every 5 years, members aged 65 and over)

1

Prostate screening antigen test
(Men between ages 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

1

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

2

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R2 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 4105

Primary

STARTING FROM

R 2792 PM

Ts & Cs apply

Primary
Basic Summary
Main Adult Children
Monthly contribution R 2792 R 2184 R 888
Hospital network

N/A

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

R14 240 per family (In and out-of-hospital) (R2 000 co-payment per scan, except for PMB)

Internal and external prostheses

R51 440 per family (Sublimit of R6 120 per breast prosthesis (limited to 2 per year))

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R17 010 per family

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

R10 920 per family

Take-home medicine

Limited to a 7-day supply up to R420 per hospital stay

Physical rehabilitation

R54 360 per family

Alternatives to hospital
(Hospice, step-down facilities)

R18 130 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs, R200 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

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

Organ transplants

PMB only

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Co-payments for certain procedures
(Refer to product brochure for details)

Yes

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

N/A

Antenatal consultations

6

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

*Ranges from R5 000 - R11 000

GP consultations

Paid from available GP & specialist consultations sublimit. *Ranges from R2 000 - R4 500

Specialist consultations

Paid from available GP & specialist consultations sublimit. *Ranges from R2 000 - R4 500

X-rays and ultrasounds

Paid from available X-rays and blood tests sublimit. *Ranges from R2 000 - R3 000

Blood tests

Paid from available X-rays and blood tests sublimit. *Ranges from R2 000 - R3 000

Acute medicine

Paid from available acute and over-the-counter medicine sublimit. *Ranges from R1 500 - R3 000

Over-the-counter medicine

Paid from available acute and over-the-counter medicine sublimit. Limited to R500 per beneficiary, R2 000 per family

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)

Paid from available auxiliary services sublimit. *Ranges from R2 000 - R3 000

General medical appliances

Subject to the available overall day-to-day limit

Hearing aids

N/A

Optometry
(Once every 2 years)

R5 421 per family, every 2 years

Basic dentistry

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

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

Unlimited for PMB, subject to use of DSP

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

Immunisations

According to the Expanded Programme on Immunisation in South Africa

Paediatric consultations
(Infants between ages 1 and 2)

1

Paediatric consultations
(Infants under the age of 1)

1

Contraceptives
(Per family)

R1 760 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

1

Pap Smear
(Every 3 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 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 500 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 2792

Primary Select

STARTING FROM

R 2443 PM

Ts & Cs apply

Primary Select
Basic Summary
Main Adult Children
Monthly contribution R 2443 R 1910 R 776
Hospital network

Yes

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

R14 240 per family (In and out-of-hospital) (R2 000 co-payment per scan, except for PMB)

Internal and external prostheses

PMB only (Internal only)

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R17 010 per family

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

R10 920 per family

Take-home medicine

Limited to a 7-day supply up to R420 per hospital stay

Physical rehabilitation

R54 360 per family

Alternatives to hospital
(Hospice, step-down facilities)

R18 130 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs, R200 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

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

Organ transplants

PMB only

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Co-payments for certain procedures
(Refer to product brochure for details)

Yes

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

N/A

Antenatal consultations

6

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

*Ranges from R5 000 - R11 000

GP consultations

Paid from available GP & specialist consultations sublimit. *Ranges from R2 000 - R4 500 (GP nomination applies to Primary Select)

Specialist consultations

Paid from available GP & specialist consultations sublimit. *Ranges from R2 000 - R4 500

X-rays and ultrasounds

Paid from available X-rays and blood tests sublimit. *Ranges from R2 000 - R3 000

Blood tests

Paid from available X-rays and blood tests sublimit. *Ranges from R2 000 - R3 000

Acute medicine

Paid from available acute and over-the-counter medicine sublimit. *Ranges from R1 500 - R3 000

Over-the-counter medicine

Paid from available acute and over-the-counter medicine sublimit. Limited to R500 per beneficiary, R2 000 per family

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)

Paid from available auxiliary services sublimit. *Ranges from R2 000 - R3 000

General medical appliances

Subject to the available overall day-to-day limit

Hearing aids

N/A

Optometry
(Once every 2 years)

R5 421 per family, every 2 years

Basic dentistry

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

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

Unlimited for PMB, subject to use of DSP

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

Immunisations

According to the Expanded Programme on Immunisation in South Africa

Paediatric consultations
(Infants between ages 1 and 2)

1

Paediatric consultations
(Infants under the age of 1)

1

Contraceptives
(Per family)

R1 760 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

1

Pap Smear
(Every 3 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 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 500 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 2443
SAVINGS PLANS

BonFit Select

STARTING FROM

R 2236 PM

Ts & Cs apply

BonFit Select
Basic Summary
Main Adult Children
Monthly contribution R 2236 R 1674 R 729
Hospital network

Yes

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

PMB only

Internal and external prostheses

N/A

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R36 760 per family

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

PMB only

Take-home medicine

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

Physical rehabilitation

R57 730 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 250 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs, R200 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

PMB only, at a DSP or a 20% co-payment applies

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Co-payments for certain procedures
(Refer to product brochure for details)

Yes

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

Paid from savings

Antenatal consultations

6

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

N/A

GP 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

Paid from available savings

Over-the-counter medicine

Paid from available savings

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)span>

Paid from available savings

General medical appliances

Paid from available savings

Hearing aids

N/A

Optometry
(Once every 2 years)

Paid from available savings

Basic dentistry

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

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

Unlimited for PMB, subject to use of DSP and formulary

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

Immunisations

According to the Expanded Programme on Immunisation in South Africa

Paediatric consultations
(Infants between ages 1 and 2)

1

Paediatric consultations
(Infants under the age of 1)

2

Contraceptives
(Per family)

R1 760 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

1

Pap Smear
(Every 3 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 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 310 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 2236

BonSave

STARTING FROM

R 3228 PM

Ts & Cs apply

BonSave
Basic Summary
Main Adult Children
Monthly contribution R 3228 R 2500 R 966
Hospital network

Yes

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

R27 160 per family (In and out-of-hospital) (R1 660 co-payment per scan, except for PMB)

Internal and external prostheses

R36 660 per family (Internal only)

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R36 760 per family

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

R18 130 per family

Take-home medicine

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

Physical rehabilitation

R57 730 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 250 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs, R200 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

PMB only, at a DSP or a 20% co-payment applies

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

Co-payments for certain procedures
(Refer to product brochure for details)

Yes

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

R1 360

Antenatal consultations

6

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

N/A

GP 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

Paid from available savings

Over-the-counter medicine

Paid from available savings

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)span>

Paid from available savings

General medical appliances

Paid from available savings

Hearing aids

N/A

Optometry
(Once every 2 years)

Paid from available savings

Basic dentistry

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

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

Unlimited for PMB, subject to use of DSP and formulary

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

Immunisations

According to the Expanded Programme on Immunisation in South Africa

Paediatric consultations
(Infants between ages 1 and 2)

1

Paediatric consultations
(Infants under the age of 1)

2

Contraceptives
(Per family)

R1 760 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

1

Pap Smear
(Every 3 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 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 310 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 3228

BonComplete

STARTING FROM

R 4890 PM

Ts & Cs apply

BonComplete
Basic Summary
Main Adult Children
Monthly contribution R 4890 R 3916 R 1328
Hospital network

yes

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

R27 160 per family (In and out-of-hospital) (R2 500 co-payment per scan, except for PMB)

Internal and external prostheses

R51 440 per family

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R36 760 per family

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

R18 130 per family

Take-home medicine

Limited to a 7-day supply up to R480 per hospital stay

Physical rehabilitation

R57 730 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 250 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs. R250 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)/p> Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

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

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

N/A

Amniocentesis

1

Antenatal classes

R1 410

Antenatal consultations

6

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

N/A

GP 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

Paid from available savings and/or above threshold benefit

Over-the-counter medicine

Paid from available savings and/or above threshold benefit

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)span>

Paid from available savings and/or above threshold benefit

General medical appliances

Paid from available savings and/or above threshold benefit

Hearing aids

Paid from available savings and/or above threshold benefit

Optometry
(Once every 2 years)

Paid from available savings and/or above threshold benefit once every 2 years

Basic dentistry

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

Specialised dentistry
(Subject to dental management protocols)

Covered at the Bonitas Dental Tariff

Chronic benefits
(Subject to Managed Care Protocols)

31 chronic conditions Unlimited, subject to use of DSP

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-hospita

Immunisations

According to the Expanded Programme on Immunisation in South Africa

Paediatric consultations
(Infants between ages 1 and 2)

1

Paediatric consultations
(Infants under the age of 1)

2

Contraceptives
(Per family)

R1 830

International travel

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

Flu vaccine per beneficiary

1

HIV test 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, women between ages 21-65)

1

Pneumococcal vaccine
(Every 5 years, members aged 65 and over)

1

Prostate screening antigen test
(Men between ages 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

1

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

2

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 880 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 4890

BonClassic

STARTING FROM

R 6143 PM

Ts & Cs apply

BonClassic
Basic Summary
Main Adult Children
Monthly contribution R 6143 R 5273 R 1516
Hospital network

Yes

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

R33 740 per family (In and out-of-hospital) (R2 500 co-payment per scan, except for PMB)

Internal and external prostheses

R63 540 per family

Internal nerve stimulators

N/A

Cochlear implants

R323 200 per family

Mental health hospitalisation

R47 010 per family

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

R18 130 per family

Take-home medicine

Limited to a 7-day supply up to R540 per hospital stay

Physical rehabilitation

R57 730 per family

Alternatives to hospital
(Hospice, step-down facilities)

R19 250 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs. R300 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

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

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

Refractive surgery

R22 760 per family

Amniocentesis

1

Antenatal classes

R1 410

Antenatal consultations

12

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

N/A

GP consultations

Paid from available savings

Specialist consultations

Paid from available savings

X-rays and ultrasounds

R3 620 per beneficiary. R8 020 per family (Combined benefit)

Blood tests

R3 620 per beneficiary. R8 020 per family (Combined benefit)

Acute medicine

Paid from available savings

Over-the-counter medicine

Paid from available savings

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)span>

Paid from available savings

General medical appliances

Paid from available savings

Hearing aids

R19 650 per family, once every 5 years (10% co-payment applies)

Optometry
(Once every 2 years)

R6 137 per family

Basic dentistry

R5 457 per family, per yeart

Specialised dentistry
(Subject to dental management protocols)

R6 570 per family, per year Covered at the Bonitas Dental Tariff

Chronic benefits
(Subject to Managed Care Protocols)

47 chronic conditions. R13 190 per beneficiary. R27 270 per family. Subject to use of DSP

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)

N/A

Hearing screening

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

Immunisations

According to the Expanded Programme on Immunisation in South Africa

Paediatric consultations
(Infants between ages 1 and 2)

N/A

Paediatric consultations
(Infants under the age of 1)

N/A

Contraceptives
(Per family)

R1 830

International travel

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

Flu vaccine per beneficiary

1

HIV test 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, women between ages 21-65)

1

Pneumococcal vaccine
(Every 5 years, members aged 65 and over)

1

Prostate screening antigen test
(Men between ages 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

1

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

1

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

2

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 880 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 6143

BonComprehensive

STARTING FROM

R 8990 PM

Ts & Cs apply

BonComprehensive
Basic Summary
Main Adult Children
Monthly contribution R 8990 R 8478 R 1830
Hospital network

N/A

Hospital cover

Unlimited

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

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

Blood tests and x-rays

Unlimited at 100% of the Bonitas Rate

MRIs and CT scans

R34 340 per family (In and out-of-hospital) (R2 500 co-payment per scan, except for PMB)

Internal and external prostheses

R60 380 for internal prosthesis per family. R60 380 for external prosthesis per family

Internal nerve stimulators

R181 400 per family

Cochlear implants

R304 300 per family

Mental health hospitalisation

R53 480 per family

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

R18 130 per family

Take-home medicine

Limited to a 7-day supply up to R595 per hospital stay

Physical rehabilitation

R54 360 per family

Alternatives to hospital
(Hospice, step-down facilities)

R18 130 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs. R400 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider). R260 600 of this can be used for specialised drugs (including biological drugs)

Non-cancer specialised drugs
(Including biological drugs)

R220 800 per family

Kidney dialysis

Unlimited at a DSP or 20% co-payment applies

Organ transplants

Unlimited

HIV/AIDS

Unlimited, if you register on the HIV/AIDS programme

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

Yes

Refractive surgery

R22 760 per family

Amniocentesis

1

Antenatal classes

R1 410

Antenatal consultations

12

Postnatal consultations

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

Private ward

Yes

2D Ultrasound scans

2

Overall day-to-day limit

N/A

GP 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

Paid from available savings and/or above threshold benefit. Medicine limited to R15 930 per family above threshold

Over-the-counter medicine

Paid from available savings and/or above threshold benefit. Medicine limited to R15 930 per family above threshold

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)span>

Subject to available savings and/or above threshold benefit

General medical appliances

Subject to available savings and/or above threshold benefit

Hearing aids

R30 000 per family every 5 years (10% co-payment applies)

Optometry
(Once every 2 years)

Paid from available savings and/or above threshold benefit. Limited to R3 675 per beneficiary, every 2 years

Basic dentistry

Paid from available savings and/or above threshold benefit

Specialised dentistry
(Subject to dental management protocols)

Paid from available savings and/or above threshold benefit

Chronic benefits
(Subject to Managed Care Protocols)

60 chronic conditions. R16 100 per beneficiary. R32 060 per family

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)

2

Hearing screening

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

Immunisations

According to the Expanded Programme on Immunisation in South Africa

Paediatric consultations
(Infants between ages 1 and 2)

2

Paediatric consultations
(Infants under the age of 1)

3

Contraceptives
(Per family)

R1 830

International travel

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

Flu vaccine per beneficiary

1

HIV test 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, women between ages 21-65)

1

Pneumococcal vaccine
(Every 5 years, members aged 65 and over)

1

Prostate screening antigen test
(Men between ages 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

1

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

1

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

2

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R2 730 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 8990
HOSPITAL PLANS

BonEssential

STARTING FROM

R 2135 PM

Ts & Cs apply

BonEssential
Basic Summary
Main Adult Children
Monthly contribution R 2135 R 1578 R 671
Hospital network

N/A

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

R14 240 per family (R2 500 co-payment per scan, except PMB)

Internal prostheses

PMB only

External prostheses

PMB only

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R34 610 per family

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

N/A

Take-home medicine

Limited to a 7-day supply up to R420 per hospital stay

Physical rehabilitation

R54 360 per family

Alternatives to hospital
(Hospice, step-down facilities)

R18 130 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs at a DSP (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

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

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

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

N/A

Antenatal consultations

6

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

N/A

GP consultations

N/A

Specialist consultations

N/A

X-rays and ultrasounds

N/A

Blood tests

N/A

Acute medicine

N/A

Over-the-counter medicine

N/A

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)span>

N/A

General medical appliances

N/A

Hearing aids

N/A

Optometry
(Once every 2 years)

N/A

Basic dentistry

N/A

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

N/A

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

Immunisations

N/A

Paediatric consultations
(Infants between ages 1 and 2)

N/A

Paediatric consultations
(Infants under the age of 1)

N/A

Contraceptives
(Per family)

R1 410 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

1

Pap Smear
(Every 3 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 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 2135

BonEssential Select

STARTING FROM

R 1873 PM

Ts & Cs apply

BonEssential Select
Basic Summary
Main Adult Children
Monthly contribution R 1873 R 1372 R 599
Hospital network

Yes

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

R14 240 per family (R2 500 co-payment per scan, except PMB)

Internal and external prostheses

PMB only

Internal nerve stimulators

PMB only

MRIs and CT scans

R14 240 per family (R2 500 co-payment per scan, except PMB)

Internal prostheses

PMB only

Internal nerve stimulators

PMB only

Cochlear implants

N/A

Mental health hospitalisation

R34 610 per family

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

N/A

Take-home medicine

Limited to a 7-day supply up to R420 per hospital stay

Physical rehabilitation

R54 360 per family

Alternatives to hospital
(Hospice, step-down facilities)

R18 130 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs at a DSP (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

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

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

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

N/A

Antenatal consultations

6

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

N/A

GP consultations

N/A

Specialist consultations

N/A

X-rays and ultrasounds

N/A

Blood tests

N/A

Acute medicine

N/A

Over-the-counter medicine

N/A

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)span>

N/A

General medical appliances

N/A

Hearing aids

N/A

Optometry
(Once every 2 years)

N/A

Basic dentistry

N/A

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

N/A

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

Immunisations

N/A

Paediatric consultations
(Infants between ages 1 and 2)

N/A

Paediatric consultations
(Infants under the age of 1)

N/A

Contraceptives
(Per family)

R1 410 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

1

Pap Smear
(Every 3 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 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

R1 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 1873

Hospital Standard

STARTING FROM

R 2722 PM

Ts & Cs apply

Hospital Standard
Basic Summary
Main Adult Children
Monthly contribution R 2722 R 2293 R 1035
Hospital network

Yes

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

R28 600 per family (R2 500 co-payment per scan, except PMB)

Internal prostheses

R48 440 per family

External prostheses

PMB only

Internal nerve stimulators

Unlimited 100% of the Bonitas Rate

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

R34 610 per family

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

N/A

Take-home medicine

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

Physical rehabilitation

R54 360 per family

Alternatives to hospital
(Hospice, step-down facilities)

R18 130 per family

Terminal care

Unlimited for oncology

Cancer treatment

Unlimited for PMBs. R150 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

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

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

Refractive surgery

N/A

Amniocentesis

1

Antenatal classes

N/A

Antenatal consultations

6

Postnatal consultations

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

Private ward

N/A

2D Ultrasound scans

2

Overall day-to-day limit

N/A

GP consultations

N/A

Specialist consultations

N/A

X-rays and ultrasounds

N/A

Blood tests

N/A

Acute medicine

N/A

Over-the-counter medicine

N/A

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)span>

N/A

General medical appliances

N/A

Hearing aids

N/A

Optometry
(Once every 2 years)

N/A

Basic dentistry

N/At

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

N/A

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

Immunisations

N/A

Paediatric consultations
(Infants between ages 1 and 2)

1

Paediatric consultations
(Infants under the age of 1)

2

Contraceptives
(Per family)

R1 410 at the DSP

International travel

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

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

1

Pap Smear
(Every 3 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 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

N/A

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 per beneficiary

Adult dependant 0
Child dependant 0
TOTAL:R 2722
INCOME-BASED PLANS

BonCap

STARTING FROM

R 1368 PM

Ts & Cs apply

BonCap
Basic Summary
Main Adult Children
Monthly contribution R 1368 R 1368 R 644
Income Bracket
Hospital network

Yes

Hospital cover

Unlimited at a DSP

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

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 limited to R27 880 per family. X-rays unlimited, 100% of the BonCap Rate

MRIs and CT scans

R12 720 per family (R1 100 co-payment per scan, except PMB)

Internal and external prostheses

PMB only at a DSP

Internal nerve stimulators

N/A

Cochlear implants

N/A

Mental health hospitalisation

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

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

N/A

Take-home medicine

Limited to a 7-day supply up to R420 per hospital stay

Physical rehabilitation

R54 360 per family

Alternatives to hospital
(Hospice, step-down facilities)

R15 660 per family

Terminal care

Unlimited for oncology

Cancer treatment

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

Non-cancer specialised drugs
(Including biological drugs)

PMB only

Kidney dialysis

PMB only, at a DSP or a 20% co-payment applies

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

Refractive surgery

N/A

Amniocentesis

N/A

Antenatal classes

N/A

Antenatal consultations

N/A

Postnatal consultations

N/A

Private ward

N/A

2D Ultrasound scans

N/A

GP consultations

Network: Unlimited, using a maximum of 2 nominated BonCap network GPs. Pre-authorisation required from 8th visit. Non-Network: 1 out-of-network consultation per beneficiary, maximum 2 consultations per family, limited to R380 per visit 30% co-payment applies, unless PMB

Specialist consultations

Network: 3 visits or R3 480 per beneficiary or 5 visits or R5 170 per family. Subject to referral from a BonCap network GP. Pre-authorisation required (including MRIs and CT scans)

X-rays and ultrasounds, blood tests and acute medicine

(Combined benefit) *Ranges from R2 060 - R4 970, *based on family size. Subject to the BonCap formulary, Bonitas pharmacy network and use of a network provider. Acute medicine and blood tests: 20% co-payment at non-DSP

Over-the-counter medicine

R105 per event, R295 per beneficiary per year. Subject to the BonCap medicine formulary, Bonitas pharmacy network and use of a network provider

Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)span>

PMB only

General medical appliances

R6 330 per family

Hearing aids

N/A

Optometry
(Once every 2 years)

Glasses or contact lenses are available through the contracted service provider once every 2 years (based on the date of your previous claim). Managed Care protocols apply

Basic dentistry

Managed Care protocols apply

Specialised dentistry
(Subject to dental management protocols)

N/A

Chronic benefits
(Subject to Managed Care Protocols)

Unlimited for PMB,at the use of DSP

Baby advice line

For children under 3 years

Congenital hypothyroidism screening

Infants under 1 month old

GP consultations
(Children between ages 2 and 12)

N/A

Hearing screening

Newborns up to 8 weeks, in or out-of-hospital

Immunisations

N/A

Paediatric consultations
(Infants between ages 1 and 2)

N/A

Paediatric consultations
(Infants under the age of 1)

N/A

Contraceptives
(Per family)

R1 180 at the DSP. 40% co-payment applies at non-DSP

International travel

N/A

Flu vaccine per beneficiary

1

HIV test per beneficiary

1

Full lipogram
(Every 5 years, for members aged 20 and over)

0

Mammogram
(Every 2 years, women over 40)

1

Pap Smear
(Every 3 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 45-69)

1

Stool test for colon cancer
(Members between ages 50-75)

1

Bone density screening
(Women aged 65 and men aged 70 and over)

0

Whooping cough booster vaccine
(Every 10 years, members between 7-64)

0

Human Papillomavirus (HPV) vaccines
(Girls between ages 9-14)

0

Benefit Booster
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)

N/A

Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)

1 wellness screening per beneficiary at a participating pharmacy, biokineticist or a Bonitas wellness day.

Adult dependant 0
Child dependant 0
TOTAL: R 1368
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