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

EDGE PLANS

BonStart

STARTING FROM

R1 498 PM

Ts & Cs apply

BonStart
Basic Summary
Main Adult Children
Monthly contribution R 1 498 R 1 498 R 1 498
Hospital cover

Unlimited at the applicable hospital network
R1 780 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 limited to R30 880 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 R55 080 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 R465 per hospital stay

Physical rehabilitation

R60 210 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

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 R195 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

GP consultations

Unlimited Network GP consultations, R125
co-payment per visit. Pre-authorisation required from 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 780 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 320.
R265 co-payment per visit (including all acute medicine, basic radiology, specialised radiology and pathology prescribed by the specialist)

Over-the-counter medicine

Limited to R110 per event, R545 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, R110 co-payment

Basic dentistry

1 consultation per beneficiary, R125 co-payment

Physiotherapy

2 consultations per beneficiary for sport-related injuries, R125 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)

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

Benefit Booster
(available when you complete a wellness screening)

R1 160 per family

International travel
(per trip)

Up to R2.5 million cover per family for medical emergencies when you travel outside South Africa (you must register for this benefit prior to departure)

Adult dependant 0
Child dependant 0
TOTAL: R 1498

BonStart Plus

STARTING FROM

R1 907 PM

Ts & Cs apply

BonStart Plus
Basic Summary
Main Adult Children
Monthly contribution R 1 907 R 1 813 R 840
Hospital cover

Unlimited at the applicable hospital network
R1 190 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

R19 130 per family unless PMB (R2 240
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 R55 080 per family, except for PMB

Internal and external prosthesis

Internal: R19 130 per family (no cover for joint replacement except for PMB)

Mental health hospitalisation

PMB only at a DSP

Take-home medicine

Limited to a 7-day supply up to R465 per hospital stay

Physical rehabilitation

R60 210 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

Antenatal consultations

6

2D ultrasound scans

2

Amniocentisis

1

Postnatal consultations
(with a midwife)

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

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

GP consultations

Unlimited Network GP consultations, R70
co-payment per visit. Pre-authorisation required from 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 320 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 380. R125 co-payment per visit (including all acute medicine, basic radiology, specialised radiology and pathology prescribed by the specialist)

Over-the-counter medicine

Limited to R175 per event, R825 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 600 per family

Optometry

1 eye test per beneficiary, R110 co-payment

Basic dentistry

1 consultation per beneficiary, R70 co-payment

Physiotherapy

4 consultations per beneficiary for sport-related injuries, R70 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)

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 540

Wellness screening per beneficiary, aged 21 and over

1

Benefit Booster
(available when you complete a wellness screening)

R1 160 per family

International travel
(per trip)

Up to R2.5 million cover per family for medical emergencies when you travel outside South Africa (you must register for this benefit prior to departure)

Adult dependant 0
Child dependant 0
TOTAL: R 1907
TRADITIONAL PLANS

Standard

STARTING FROM

R5 439 PM

Ts & Cs apply

Standard
Basic Summary
Main Adult Children
Monthly contribution R 5 439 R 4 715 R 1 596
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, except PMB)

Internal and external prosthesis

R57 630 per family

Internal nerve stimulators

R215 800 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

R64 680 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)
R157 800 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

Kidney dialysis

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

Organ transplants

Unlimited

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 R2 720 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

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 a lactation specialist)

2D Ultrasound scans

2

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

Benefit Booster
(available when you complete a wellness screening)

Up to R5 000 per family

International travel
(per trip)

Up to R2.5 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. You must register for this benefit prior to departure

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

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
(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

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: R895 per beneficiary, R2 800 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 550 per family for Stoma Care and CPAP machines.
Note: CPAP machines subject to Managed Care protocols

Emergency room benefit
(for emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(limited to one device per type 1 diabetic for beneficiaries younger than 18)

R89 420 per family every 5 years (consumables limited to R89 420 per family)

Blood pressure monitor
(subject to registration of chronic condition - hypertension)

Subject to the general medical appliances benefit R1 200 per family every 2 years

Audiology
(hearing aids, consultations and tests)

R9 100 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 Audiology Benefit 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: R12 530 per beneficiary, R25 140 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

Adult dependant 0
Child dependant 0
TOTAL:R 5439

Standard Select

STARTING FROM

R4 915 PM

Ts & Cs apply

Standard Select
Basic Summary
Main Adult Children
Monthly contribution R4 915 R4 253 R1 439
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

R215 800 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

R64 680 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). R157 800 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

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

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

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 a lactation specialist)

2D Ultrasound scans

2

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

Benefit Booster
(available when you complete a wellness screening)

Up to R5 000 per family

International travel
(per trip)

Up to R2.5 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. You must register for this benefit prior to departure

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

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

0

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

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: R895 per beneficiary, R2 800 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 550 per family for Stoma Care and CPAP machines.
Note: CPAP machines subject to Managed Care protocols

Emergency room benefit
(for emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(limited to one device per type 1 diabetic for beneficiaries younger than 18)

R89 420 per family every 5 years (consumables limited to R89 420 per family)

Blood pressure monitor
(subject to registration of chronic
condition - hypertension)

Subject to the general medical appliances benefit R1 200 per family every 2 years

Audiology
(hearing aids, consultations and tests)

R9 100 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 Audiology Benefit 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: R12 530 per beneficiary and R25 140 per family. Unlimited for PMB, subject to use of DSP and formulary

Adult dependant 0
Child dependant 0
TOTAL:R 4915

Primary

STARTING FROM

R3 307 PM

Ts & Cs apply

Primary
Basic Summary
Main Adult Children
Monthly contribution R3 307 R2 587 R1 052
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

R19 060 per family

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

R12 230 per family

Take-home medicine

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

Physical rehabilitation

R60 900 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

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

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 720 co-payment will apply

Co-payments for certain procedures

Yes

Private ward after delivery

N/A

Amniocentesis

1

Antenatal consultations

6

Antenatal classes

N/A

Postnatal consultations
(with a midwife)

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

2D Ultrasound scans

2

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

Benefit Booster
(available when you complete a wellness screening)

Up to R3 800 per family

International travel
(per trip)

Up to R2.5 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. You must register for this benefit prior to departure

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

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

0

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

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)

Over-the-counter medicine is limited to: R565 per beneficiary, R2 240 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 230 per family for Stoma Care and CPAP machines.
Note: CPAP machines subject to Managed Care protocols

Emergency room benefit
(for emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(limited to one device per type 1 diabetic for beneficiaries younger than 18)

N/A

Blood pressure monitor
(subject to registration of chronic
condition - hypertension)

N/A

Audiology
(hearing aids, consultations and tests)

N/A

Optometry
(once every 2 years)

Paid from Risk

Basic dentistry
(Managed Care protocols apply)

Covered at 75% of the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme and a Designated Service Provider

Specialised dentistry
(Managed Care protocols apply)

Covered at 75% of the Bonitas Dental Tariff

Chronic medicine
(30% co-payment for non-DSP/non-formulary use)

28 chronic conditions. Unlimited, subject to use of the Bonitas Chronic Medicine Courier Pharmacy Network and formulary

Adult dependant 0
Child dependant 0
TOTAL:R 3307

Primary Select

STARTING FROM

R2 946 PM

Ts & Cs apply

Primary Select
Basic Summary
Main Adult Children
Monthly contribution R2 946 R2 304 R 936
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

R19 060 per family

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

R12 230 per family

Take-home medicine

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

Physical rehabilitation

R60 900 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

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

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

Private ward after delivery

N/A

Amniocentesis

1

Antenatal consultations

6

Antenatal classes

N/A

Postnatal consultations
(with a midwife)

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

2D Ultrasound scans

2

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

Benefit Booster
(available when you complete a wellness screening)

Up to R3 800 per family

International travel
(per trip)

Up to R2.5 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. You must register for this benefit prior to departure

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

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

0

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 at the DSP

Wellness screening
(per beneficiary, aged 21 and over)

1

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)

Over-the-counter medicine is limited to: R565 per beneficiary, R2 240 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 230 per family for Stoma Care and CPAP machines.
Note: CPAP machines subject to Managed Care protocols

Emergency room benefit
(for emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultations at a casualty ward or emergency room facility of a hospital for children under the age of 6. If it is not classified as an emergency, it will be paid from available GP & specialist day-to-day benefit

Insulin pump or continuous glucose monitor
(limited to one device per type 1 diabetic for beneficiaries younger than 18)

N/A

Blood pressure monitor
(subject to registration of chronic
condition - hypertension)

N/A

Audiology
(hearing aids, consultations and tests)

N/A

Optometry
(once every 2 years)

Paid from Risk

Basic dentistry
(Managed Care protocols apply)

Covered at 75% of the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme and a Designated Service Provider

Specialised dentistry
(Managed Care protocols apply)

Covered at 75% of the Bonitas Dental Tariff

Chronic medicine
(30% co-payment for non-DSP/non-formulary use)

28 chronic conditions. Unlimited, subject to use of the Bonitas Chronic Medicine Courier Pharmacy Network and formulary

Adult dependant 0
Child dependant 0
TOTAL:R 2946
SAVINGS PLANS

BonFit Select

STARTING FROM

R2 524 PM

Ts & Cs apply

BonFit Select
Basic Summary
Main Adult Children
Monthly contribution R 2 524 R 1 890 R 849
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

R20 550 per family in hospital. R1 860
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

R41 190 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 R500 per hospital stay

Physical rehabilitation

R64 680 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 R2 720 co-payment will apply

Co-payments for certain procedures

Yes

Private ward after delivery

N/A

Congenital hypothyroidism screening

Infants under 1 month old

Antenatal consultations

6

2D ultrasound scans

2

Antenatal classes

Paid from savings

Amniocentesis

1

Postnatal consultations
(with a midwife)

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

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

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)

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
(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

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

Benefit Booster
(available when you complete a wellness screening)

R1 440 per family

International travel
(per trip)

Up to R2.5 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. You must register for this benefit prior to departure

Adult dependant 0
Child dependant 0
TOTAL:R 2524

BonSave

STARTING FROM

R3 782 PM

Ts & Cs apply

BonSave
Basic Summary
Main Adult Children
Monthly contribution R 3 782 R 2 859 R 1 132
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)

R20 310 per family

Take-home medicine

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

Physical rehabilitation

R64 680 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 R2 720 co-payment will apply

Co-payments for certain procedures

Yes

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 a lactation specialist)

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

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)

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
(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 benefits
(30% co-payment for non-DSP/non-formulary use)

28 chronic conditions. Unlimited, subject to use of DSP and formulary

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

Benefit Booster
(available when you complete a wellness screening)

Up to R5 000 per family

International travel
(per trip)

Up to R2.5 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. You must register for this benefit prior to departure

Adult dependant 0
Child dependant 0
TOTAL:R 3782

BonComplete

STARTING FROM

R6 040 PM

Ts & Cs apply

BonComplete
Basic Summary
Main Adult Children
Monthly contribution R 6 040 R 4 838 R 1 639
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 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)

R20 310 per family

Take-home medicine

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

Physical rehabilitation

R64 680 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 R2 720 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

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 a lactation specialist)

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

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
(limited to one device per type 1 diabetic for beneficiaries younger than 18)

R89 420 per family every 5 years (consumables limited to R89 420 per family)

Blood pressure monitor
(subject to registration of chronic
condition - hypertension)

Paid from available savings and/or above threshold benefit. R1 200 per family every 2 years

Audiology
(hearing aids, consultations and tests)

R9 700 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

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 benefits
(30% co-payment for non-DSP/non-formulary use)

32 chronic conditions unlimited, subject to use of Bonitas Pharmacy Network and formulary

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

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

Benefit Booster
(available when you complete a wellness screening)

R2 070 per family

International travel
(per trip)

Up to R2.5 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. You must register for this benefit prior to departure

Adult dependant 0
Child dependant 0
TOTAL:R 6040

BonClassic

STARTING FROM

R7 453 PM

Ts & Cs apply

BonClassic
Basic Summary
Main Adult Children
Monthly contribution R 7 453 R 6 398 R 1 840
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, except for PMB)

Internal and external prosthesis

R71 190 per family

Internal nerve stimulators

N/A

Cochlear implants

R362 100 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

R64 680 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). R157 800 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

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

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 720 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

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 a lactation specialist)

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

GP consultations
(including virtual care consultations)

Paid from available savings

Specialist consultations

Paid from available saving

X-rays and ultrasounds

R4 060 per beneficiary R8 980 per family (combined benefit)

Blood tests

R4 060 per beneficiary R8 980 per family (combined benefit)

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
(limited to one device per type 1 diabetic for beneficiaries younger than 18)

R89 420 per family every 5 years (consumables limited to R89 420 per family)

Blood pressure monitor
(subject to registration of chronic
condition - hypertension)

Paid from available savings. R1 200 per family every 2 years

Audiology
(hearing aids, consultations and tests)

R9 700 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 155 per family, per year

Specialised dentistry
(Managed Care protocols apply)

R7 410 per family, per year. Covered at the Bonitas Dental Tariff

Chronic medicine
(30% co-payment for non-DSP/non-formulary use)

47 chronic conditions: R14 780 per beneficiary R30 550 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

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 at the DSP

Wellness screening per beneficiary, aged 21 and over

1

Benefit Booster
(available when you complete a wellness screening)

R2 070 per family

International travel
(per trip)

Up to R2.5 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. You must register for this benefit prior to departure

Adult dependant 0
Child dependant 0
TOTAL:R 11321

BonComprehensive

STARTING FROM

R11 321 PM

Ts & Cs apply

BonComprehensive
Basic Summary
Main Adult Children
Monthly contribution R 11 321 R 10 676 R 2 306
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

R203 200 per family

Cochlear implants

R341 000 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

R60 900 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. 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)

R247 400 per family

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

Day surgery procedures
(applies to selected procedures)

You must use a network day hospital or a R2 720 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

Private ward after delivery

Yes

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 a lactation specialist)

Antenatal vitamins
(during pregnancy, subject to formulary)

Limited to R195 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

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 R17 850 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
(limited to one device per type 1 diabetic for beneficiaries younger than 18)

R89 420 per family every 5 years (consumables limited to R89 420 per family)

Blood pressure monitor
(subject to registration of chronic
condition - hypertension)

Paid from available savings. R1 200 per family every 2 years

Audiology
(hearing aids, consultations and tests)

R10 900 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 053 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)

60 chronic conditions: R18 040 per beneficiary. R35 920 per family, unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary

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

Benefit Booster
(available when you complete a wellness screening)

N/A

International travel
(per trip)

Up to R2.5 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. You must register for this benefit prior to departure

Adult dependant 0
Child dependant 0
TOTAL:R 7453
HOSPITAL PLANS

BonEssential

STARTING FROM

R2 509 PM

Ts & Cs apply

BonEssential
Basic Summary
Main Adult Children
Monthly contribution R2 509 R1 854 R 811
Hospital cover

Unlimited

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 and out-of-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

R38 780 per family

Take-home medicine

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

Physical rehabilitation

R60 900 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 R2 720 co-payment will apply

Amniocentesis

1

Antenatal Vitamins
(during pregnancy, subject to formulary)

Limited to R195 per month. Paid from available Benefit Booster

Antenatal consultations

6

Postnatal consultations
(with a midwife)

4 (1 can be used for a consultation with a 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

Emergency room benefits
(for emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

Benefit Booster
(available when you complete a wellness screening)

R1 160 per family

International travel benefit
(per trip)

You must register for this benefit prior to departure. Up to R2.5 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

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

Adult dependant 0
Child dependant 0
TOTAL:R 2509

BonEssential Select

STARTING FROM

R2 192 PM

Ts & Cs apply

BonEssential Select
Basic Summary
Main Adult Children
Monthly contribution R2 192 R1 606 R 723
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 and out-of-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

R38 780 per family

Take-home medicine

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

Physical rehabilitation

R60 900 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 R5 440 co-payment will apply

Amniocentesis

1

Antenatal Vitamins
(during pregnancy, subject to formulary)

Limited to R195 per month. Paid from available Benefit Booster

Antenatal consultations

6

Postnatal consultations
(with a midwife)

4 (1 can be used for a consultation with a 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

Emergency room benefits
(for emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

Benefit Booster
(available when you complete a wellness screening)

R1 160 per family

International travel benefit
(per trip)

You must register for this benefit prior to departure. Up to R2.5 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

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

Adult dependant 0
Child dependant 0
TOTAL:R 2192

Hospital Standard

STARTING FROM

R3 252 PM

Ts & Cs apply

Hospital Standard
Basic Summary
Main Adult Children
Monthly contribution R3 252 R2 739 R1 236
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 and out-of-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

R38 780 per family

Take-home medicine

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

Physical rehabilitation

R60 900 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 R2 720 co-payment will apply

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 a 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

Emergency room benefit
(for emergencies only)

2 emergency consultations per family at a casualty ward or emergency room facility of a hospital

Benefit Booster
(available when you complete a wellness screening)

N/A

International travel benefit
(per trip)

You must register for this benefit prior to departure. Up to R2.5 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

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)

R2 050 at the DSP

Adult dependant 0
Child dependant 0
TOTAL:R 3252
INCOME-BASED PLANS

BonCap

STARTING FROM

R1 554 PM

Ts & Cs apply

BonCap
Basic Summary
Main Adult Children
Monthly contribution R 1 554 R 1 554 R 732
Income Bracket
Hospital cover

Unlimited at a DSP

GP and specialist consultations
(network doctors covered in full at negotiated rates)

Unlimited, covered at 100% of the BonCap Rate. Non-network specialists and GPs are covered at 70% of the BonCap Rate

Blood tests and X-rays

Blood tests R31 230 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

R60 900 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

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

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 R400 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 R3 900 per beneficiary or a maximum of 5 visits limited to R5 800 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 300 - R5 570. 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

R115 per event, R330 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 090 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

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

Adult dependant 0
Child dependant 0
TOTAL: R 1554
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