>
Ts & Cs apply
Main | Adult | Children | |
---|---|---|---|
Monthly contribution |
Yes
Hospital coverUnlimited, at applicable Hospital network.
R1
590 co-payment per admission, except for PMB emergencies
Unlimited at 100% of the Bonitas Rate
Blood tests and x-raysBlood tests limited to R27 560 per family unless PMB. X-rays unlimited, 100% of the Bonitas Rate
MRIs and CT scansR12 570 per family (R2 500 co-payment per scan, except PMB)
Internal and external prosthesesPMB only
Internal nerve stimulatorsN/A
Cochlear implantsN/A
Mental health hospitalisationPMB only, subject to use of DSP
Sublimit of hospitalisation for mental health consultations per familyN/A
Take-home medicineLimited to a 7-day supply up to R415 per hospital stay
Physical rehabilitationR53 740 per family
Alternatives to hospitalR15 470 per family
Terminal careUnlimited for oncology
Cancer treatmentPMB only, at a DSP or a 30% co-payment applies
Non-cancer specialised drugsPMB only
Kidney dialysisPMB only, at a DSP or a 30% co-payment applies
Organ transplantsPMB only, at a DSP or a 30% co-payment applies
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
Co-payments for certain proceduresYes
Refractive surgeryN/A
N/A
Antenatal classesN/A
Antenatal consultationsN/A
Postnatal consultationsN/A
Private wardN/A
2D Ultrasound scansN/A
N/A
GP consultationsUnlimited Network GP consultations, R115 co-payment per visit. Pre-authorisation required from 6th visit.Unlimited Virtual Care GP and Nurse consultations
Specialist consultationsLimited 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 ultrasoundsLimited to R1 590 per family (Combined benefit with blood tests and acute medicine)
Blood testsLimited to R1 590 per family (Combined benefit with X-rays and acute medicine)
Acute medicineA 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 medicineLimited to R100 per event, R490 per family per year. Subject to the medicine formulary, 40% co-payment for non-DSP use
Paramedical/Allied medical professionalsN/A
General medical appliancesPMB only
Hearing aidsN/A
Optometry1 eye test per beneficiary, R115 co-payment
Basic dentistry1 consultation per beneficiary, R115 co-payment
Specialised dentistryN/A
Chronic benefitsUnlimited for PMB, subject to use of DSP
For children under 3 years
Congenital hypothyroidism screeningN/A
GP consultationsN/A
Hearing screeningN/A
ImmunisationsN/A
Paediatric consultationsN/A
Paediatric consultationsN/A
R1 140 at the DSP
International travelYou 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
1
HIV test per beneficiary1
Full lipogram0
Mammogram0
Pap Smear1
Pneumococcal vaccine0
Prostate screening antigen test0
Stool test for colon cancer0
Bone density screening0
Whooping cough booster vaccine0
Human Papillomavirus (HPV) vaccines0
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 screening1 per beneficiary
Ts & Cs apply
Main | Adult | Children | |
---|---|---|---|
Monthly contribution | R 4543 | R 3938 | R 1333 |
N/A
Hospital coverUnlimited
GP and specialist consultationsUnlimited at 100% of the Bonitas Rate
Blood tests and x-raysUnlimited at 100% of the Bonitas Rate
MRIs and CT scansR30 370 per family (In and out-of-hospital) (R1 660 co-payment per scan, except PMB)
Internal and external prosthesesR30 370 per family (In and out-of-hospital) (R1 660 co-payment per scan, except PMB)
Internal nerve stimulatorsR192 600 per family
Cochlear implantsPMB only
Mental health hospitalisationR46 320 per family
Sublimit of hospitalisation for mental health consultations per familyR18 130 per family
Take-home medicineLimited to a 7-day supply up to R540 per hospital stay
Physical rehabilitationR57 730 per family
Alternatives to hospitalR19 250 per family
Terminal careUnlimited for oncology
Cancer treatmentUnlimited for PMBs, R250 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)
Non-cancer specialised drugsPMB only
Kidney dialysisPMB only, at a DSP or a 20% co-payment applies
Organ transplantsUnlimited
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
Co-payments for certain proceduresCo-payment applies for non-ICPS hip and knee replacements. Co-payment for cataract surgery at non-DSP
Refractive surgeryN/A
1
Antenatal classesR1 410
Antenatal consultations12
Postnatal consultations4 (1 can be used for a consultation with a lactation specialist)
Private wardN/A
2D Ultrasound scans2
*Ranges from R12 000 - R22 000
GP consultationsPaid from available GP & specialist consultations sublimit. *Ranges from R3 000 - R6 000
Specialist consultationsPaid from available GP & specialist consultations sublimit. *Ranges from R3 000 - R6 000
X-rays and ultrasoundsPaid from available X-rays and blood tests sublimit. *Ranges from R3 000 - R6 000
Blood testsPaid from available X-rays and blood tests sublimit. *Ranges from R3 000 - R6 000
Acute medicinePaid from available acute and over-the-counter medicine sublimit. *Ranges from R3 000 - R6 000
Over-the-counter medicinePaid from available acute and over-the-counter medicine sublimit. Limited to R800 per beneficiary, R2 500 per family
Paramedical/Allied medical professionalsPaid from available auxiliary services sublimit. *Ranges from R3 000 - R6 000
General medical appliancesSubject to the available overall day-to-day limit
Hearing aidsR8 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
OptometryR7 035 per family, every 2 years
Basic dentistryCovered at the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme
Specialised dentistryCovered at the Bonitas Dental Tariff
Chronic benefits45 chronic conditions. R11 180 per beneficiary, R22 440 per family. Unlimited for PMB, subject to use of DSP
For children under 3 years
Congenital hypothyroidism screeningInfants under 1 month old
GP consultations2
Hearing screeningFor newborns up to 8 weeks, in or out-of-hospital
ImmunisationsAccording to the Expanded Programme on Immunisation in South Africa
Paediatric consultations2
Paediatric consultations2
R1 830 at the DSP
International travelYou 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
1
HIV test per beneficiary1
Full lipogram1
Mammogram1
Pap Smear1
Pneumococcal vaccine1
Prostate screening antigen test1
Stool test for colon cancer1
Bone density screening0
Whooping cough booster vaccine1
Human Papillomavirus (HPV) vaccines2
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 screening1 per beneficiary
Ts & Cs apply
Main | Adult | Children | |
---|---|---|---|
Monthly contribution | R 2236 | R 1674 | R 729 |
Yes
Hospital coverUnlimited
GP and specialist consultationsUnlimited at 100% of the Bonitas Rate
Blood tests and x-raysUnlimited at 100% of the Bonitas Rate
MRIs and CT scansPMB only
Internal and external prosthesesN/A
Internal nerve stimulatorsN/A
Cochlear implantsN/A
Mental health hospitalisationR36 760 per family
Sublimit of hospitalisation for mental health consultations per familyPMB only
Take-home medicineLimited to a 7-day supply up to R445 per hospital stay
Physical rehabilitationR57 730 per family
Alternatives to hospitalR19 250 per family
Terminal careUnlimited for oncology
Cancer treatmentUnlimited for PMBs, R200 000 per family for non-PMBs (30% co-payment applies for use of a non-network provider)
Non-cancer specialised drugsPMB only
Kidney dialysisPMB only, at a DSP or a 20% co-payment applies
Organ transplantsUnlimited
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
Co-payments for certain proceduresYes
Refractive surgeryN/A
1
Antenatal classesPaid from savings
Antenatal consultations6
Postnatal consultations4 (1 can be used for a consultation with a lactation specialist)
Private wardN/A
2D Ultrasound scans2
N/A
GP consultationsPaid 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 consultationsPaid from available savings
X-rays and ultrasoundsPaid from available savings
Blood testsPaid from available savings
Acute medicinePaid from available savings
Over-the-counter medicinePaid from available savings
Paramedical/Allied medical professionalsPaid from available savings
General medical appliancesPaid from available savings
Hearing aidsN/A
OptometryPaid from available savings
Basic dentistryCovered at the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme
Specialised dentistryN/A
Chronic benefitsUnlimited for PMB, subject to use of DSP and formulary
For children under 3 years
Congenital hypothyroidism screeningInfants under 1 month old
GP consultations1
Hearing screeningFor newborns up to 8 weeks, in or out-of-hospital
ImmunisationsAccording to the Expanded Programme on Immunisation in South Africa
Paediatric consultations1
Paediatric consultations2
R1 760 at the DSP
International travelYou 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
1
HIV test per beneficiary1
Full lipogram0
Mammogram1
Pap Smear1
Pneumococcal vaccine1
Prostate screening antigen test1
Stool test for colon cancer1
Bone density screening0
Whooping cough booster vaccine0
Human Papillomavirus (HPV) vaccines0
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 screening1 per beneficiary
Ts & Cs apply
Main | Adult | Children | |
---|---|---|---|
Monthly contribution | R 2135 | R 1578 | R 671 |
N/A
Hospital coverUnlimited
GP and specialist consultationsUnlimited at 100% of the Bonitas Rate
Blood tests and x-raysUnlimited at 100% of the Bonitas Rate
MRIs and CT scansR14 240 per family (R2 500 co-payment per scan, except PMB)
Internal prosthesesPMB only
External prosthesesPMB only
Internal nerve stimulatorsN/A
Cochlear implantsN/A
Mental health hospitalisationR34 610 per family
Sublimit of hospitalisation for mental health consultations per familyN/A
Take-home medicineLimited to a 7-day supply up to R420 per hospital stay
Physical rehabilitationR54 360 per family
Alternatives to hospitalR18 130 per family
Terminal careUnlimited for oncology
Cancer treatmentUnlimited for PMBs at a DSP (30% co-payment applies for use of a non-network provider)
Non-cancer specialised drugsPMB only
Kidney dialysisUnlimited at a DSP or a 20% co-payment applies
Organ transplantsPMB only at a DSP
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
Co-payments for certain proceduresYes
Refractive surgeryN/A
1
Antenatal classesN/A
Antenatal consultations6
Postnatal consultations4 (1 can be used for a consultation with a lactation specialist)
Private wardN/A
2D Ultrasound scans2
N/A
GP consultationsN/A
Specialist consultationsN/A
X-rays and ultrasoundsN/A
Blood testsN/A
Acute medicineN/A
Over-the-counter medicineN/A
Paramedical/Allied medical professionalsN/A
General medical appliancesN/A
Hearing aidsN/A
OptometryN/A
Basic dentistryN/A
Specialised dentistryN/A
Chronic benefitsN/A
For children under 3 years
Congenital hypothyroidism screeningFor infants under 1 month old
GP consultations1
Hearing screeningFor newborns up to 8 weeks, in or out-of-hospital
ImmunisationsN/A
Paediatric consultationsN/A
Paediatric consultationsN/A
R1 410 at the DSP
International travelYou 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
1
HIV test per beneficiary1
Full lipogram0
Mammogram1
Pap Smear1
Pneumococcal vaccine1
Prostate screening antigen test1
Stool test for colon cancer1
Bone density screening0
Whooping cough booster vaccine0
Human Papillomavirus (HPV) vaccines0
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 screening1 per beneficiary
Ts & Cs apply
Main | Adult | Children | ||
---|---|---|---|---|
Monthly contribution | R 1368 | R 1368 | R 644 | |
Income Bracket |
Yes
Hospital coverUnlimited at a DSP
GP and specialist consultationsUnlimited, covered at 100% of the BonCap Rate. Non-network specialists and GPs are covered at 70% of the BonCap Rate
Blood tests and x-raysBlood tests limited to R27 880 per family. X-rays unlimited, 100% of the BonCap Rate
MRIs and CT scansR12 720 per family (R1 100 co-payment per scan, except PMB)
Internal and external prosthesesPMB only at a DSP
Internal nerve stimulatorsN/A
Cochlear implantsN/A
Mental health hospitalisationPMB only at a DSP. 30% co-payment applies at non-DSP
Sublimit of hospitalisation for mental health consultations per familyN/A
Take-home medicineLimited to a 7-day supply up to R420 per hospital stay
Physical rehabilitationR54 360 per family
Alternatives to hospitalR15 660 per family
Terminal careUnlimited for oncology
Cancer treatmentPMB only, at a DSP (30% co-payment applies at a non-DSP)
Non-cancer specialised drugsPMB only
Kidney dialysisPMB only, at a DSP or a 20% co-payment applies
Organ transplantsPMB only at a DSP
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
Co-payments for certain proceduresYes
Refractive surgeryN/A
N/A
Antenatal classesN/A
Antenatal consultationsN/A
Postnatal consultationsN/A
Private wardN/A
2D Ultrasound scansN/A
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 consultationsNetwork: 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 medicineR105 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 professionalsPMB only
General medical appliancesR6 330 per family
Hearing aidsN/A
OptometryGlasses 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 dentistryManaged Care protocols apply
Specialised dentistryN/A
Chronic benefitsUnlimited for PMB,at the use of DSP
For children under 3 years
Congenital hypothyroidism screeningInfants under 1 month old
GP consultationsN/A
Hearing screeningNewborns up to 8 weeks, in or out-of-hospital
ImmunisationsN/A
Paediatric consultationsN/A
Paediatric consultationsN/A
R1 180 at the DSP. 40% co-payment applies at non-DSP
International travelN/A
1
HIV test per beneficiary1
Full lipogram0
Mammogram1
Pap Smear1
Pneumococcal vaccine1
Prostate screening antigen test1
Stool test for colon cancer1
Bone density screening0
Whooping cough booster vaccine0
Human Papillomavirus (HPV) vaccines0
N/A
Wellness screening1 wellness screening per beneficiary at a participating pharmacy, biokineticist or a Bonitas wellness day.
Ts & Cs apply
Main | Adult | Children | |
---|---|---|---|
Monthly contribution |
Unlimited at the applicable hospital network. R1 130 co-payment per admission, except for PMB emergencies
GP and specialist consultationsUnlimited, 100% of the Bonitas Rate
Blood tests and x-raysBlood tests unlimited, 100% of the Bonitas Rate. X-rays unlimited, 100% of the Bonitas Rate
MRIs and CT scansR18 180 per family unless PMB
(R2 130 co-payment per scan event)
PMB only
physiotherapy and biokineticsPMB only
ChildbirthNatural birth: Unlimited at the applicable hospital network (Emergency approved C-sections only)
Neonatal careLimited to R52 360 per family, except for PMB
Internal and external prosthesesInternal: R18 180 per family (no cover for joint replacement except for PMB)
External: PMB only
Mental health hospitalisationPMB only at a DSP
Take-home medicineLimited to a 7-day supply up to R440 per hospital stay
Physical rehabilitationR57 230 per family
Alternatives to hospitalR19 100 per family
Palliative careUnlimited, subject at a DSP
DentistryPMB only
Cancer treatmentPMB only, at a DSP or a 30% co-payment applies
Kidney dialysisPMB only, at a DSP or a 30% co-payment applies
Organ transplantsPMB only, at a DSP or a 30% co-payment applies
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
6
2D Ultrasound scans2
Amniocentesis1
Postnatal consultations4 (1 can be used for a consultation with a lactation specialist)
Hearing screeningFor newborns up to 8 weeks, in or out-of-hospital
Congenital hypothyroidism screeningInfants under 1 month old
24/7 telephonic baby advice lineFor children under 3 years
Childhood immunisations up to the age of 12According to the Expanded Programme on Immunaisation in South Africa
Unlimited Network GP consultations, R65 co-payment per visit. Pre-authorisation required from 10th visit
Virtual Care GP and Nurse consultationsUnlimited
Emergency room benefit2 emergency consultations per family at a casualty ward or emergency room facility of a hospital
GP-referred acute medicine, X-rays and blood testsLimited to R3 160 per family. Acute medicine: 20% co-payment per script, 40% co-payment for non-DSP/non-formulary use
Specialist consultationsLimited to 1 visit per family up to R2 260. R120 co-payment per visit. Including all acute medicine, basic radiology, specialised radiology and pathology pescribed by the specialist
Over-the-counter medicineLimited to R165 per event, R785 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 appliancesR6 270 per family
Optometry1 eye test per beneficiary, R110 co-payment
Basic dentistry1 consultation per beneficiary, R65 co-payment
Physiotherapy4 consultations per beneficiary for sport related injuries, R65 co-payment
Mental healthPMB only, subject to the use of DSP
Day surgery proceduresYou must use a network day hospital or
a
R12 050 co-payment applies
Yes
Chronic medicineUnlimited for PMB, subject to use of DSP (20% co-payment for non-DSP/non-formulary use)
To prevent tooth decay on permanent teeth for children under 16
HIV test per beneficiary1
Flu vaccine per beneficiary1
Mammogram every 2 years, women over 401
Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 651
Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 142
Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 263
Contraceptives (per family for women aged up to 50)R1 460
Wellness screening1 per beneficiary
Up to R10 million cover per family for medical emergencies when you travel outside South Africa (You must register for this benefit prior to departure.)
AfricaIn and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)
R1 100 per family. Consultations and treatment paid at 100% of the Bonitas Rate.
Ts & Cs apply
Main | Adult | Children | |
---|---|---|---|
Monthly contribution | R 4922 | R 4267 | R 1444 |
Unlimited
GP and specialist consultationsUnlimited, 100% of the Bonitas Rate
Blood tests and x-raysUnlimited, 100% of the Bonitas Rate
MRIs and CT scansR32 340 per family in and out-of-hospital.
R1 770 Co-payment per scan
even unless PMB
R54 780 per family.
Internal nerve stimulatorsR205 100 per family
Cochlear implantsN/A
Mental health hospitalisationR49 330 per family
Sublimit of hospitalisation for mental health consultations per familyR19 310 per family
Take-home medicineLimited to a 7-day supply up to R575 per hospital stay
Physical rehabilitationR61 480 per family
Alternatives to hospitalR20 500 per family
Palliative careUnlimited, subject to the DSP
Cancer treatmentUnlimited for PMBs, R266 300 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)
Non-cancer specialised drugsPMB only
Kidney dialysisUnlimited at a DSP or 20% co-payment applies at a non-DSP
Organ transplantsUnlimited
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
Day surgery proceduresYou must use a network day hospital or a R2 590 co-payment will apply
Co-payments for certain proceduresCo-payment applies for hip and knee replacements at a non-DSP. Co-payment applies for cataract surgery at a non-DSP
N/A
Antenatal consultations12
2D Ultrasound scans2
Antenatal classesR1 500
Amniocentesis1
Postnatal consultations4 (1 can be use for consultation with a lactation specialist)
Hearing screeningFor newborns up to 8 weeks, in or out-of-hospital
Congenital hypothyroidism screeningInfants under 1 month old
24/7 telephonic baby advice lineFor children under 3 years
Paediatric consultations for children under 1 year2
Paediatric consultations for children between ages 2 and 122
GP consultations for children between ages 2 and 122
Childhood immunisations up to the age of 12According to the Private Vaccination schedule in South Africa
Paid from available GP & specialist consultations sublimit. 2 Additional network GP consultations per family when the GP & specialist consultations sublimit is reached.
Specialist consultations2 Additional network specialist consultations.
X-rays and ultrasoundsPaid from available X-rays and blood tests sublimit.
Blood testsPaid from available X-rays and blood tests sublimit.
Acute medicinePaid from available acute and over-the-counter medicine sublimit.
Over-the-counter medicineOver-the-counter medicine is limited to: R850 per beneficiary. R2 660 per family.
Allied medical professionalsPaid from available auxiliary services sublimit.
physiotherapy, podiatry and biokineticsPaid from available auxiliary services sublimit.
General medical appliancesSubject to the available overall day-to-day limit R8 130 per family for Stoma Care and CPAP machines. Note: CPAP machines subject to Managed Care protocols
Emergency room benefit (NEW)2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultastions 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 monitorR85 000 per family every 5 years(Consumables limited to R85 000 per family)
AudiologyR8 650 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 network provider
OptometryR7 385 per family
Refractive surgeryN/A
Basic dentistryCovered at the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme
Specialised dentistryCovered at the Bonitas Dental Tariff
Chronic benefits45 chronic conditions. R11 910 per beneficiary, R23 900 per family. Unlimited for PMB, subject to use of Bonitas Pharmacy Network and formulary
To prevent tooth decay on permanent teeth for children under 16
HIV test per beneficiary1
Flu vaccine per beneficiary1
Full lipogram every 5 years, members aged 20 and over1
Mammogram every 2 years, women over 401
Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 651
Prostate screening antigen test, men between ages 55 and 691
Pneumococcal vaccine every 5 years, members aged 65 and over1
Stool test for colon cancer, members between ages 45 and 751
Whooping cough booster vaccine every 10 years, members between ages 7 and 641
Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 142
Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 263
Bone density screening every 5 years, women aged 65 and men aged 70 and overN/A
Free online hearing screening, beneficiaries aged 18 and overUnlimited
Contraceptives (per family for women aged up to 50)R1 950
Wellness screening1 per beneficiary
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
AfricaIn and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)
Up to R5 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate.
Ts & Cs apply
Main | Adult | Children | |
---|---|---|---|
Monthly contribution | R 2295 | R 1719 | R 772 |
Unlimited, network applies
GP and specialist consultationsUnlimited at 100% of the Bonitas Rate
Blood tests and x-raysUnlimited at 100% of the Bonitas Rate
MRIs and CT scansR19 530 per family in hospital
R1 170 Co-payment per scan event unless PMB
PMB only
Internal nerve stimulatorsN/A
Cochlear implantsN/A
Mental health hospitalisationR39 150 per family
Sublimit of hospitalisation for mental health consultations per familyPMB only
Take-home medicineLimited to a 7-day supply up to R475 per hospital stay
Physical rehabilitationR61 480 per family
Alternatives to hospitalR20 500 per family
Palliative careUnlimited, subject to the DSP
Cancer treatmentUnlimited for PMBs, R213 000 per family for non-PMBs (Paid at 80% at a DSP and no cover at a non-DSP, once limit is reached)
Non-cancer specialised drugsPMB only
Kidney dialysisUnlimited at a DSP or 20% co-payment applies at a non-DSP
Organ transplantsUnlimited
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
Day surgery proceduresYou must use a network day hospital or a R5 170 co-payment will apply
Co-payments for certain proceduresYes
N/A
Antenatal consultations6
2D Ultrasound scans2
Antenatal classesPaid from savings
Amniocentesis1
Postnatal consultations4 (1 can be use for consultation with a lactation specialist)
Hearing screeningFor newborns up to 8 weeks, in or out-of-hospital
Congenital hypothyroidism screeningInfants under 1 month old
24/7 telephonic baby advice lineFor children under 3 years
Paediatric consultations for children under 1 year2
Paediatric consultations for children between ages 2 and 121
GP consultations for children between ages 2 and 121
Childhood immunisations up to the age of 12According to the Expanded Programme on Immunisation in South Africa
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 consultationsPaid from available savings
X-rays and ultrasoundsPaid from available savings
Blood testsPaid from available savings
Acute medicinePaid from available savings
Over-the-counter medicinePaid from available savings
Allied medical professionalsPaid from available savings
physiotherapy, podiatry and biokineticsPaid from available savings
General medical appliancesPaid from available savings
Emergency room benefit
(NEW)
(For emergencies only)
2 emergency consultations per family at a casualty ward or emergency room facility of a hospital. 2 emergency consultastions 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 monitorN/A
AudiologyN/A
OptometryPaid from available savings
Refractive surgeryN/A
Basic dentistryPaid from available savings
Specialised dentistryPaid from available savings
Chronic benefits28 chronic conditions. Unlimited, subject to use of DSP and formulary
To prevent tooth decay on permanent teeth for children under 16
HIV test per beneficiary1
Flu vaccine per beneficiary1
Full lipogram every 5 years, members aged 20 and overN/A
Mammogram every 2 years, women over 401
Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 651
Prostate screening antigen test, men between ages 55 and 691
Pneumococcal vaccine every 5 years, members aged 65 and over1
Stool test for colon cancer, members between ages 45 and 751
Whooping cough booster vaccine every 10 years, members between ages 7 and 64N/A
Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 142
Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 263
Bone density screening every 5 years, women aged 65 and men aged 70 and overN/A
Free online hearing screening, beneficiaries aged 18 and overUnlimited
Contraceptives (per family for women aged up to 50)R1 870
Wellness screening1 per beneficiary
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
AfricaIn and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)
Up to R1 440 per family. Consultations and treatment paid at 100% of the Bonitas Rate.
Ts & Cs apply
Main | Adult | Children | |
---|---|---|---|
Monthly contribution | R 2287 | R 1690 | R 739 |
Unlimited
GP and specialist consultationsUnlimited at 100% of the Bonitas Rate
Blood tests and x-raysUnlimited at 100% of the Bonitas Rate
MRIs and CT scans (in and out-of-hospital)R15 170 per family. R2 660 co-payment per scan event except for PMB
Internal prosthesesPMB only
External prosthesesPMB only
Mental health hospitalisationR36 860 per family
Take-home medicineLimited to a 7-day supply up to R445 per hospital stay
Physical rehabilitationR57 890 per family
Alternatives to hospitalR19 310 per family
Palliative careUnlimited, subject to the DSP
Organ transplantsPMB only at a DSP
Cancer treatmentUnlimited for PMBs at a DSP
Kidney dialysisUnlimited at a DSP or 20% co-payment applies at a non-DSP
Day surgery proceduresYou must use a network day hospital or a R2 590 co-payment will apply
Co-payments for certain proceduresYes
Chronic medicineUnlimited for PMB at the DSP
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
6
2D ultrasound scans2
Amniocentesis1
Postnatal consultations (with a midwife)4 (1 can be used for a consultation with a lactation specialist)
Hearing screeningFor newborns up to 8 weeks, in or out-of-hospita
Congenital hypothyroidism screeningFor infants under 1 month old
24/7 telephonic baby advice lineFor children under 3 years
Paediatric consultations for children under 1 yearN/A
Paediatric consultations for children between ages 1 and 2N/A
GP consultations for children between ages 2 and 121
2 emergency consultations per family at a casualty ward or emergency room facility of a hospital
One per tooth once every 3 years to prevent tooth decay on permanent teeth for children under 16
HIV test per beneficiary1
Flu vaccine per beneficiary1
Mammogram every 2 years, women over 401
Pap smear every 3 years or 1 HPV PCR test every 5 years, women between ages 21 and 651 (including the cost of the GP or nurse visit)
Prostate screening antigen test, men between ages 55 and 691
Pneumococcal vaccine every 5 years, members aged 65 and over1
Stool test for colon cancer, members between ages 45 and 751
Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 9 and 142
Human Papillomavirus (HPV) vaccines, female beneficiaries between ages 15 and 263
Free online hearing screening, beneficiaries aged 18 and overUnlimited
Contraceptives (per family for women aged up to 50)R1 500 at the DSP
Wellness screening1 per beneficiary
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
AfricaIn and out-of-hospital treatment covered at 100% of the Bonitas Rate (Subject to authorisation)
R1 100 per family Consultations and treatment paid at 100% of the Bonitas Rate
Ts & Cs apply
Main | Adult | Children | ||
---|---|---|---|---|
Monthly contribution | R 1368 | R 1368 | R 644 | |
Income Bracket |
Yes
Hospital coverUnlimited at a DSP
GP and specialist consultationsUnlimited, covered at 100% of the BonCap Rate. Non-network specialists and GPs are covered at 70% of the BonCap Rate
Blood tests and x-raysBlood tests limited to R27 880 per family. X-rays unlimited, 100% of the BonCap Rate
MRIs and CT scansR12 720 per family (R1 100 co-payment per scan, except PMB)
Internal and external prosthesesPMB only at a DSP
Internal nerve stimulatorsN/A
Cochlear implantsN/A
Mental health hospitalisationPMB only at a DSP. 30% co-payment applies at non-DSP
Sublimit of hospitalisation for mental health consultations per familyN/A
Take-home medicineLimited to a 7-day supply up to R420 per hospital stay
Physical rehabilitationR54 360 per family
Alternatives to hospitalR15 660 per family
Terminal careUnlimited for oncology
Cancer treatmentPMB only, at a DSP (30% co-payment applies at a non-DSP)
Non-cancer specialised drugsPMB only
Kidney dialysisPMB only, at a DSP or a 20% co-payment applies
Organ transplantsPMB only at a DSP
HIV/AIDSUnlimited, if you register on the HIV/AIDS programme
Co-payments for certain proceduresYes
Refractive surgeryN/A
N/A
Antenatal classesN/A
Antenatal consultationsN/A
Postnatal consultationsN/A
Private wardN/A
2D Ultrasound scansN/A
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 consultationsNetwork: 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 medicineR105 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 professionalsPMB only
General medical appliancesR6 330 per family
Hearing aidsN/A
OptometryGlasses 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 dentistryManaged Care protocols apply
Specialised dentistryN/A
Chronic benefitsUnlimited for PMB,at the use of DSP
For children under 3 years
Congenital hypothyroidism screeningInfants under 1 month old
GP consultationsN/A
Hearing screeningNewborns up to 8 weeks, in or out-of-hospital
ImmunisationsN/A
Paediatric consultationsN/A
Paediatric consultationsN/A
R1 180 at the DSP. 40% co-payment applies at non-DSP
International travelN/A
1
HIV test per beneficiary1
Full lipogram0
Mammogram1
Pap Smear1
Pneumococcal vaccine1
Prostate screening antigen test1
Stool test for colon cancer1
Bone density screening0
Whooping cough booster vaccine0
Human Papillomavirus (HPV) vaccines0
N/A
Wellness screening1 wellness screening per beneficiary at a participating pharmacy, biokineticist or a Bonitas wellness day.