Please note:
DSP = Designated Service Provider
PMB = Prescribed Minimum Benefits
*For full details refer to the 2021 Bonitas Product Brochure.
Hospital network | Yes |
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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 | R13 710 per family (In and out-of-hospital) (R1 500 co-payment per scan, except for PMB) |
Internal and external prostheses | R33 220 per family (Internal only) |
Internal nerve stimulators | N/A |
Cochlear implants | N/A |
Mental health hospitalisation | R16 370 per family |
Sublimit of hospitalisation for mental health consultations per family (In or out-of-hospital) |
R9 890 per family |
Take-home medicine | R405 per hospital stay |
Physical rehabilitation | R52 320 per family |
Alternatives to hospital (Hospice, step-down facilities) |
R17 450 per family |
Terminal care | Unlimited for oncology |
Cancer treatment (Uses the Bonitas Oncology Network. 20% co-payment applies for use of a non-network provider) |
R165 500 per family |
Non-cancer specialised drugs (Including biological drugs) |
N/A |
Kidney dialysis (At DSP, 20% co-payment applies at a non-DSP) |
Unlimited at a DSP or 20% co-payment applies |
Organ transplants | PMB only |
HIV/AIDS (Subject to registration on the HIV/AIDS programme) |
Unlimited, if you register on the HIV/AIDS programme |
Co-payments for certain procedures (Refer to product brochure for details) |
Various procedure specific co-payments. Co-payment for cataract surgery at non-DSP |
Day-to-day benefit | *Ranges from R2 750 – R6 730 |
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GP benefit | *Ranges from R1 960 – R5 200 for network GPs GP nomination applies to Primary Select |
GP and specialist consultations (Network doctors covered in full at the Bonitas Rate) |
Unlimited at 100% of the Bonitas Rate |
GP consultations | Paid from available GP benefit |
Specialist consultations | Paid from available day-to-day benefit |
X-rays and ultrasounds | Paid from available day-to-day benefit |
Blood tests | Paid from available day-to-day benefit |
Acute medicine (Formulary and Bonitas Pharmacy Network applies. 20% co-payment for non-network or non-formulary use) |
Paid from available day-to-day benefit |
Over-the-counter medicine (Formulary and Bonitas Pharmacy Network applies. 20% co-payment for non-network or non-formulary use) |
R515 per beneficiary, R1 510 per family |
Paramedical/Allied medical professionals (Such as occupational therapists and dieticians) |
Paid from available day-to-day benefit |
General medical appliances | Paid from available day-to-day benefit |
Hearing aids | N/A |
Optometry (Once every 2 years) |
R4 955 per family, every 2 years |
Refractive surgery | N/A |
Basic dentistry (Subject to dental management protocols) |
Covered at the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme |
Specialised dentistry (Subject to dental management protocols) |
N/A |
Chronic benefits (Subject to Managed Care Protocols) |
Unlimited for PMB, subject to use of DSP |
Contraceptives (Per family) |
R1 660 at the DSP |
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International travel | You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa |
Amniocentesis | 1 |
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Antenatal classes | N/A |
Antenatal consultations | 6 |
Postnatal consultations | 4 (1 can be used for a consultation with a lactation specialist) |
Private ward | N/A |
Ultrasound scan 2D | 2 |
Baby advice line | For children under 3 years |
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Congenital hypothyroidism screening | Infants under 1 month old |
GP consultations (Children between ages 2 and 12) |
1 |
Hearing screening | Newborns, in or out-of-hospital |
Immunisations | According to the Expanded Programme on Immunisation in South Africa |
Paediatric consultations (Infants between ages 1 and 2) |
1 |
Paediatric consultations (Infants under the age of 1) |
1 |
Flu vaccine per beneficiary | 1 |
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HIV test per beneficiary | 1 |
Full lipogram (Every 5 years, for members aged 20 and over) | 0 |
Mammogram (Every 2 years, women over 40) |
1 |
Pap Smears (Every 3 years, women between ages 21-65) |
1 |
Pneumococcal vaccine (Every 5 years, members aged 65 and over) |
1 |
Prostate screening antigen test (Men between ages 45-69) |
1 |
Stool test for colon cancer (Members between ages 50-75) |
1 |
Bone density screening (Women aged 65 and men aged 70 and over) |
0 |
Wellness extender
(Benefit includes: GP, biokineticist, dietician or physiotherapy consultation(s), a programme to stop smoking, blood tests or x-rays) |
R1 310 per family. Consultations and treatment paid at 100% of the Bonitas Rate |
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Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio) |
1 per beneficiary |
Please note:
DSP = Designated Service Provider
PMB = Prescribed Minimum Benefits
*For full details refer to the 2021 Bonitas Product Brochure.