Starting from R4 044
For the Main Member in 2021
Main Member 250 000
15
city mpg
10
hwy mpg

In-hospital benefits

 

Hospital network N/A
Hospital Cover Unlimited
GP and specialist consultations (Network doctors covered in full at the Bonitas Rate) Unlimited at 100% of the Bonitas Rate
Blood tests and x-rays Unlimited at 100% of the Bonitas Rate
MRIs and CT scans R27 530 per family (In and out-of-hospital) (R1 500 co-payment per scan, except for PMB)
Internal and external prostheses R46 620 per family
Internal nerve stimulators R174 600 per family
Cochlear implants R292 900 per family
Mental health hospitalisation R41 980 per family
Sublimit of hospitalisation for mental health consultations per family (In or out-of-hospital) R16 430 per family
Take-home medicine R490 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) R344 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 Unlimited
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) Co-payment applies for spinal surgery without DBC intervention. Co-payment applies for non-ICPS hip and knee replacements. Co-payment for cataract surgery at non-DSP

Out-of-hospital benefits

 

Day-to-day benefit *Ranges from R6 140 – R12 840
GP benefit *Ranges from R4 390 – R8 140 for network GPs (Standard: Sublimit of R1 430 – R2 710 for non-network GPs + 30% co-payment) GP nomination applies to Standard 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) R815 per beneficiary, R2 480 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 R16 870 per family, every 5 years (20% co-payment will apply)
Optometry (Once every 2 years) R6 430 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) Covered at the Bonitas Dental Tariff
Chronic benefits (Subject to Managed Care Protocols) 45 chronic conditions. R10 130 per beneficiary, R20 340 per family. Unlimited for PMB, subject to use of DSP

Additional benefits

Contraceptives (Per family) R1 660 at the DSP
International travel You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa

Maternity benefits

 

Amniocentesis 1
Antenatal classes R1 280
Antenatal consultations 12
Postnatal consultations 4 (1 can be used for a consultation with a lactation specialist)
Private ward N/A
Ultrasound scan 2D 2

Child care benefits

 

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 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) 2
Paediatric consultations (Infants under the age of 1) 2

Preventative care benefits

 

Flu vaccine per beneficiary 1
HIV test per beneficiary 1
Full lipogram (Every 5 years, for members aged 20 and over) 1
Mammogram (Every 2 years, women over 40) 1
Pap 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 benefits

 

Wellness extender

(Benefit includes: GP, biokineticist, dietician or physiotherapy consultation(s), a programme to stop smoking, blood tests or x-rays)

R1 810 per family. Consultations and treatment paid at 100% of the Bonitas Rate
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.