Bonitas - BonCap Medical Aid Plan

Bonitas - BonCap

A network plan that is unlimited at  designated hospitals. This option is suitable for those that would like affordable/limited cover at a network of providers.

In Hospital Benefits

Overall Annual Limit

Unlimited 100% (Bonitas rate)

Provider

Boncap Network

GP's & Specialists

GP's & Specialists: Unlimited
Radiology: Unlimited
Pathology: R25 440
Oncology: PMB's
Organ Transplants: Unlimited
Dialysis: Unlimited at DSP's
Internal Prosthesis: PMB's only

Chronic

27 Conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

Subject to Network: Unlimited GP visits, 1 out of Network visit per person, to a maximum of 2 per family up to R1050 pre-auth required from 8th GP visit

Pooled Day to Day Benefit

Specialist limit: 3 visits or R3 110 per beneficiary and 5 visits or R4 620 per family, per year - subject to referral from GP.
GP referred acute medication, general radiology and pathology:
Main member: R1840
Member + 1: R3 060
Member + 2: R3 660
Member + 3: R4 000
Member + 4: R4 440

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

Subject to Boncap GP Network and specialist benefit, 4 consultations with a midwife after delivery

Contributions

Contributions

Income Based: R0 - R8 030
Member: R1 009
Adult: R956
Per Child: R475

 

Income Based: R8 031 - R13 050
Member: R1 226
Adult: R1 159
Per Child: R563

 

Income Based: R13 051 - R17 830
Member: R2000
Adult: R1 780
Per Child: R757

 

Income Based: R17 831+
Member: R2 456
Adult: R2 187
Per Child: R931

 

 

 

 

 


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