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 950
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 R1070 pre-auth required from 8th GP visit

Pooled Day to Day Benefit

Specialist limit:
3 visits or R3 170 per beneficiary and 5 visits or R4 710 per family, per year- subject to referral from GP.
GP referred acute medication, general radiology and pathology:
Main member: R1 880
Member+1: R3 120
Member+2: R3 730
Member+3: R4 080
Member+4: R4 530

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 159
Adult: R1 098
Per Child: R546

 

Income Based: R8 031 - R13 840
Member: R1 372
Adult: R1 297
Per Child: R630

 

Income Based: R13 051 - R18 900
Member: R2 210
Adult: R1 967
Per Child: R836

 

Income Based: R18 901+
Member: R2 714
Adult: R2 417
Per Child: R1 029

 

 

 

 

 


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