Bonitas - BonCap
Affordable, income-based medical aid. The BonCap plan features unlimited hospital cover at 100% of the Bonitas rate and unlimited GP consultations, subject to using network providers.
There’s also limited cover for out-of-network and specialist consultations.
In Hospital Benefits
| Overall Annual Limit |
Unlimited 100% (Bonitas rate) |
|---|---|
| Provider |
Boncap Network |
| GP's & Specialists |
GP's & Specialists: Unlimited Radiology: Unlimited Pathology: R29 690 Oncology: PMB's Organ Transplants: PMB's only Dialysis: Unlimited at DSP's Internal Prosthesis: PMB's only |
| Chronic |
28 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 R400 per visit, pre-auth required from 8th GP visit |
|---|---|
| Pooled Day to Day Benefit |
Specialist limit: 3 visits or R3 710 per beneficiary and 5 visits or R5 510 per family, per year- subject to referral from GP. GP referred acute medication, general radiology and pathology: Main member: R2 190 Member+1: R3 650 Member+2: R4 370 Member+3: R4 770 Member+4: R5 290 |
| 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: R 0- R10 680 Member: R1 430 Adult: R1 430 Per Child: R 673
INCOME BASED: R10 680 - R17 330 Member: R1 745 Adult: R1 745 Per Child: R 802
INCOME BASED: R17 331 -R22 540 Member: R2 813 Adult: R2 813 Per Child: R1 064 INCOME BASED: R21 161+ Member: R3 203 Adult: R3 203 Per Child: R1 215
INCOME BASED: R22 541+ Member: R3 453 Adult: R3 453 Per Child: R1 310
|
|---|