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 at network specialist covered at Bonitas Rate

Radiology: Unlimited Pathology: R26 830 per family except for PMB

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 280 per beneficiary and 5 visits or R4 870 per family, per year- subject to referral from GP.

GP referred acute medication, general radiology and pathology:

Main member: R1 940

Member+1: R3 230

Member+2: R3 860

Member+3: R4 220

Member+4: R4 680

 

INCOME BASED: R19 931+

Specialist limit: 3 visits or R3 170per beneficiary and 5 visits or R4 710 per family, per year- subject to referral from GP.

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- R8 980

Member: R1 212

Adult: R1 098

Per Child: R571

 

Income Based: R8 981- R14 590

Member: R1 434

Adult: R1 434

Per Child: R659

 

Income Based: R14 591- R19 930

Member: R2 311

Adult: R2 311

Per Child: R874

 

Income Based: R19 931+

Member: R2 837

Adult: R2 837

Per Child: R1 076

 

 

 

 

 


Finding it difficult to make sense of all this? Not to worry, you can:

Finding it difficult to make sense of all this? Not to worry, you can:

Get free quotes & medical aid advice

  • Whatsapp
  • Phone
  • Contact us