Bonitas - BonComprehensive Medical Aid Plan

Bonitas - BonComprehensive

Provides cover for unlimited consultations above threshold with co-payments, major medical expenses at 300% of the scheme rate and chronic medication for 60 conditions. This option is suitable for those that require comprehensive cover with extensive chronic benefits.

In Hospital Benefits

Overall Annual Limit

Unlimited 300% (Bonitas Rate)

Provider

Any hospital; some attract a 30% co-payment

GP's & Specialists

GP's and Specialists: Unlimited
Radiology & Pathology: Unlimited, covered at 100% of the Bonitas rate
Oncology: R618 500, limits apply. R245 400 of this can be used for specialised drugs (including biological drugs)
Organ Transplants: limits apply
Dialysis: Unlimited at preferred provider
Internal Prosthesis: R56 200

Chronic

60 conditions

Limits:
Individual: R14 110
Family: R28 100

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R16 308
Adult: R15 384
Per child: R3 324

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R20 388
Adult: R19 264
Child: R4 874

Self-Payment Gap Before Threshold

Member: R4 080
Adult: R3 380
Child: R1 550

Above Threshold Limits

Unlimited but not all claims accumulate to the threshold level

Maternity Care

12 ante-natal consultations, 2 x 2 D scans, 4 postnatal consultations with midwife, R1 240 for ante-natal classes, 1 amniocentesis, baby bag

Contributions

Contributions

Member: R7 207
Adult: R6 797
Per Child: R1 467

 

 

 

 

 

 

 

 


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