Bonitas - BonComprehensive
Provides cover for unlimited consultations above threshold with co-payments, major medical expenses at 150% 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 150% (Bonitas Rate) |
|---|---|
| Provider |
Any hospital, a co-payment may apply to specific admissions and/or procedures. |
| 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: Unlimited, pre-authorisation needed-sub-limits apply Dialysis: Unlimited at preferred provider Internal Prosthesis: R58 110 |
| Chronic |
60 conditions Limits: |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
Member: R17 460 |
|---|---|
| Pooled Day to Day Benefit |
Not applicable |
| Threshhold / Safety Net |
Member: R21 680 |
| Self-Payment Gap Before Threshold |
Member: R4 220 |
| 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 2715
|
|---|