Bonitas - BonComprehensive Medical Aid Plan

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:
Individual: R14 590
Family: R29 060

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R17 460
Adult: R16 464
Per child: R3 552

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R21 680
Adult: R19 954
Child: R5 152

Self-Payment Gap Before Threshold

Member: R4 220
Adult: R3 490
Child: R1 600

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
Adult: R7 276
Per Child: R1 570

 

 

 

 

 

 

 

 


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