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
Organ Transplants: Limits apply
Dialysis: Unlimited at preferred provider
Internal Prosthesis: R55 100

Chronic

60 conditions

Limits:
Individual: R13 830
Family: R27 550

Out of Hospital Benefits

Saving / Day to Day / OHEB

Member: R14 568
Adult: R13 740
Per child: R2 964

Pooled Day to Day Benefit

Not applicable

Threshhold / Safety Net

Member: R18 568
Adult: R17 050
Child: R4 484

Self-Payment Gap Before Threshold

Member: R4 000
Adult: R3 310
Child: R1 520

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 220 for ante-natal classes, 1 amniocentesis, baby bag

Contributions

Contributions

Member: R6 438
Adult: R6 072
Per Child: R1 310

 

 

 

 

 

 

 

 


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