Bonitas - Primary Medical Aid Plan

Bonitas - Primary

Bonitas Primary offers unlimited in-hospital cover along with prescribed minimum chronic benefits for 27 PMBs. The plan includes basic dentistry and maternity consultations.

In Hospital Benefits

Overall Annual Limit

Unlimited 100% (Bonitas Rate)

Provider

Any hospital, some attract a 30% co-pay

GP's & Specialists

GP's & Specialists: Unlimited

Radiology & Pathology: Unlimited

Oncology: R165 500

Organ Transplants: PMB's only

Dialysis : At DSP

Internal Prosthesis: R32 130 (no joint replacements)

Chronic

27 Conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

GP NETWORK

Member: R1 960

Member +1: R3 610

Member + 2: R4 270

Member + 3: R4 500

Member + 4+: R5 200

Non-GP Network values are much less

Pooled Day to Day Benefit

General radiology, pathology, specialists on referral, paramedical services

Member: R2 660

Member+1: R4 760

Member+2: R5 590

Member+3: R6 010

Member+4+: R6 510

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

6 ante-natal consultations, 2 x 2 D scans, 4 postnatal consultations with midwife, 1 amniocentesis, baby bag

Contributions

Contributions

Member: R2 654

Adult: R2 076

Per Child: R844

 

 

 

 

 

 

 

 


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

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