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 at 100% Bonitas rate

Provider

Any hospital; some attract a 30% co-payment

GP's & Specialists

GPs and Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: R165 500
Organ Transplants: PMB's only
Dialysis: At DSP Internal Prosthesis: R31 500 (no joint replacements)

Chronic

27 Conditions

Out of Hospital Benefits

Saving / Day to Day / OHEB

GP Network
Member: R1 900
Member + 1: R3 490
Member + 2: R4 130
Member + 3: R4 440
Member + 4+: R5 030
Non GP Network values are much less

Pooled Day to Day Benefit

Day to day benefit for: General radiology, pathology, specialists on referral, paramedical services
Member: R2 310
Member + 1: R4 140
Member + 2: R4 860
Member + 3: R5 230
Member + 4+: R5 660

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 240
Adult: R1 752
Per Child: R713

 

 

 

 

 

 

 

 


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