Bonitas - Primary
Simple hospital cover and day-to-day benefits.
The Bonitas Primary plan offers unlimited in-hospital cover along with benefits for 28 chronic conditions, basic dentistry and optometry, 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: R213 000 Organ Transplants: PMB's only Dialysis: Unlimited Internal Prosthesis: PMB'S ONLY |
| Chronic |
28 Conditions |
Out of Hospital Benefits
| Saving / Day to Day / OHEB |
Primary option: limits are subject to the overall pooled benefit: GP's & Specialists: GP NETWORK Member: R2 130 Member +1: R3 730 Member + 2: R4 790 Member + 3+: R4 790 2 Non GP Network visits allowed per year, limited to PMB's Acute and over-the-counter medicine Member: R1 600 Member +1: R2 660 Member +2: R3 200 Member +3+: R3200 X-rays & Blood Tests Member: R2 130 Member +1: R2660 Member +2: R3200 Member +3+: R3200 Auxiliary Services Member: R2 130 Member +1: R2 660 Member +2: R3 200 Member +3+: R3 200 |
|---|---|
| Pooled Day to Day Benefit |
DAY TO DAY BENEFIT FOR: General radiology, pathology, specialists on referrals, GPs, paramedical services Member: R5 330 Member+1: R8 520 Member+2: R10 650 Member+3+: R11 720 |
| 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 993 Adult: R2 341 Per Child: R952
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