Bonitas - Primary Select Medical Aid Plan

Bonitas - Primary Select

Limited day-to-day network plan from Bonitas offers unlimited in-hospital cover along with prescribed minimum chronic benefits for 27 PMB's. The plan includes basic dentistry and maternity consultations.

In Hospital Benefits

Overall Annual Limit

Unlimited 100% (Bonitas Rate)

Provider

Network, or a 30% co-payment pay apply

GP's & Specialists

GP's & Specialists: Unlimited at network specialist covered at Bonitas Rate

Radiology & Pathology: Unlimited

Oncology: R165 500

Organ Transplants: PMB's only

Dialysis: Unlimited at Network Provider or a 20% co-payment will apply

Internal Prosthesis: R33 220 (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 590

Member + 4+: R5 200

No Benefit for Non-GP Network

Pooled Day to Day Benefit

General radiology, pathology, specialists on referral, paramedical services

Member: R2 750

Member+1: R4 920

Member+2: R5 780

Member+3: R6 210

Member+4+: R6 730

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 065

Adult: R1 615

Per Child: R657

 

 

 

 

 

 

 

 


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