Bonitas - Primary Select Medical Aid Plan

Bonitas - Primary Select

Simple hospital cover and day-to-day benefits, subject to using network providers. This makes the cover up to 15% cheaper than the equivalent non-network plan.

Bonitas Primary Select includes unlimited in-hospital cover with benefits for 28 chronic conditions, basic dentistry and optometry, and maternity consultations.

In Hospital Benefits

Overall Annual Limit

Unlimited 100% (Bonitas Rate)

Provider

Network

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

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

General radiology, pathology, specialists on referral, 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 619

Adult: R2 048

Per Child: R 832

 

 

 

 

 

 

 

 


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

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

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