Bonitas - Standard Medical Aid Plan

Bonitas - Standard

Offers semi-comprehensive cover including unlimited hospitalization, chronic benefit covering 45 conditions, basic and advanced dentistry, optometry and maternity care.

In Hospital Benefits

Overall Annual Limit

Unlimited 100% of Bonitas rate, some attract a 30% co-payment

Provider

Any hospital

GP's & Specialists

GP's and Specialists: Unlimited
Radiology & Pathology: Unlimited
Oncology: R344 500
Organ Transplants: Unlimited
Dialysis: Unlimited at Preferred provider
Internal Prosthesis: R44 210

Chronic

45 Chronic conditions; R9 610 per beneficiary or R19 280 per family

Out of Hospital Benefits

Saving / Day to Day / OHEB

GP Network
Member: R4 170
Member + 1: R6 110
Member + 2: R6 770
Member + 3: R7 110
Member + 4: R7 720
Non GP Network values are less

Pooled Day to Day Benefit

Day to day benefit for: General radiology, pathology, specialists on referral, paramedical services
Member: R5 820
Member + 1: R8 850
Member + 2: R10 240
Member + : R11 180
Member + 4+: R12 180

Threshhold / Safety Net

Not applicable

Self-Payment Gap Before Threshold

Not applicable

Above Threshold Limits

Not applicable

Maternity Care

12 ante-natal consultations, 2 x 2 D scans, 4 postnatal consultations with midwife, R1 220 for ante natal classes, 1 amniocentesis, baby bag

Contributions

Contributions

Member: R3 556
Adult: R3 083
Per Child: R1043

 

 

 

 

 

 

 

 


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