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% (Bonitas Rate), some attract a 30% co-pay

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: R45 090

Chronic

45 Chronic conditions; R9 800 per beneficiary or R19 670 per family

Out of Hospital Benefits

Saving / Day to Day / OHEB

GP Network
Member: R4 250
Member + 1: R6 230
Member + 2: R6 910
Member + 3: R7 250
Member + 4: R7 870
Non GP Network values are less

Pooled Day to Day Benefit

General radiology, pathology, specialists on referral, paramedical services
Member: R5 940
Member + 1: R9 030
Member + 2: R10 440
Member + 3: R11 400
Member + 4+: R12 420

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 240 for ante-natal classes, 1 amniocentesis, baby bag

Contributions

Contributions

Member: R3 888
Adult: R3 371
Per Child: R1 140

 

 

 

 

 

 

 

 


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