Bonitas Hospital Plus Option

This hospital plan offers comprehensive hospital benefits with some value-added benefits.

Bonitas Hospital Plus Option Benefits

  • GP Benefit: n/a
  • Day-to-day Benefit: n/a
Contributions
Principal Member Adult Dependant Child Dependant
Savings n/a n/a n/a
Self Payment Gap n/a n/a n/a
Above Threshold Benefit n/a n/a n/a
Monthly Contribution R2 897 R2 607 R937
Hospital Benefits
Unlimited Hospital Cover Yes
Bonitas Rate for hospital cover 200%
Hospital network n/a
GP & Specialist Consultations Unlimited
200% of the Bonitas Rate
Blood Tests & X-Rays Unlimited
100% of the Bonitas Rate
MRIs & CT scans (Specialised Radiology) R27 610 per family in and out of hospital
Paramedical/Allied Medical Professionals (such as Physiotherapists, Occupational Therapists, Dieticians and Biokineticists) Unlimited
100% of Bonitas Rate
Internal & External Prosthesis R52 480 per family
PMBs only for external prosthesis
Internal Nerve Stimulators n/a
Cochlear Implants n/a
Mental Health Hospitalisation & Consultations R30 680 per family
Take-Home Medicine R520 per hospital stay
Physical Rehabilitation R47 250 per family
Alternatives to Hospital (Hospice, Step-down Facilities) R15 760 per family
Termincal Care Unlimited
Cancer Treatment R589 000 per family (R233 700 can be used for specialised drugs
10% co-payment applies
Non-cancer Specialised Drugs (including Biological Drugs) R186 900 per family
10% co-payment applies
Organ Transplants Unlimited
Kidney Dialysis Unlimited
HIV/AIDS Unlimited – subject to registration on the HIV/AIDS programme
Co-payments for Certain Procedures Yes
Out-of-Hospital Benefits
GP Consultations n/a
Specialist Consultations n/a
X-rays & Ultrasounds n/a
MRIs & CT Scans (Specialised Radiology) R27 610 per family in and out of hospital
Acute & Over-the-Counter Medicine n/a
Paramedical/Allied Medical Professionals n/a
Optometry n/a
Basic Dentistry n/a
Specialised Dentistry n/a
Chronic Benefits Unlimited for PMBs
General Medical Appliances n/a
Hearing Aids n/a
Additional Benefits
International Travel Benefit R5 million per beneficiary
R10 million per family per trip
Maternity Benefits per Pregnancy 6x antenatal consultations
2x 2D ultrasound scans
1x amniocentesis
4x postnatal consultations
24/7 Telephonic Baby Advice Line For children under 3 years
Paediatric consultations for children under 1 year 2
Paediatric consultations for children between 1 & 2 years  1
GP Consultations for children between 2 and 12 1
Contraceptives R1 500 at the DSP
Hearing Screening Newborns (up to 8 weeks old), in or out of hospital
Congenital Hypothyroidism Screening Infants under 1 month old
Preventative Care
General Health 1x HIV test per beneficiary
1x Flu vaccine per beneficiary
Cardiac Health n/a
Children’s Health n/a
Women’s Health  1x Mammogram every 2 years for females aged 40 – 74 years

1x Pap smear every 3 years for females aged 21 – 65 years

Men’s Health n/a
Elderly Health 1x pneumococcal vaccine every 5 years for members aged 65 and over

1x stool test for colon cancer for members aged 50 – 75 years

Wellness Benefits
Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)
1 per beneficiary
Wellness extender
Choose from the following:
GP consultation(s), Biokineticist consultation(s), Dietician consultation(s), Physiotherapy consultation(s), a programme to stop smoking
R1 670 per family
Consultations paid at 100% of the Bonitas Rate