This traditional option offers simple day-to-day medical benefits and hospital cover.
Bonitas Primary Option Benefits
- GP Benefit: Ranges from R1 900 – R5 030 based on family size – subject to use of network GPs
- Day-to-day Benefit: Ranges from R2 010 – R4 920 based on family size
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 076 | R1 624 | R661 |
Hospital Benefits
| Unlimited Hospital Cover | Yes |
| Bonitas Rate for hospital cover | 100% |
| Hospital network | n/a |
| GP & Specialist Consultations | Unlimited Covered at 100% of the Bonitas Rate Network doctors covered in full |
| Blood Tests & X-Rays | Unlimited 100% of the Bonitas Rate |
| MRIs & CT scans (Specialised Radiology) | R12 380 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 | R30 000 per family (internal only) Excluding joint replacement prothesis |
| Internal Nerve Stimulators | n/a |
| Cochlear Implants | n/a |
| Mental Health Hospitalisation & Consultations | R15 080 per family R9 100 per family for consultations |
| Take-Home Medicine | R360 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 | R157 600 per family |
| Non-cancer Specialised Drugs (including Biological Drugs) | n/a |
| Organ Transplants | PMBs only |
| 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 | Paid from available GP benefit |
| Specialist Consultations | Paid from available day-to-day benefits |
| X-rays & Ultrasounds | Paid from available day-to-day benefits |
| MRIs & CT Scans (Specialised Radiology) | R12 380 per family in and out of hospital |
| Acute & Over-the-Counter Medicine | Paid from available day-to-day benefits R465 per beneficiary R1 360 per family |
| Paramedical/Allied Medical Professionals | Paid from available day-to-day benefits |
| Optometry | R4 270 per family once every 2 years |
| Basic Dentistry | Covered at the Bonitas Dental Tariff |
| Specialised Dentistry | n/a |
| Chronic Benefits | Unlimited for PMBs |
| General Medical Appliances | R6 560 pr family Stoma care and CPAP machines may exceed the limit by R6 240 per family |
| 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 | 1 |
| 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 210 per family Consultations paid at 100% of the Bonitas Rate |
