Bonitas Primary Option

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