BonEssential

What You Get


Basic Summary

Main Adult Children
Monthly Contribution: R2 033 R1 555 R596
Contribution Calculator
ADULT DEPENDANTS
CHILD DEPENDANTS
TOTAL:R 2033
In-hospital benefits
Hospital
network
N/A
Hospital
cover
Unlimited
GP and specialist consultations
(Network doctors covered in full at the Bonitas Rate)
Unlimited at 100% of the Bonitas Rate
Blood tests and x-rays
Unlimited 100% of the Bonitas Rate
MRIs and CT
scans
R14 240 per family (R2 500 co-payment per scan, except PMB)
Internal
prostheses
PMB only
External
prostheses
PMB only
Internal nerve
stimulators
N/A
Cochlear
implants
N/A
Mental health
hospitalisation
R34 610 per family
Sublimit of hospitalisation for mental health
consultations per family

(In or out-of-hospital)
N/A
Take-home
medicine
Limited to a 7-day supply up to R420 per hospital stay
Physical
rehabilitation
R54 360 per family
Alternatives to hospital
(Hospice, step-down facilities)
R18 130 per family
Terminal
care
Unlimited for oncology
Cancer treatment
Unlimited for PMBs at a DSP (30% co-payment applies for use of a non-network provider)
Non-cancer specialised
drugs

(Including biological drugs)
PMB only
Kidney
dialysis
Unlimited at a DSP or a 20% co-payment applies
Organ
transplants
PMB only at a DSP
HIV/AIDS
Unlimited, if you register on the HIV/AIDS programme
Co-payments for certain procedures
(Refer to product brochure for details)
Yes
Refractive
surgery
N/A
Out-of-hospital benefit
Overall day-to-day
limit
N/A
GP
consultations
N/A
Specialist
consultations
N/A
X-rays and
ultrasounds
N/A
Blood
tests
N/A
Acute
medicine
N/A
Over-the-counter
medicine
N/A
Paramedical/Allied medical professionals
(Such as occupational therapists and dieticians)
N/A
General medical
appliances
N/A
Hearing
aids
N/A
Optometry
(Once every 2 years)
N/A
Basic dentistry
(Subject to dental management protocols)
N/A
Specialised dentistry
(Subject to dental management protocols)
N/A
Chronic benefits
(Subject to Managed Care Protocols)
N/A
Additional benefits
Contraceptives
(Per family)
R1 410 at the DSP
International
travel
You must register for this benefit prior to departure. Up to R10 million cover per family for medical emergencies when you travel outside South Africa. Additional benefit for medical quarantine up to R10 000 per person if tested positive for Covid-19
Maternity benefits
Amniocentesis
1
Antenatal
classes
N/A
Antenatal
consultations
6
Postnatal
consultations
4 (1 can be used for a consultation with a lactation specialist)
Private
ward
N/A
Ultrasound scan
2D
2
Childcare benefits
Baby advice
line
For children under 3 years
Congenital hypothyroidism
screening
For infants under 1 month old
GP consultations
(Children between ages 2 and 12)
1
Hearing
screening
For newborns up to 8 weeks, in or out-of-hospital
Immunisations
N/A
Paediatric consultations
(Infants between ages 1 and 2)
N/A
Paediatric consultations
(Infants under the age of 1)
N/A
Preventative care benefits
Flu vaccine per
beneficiary
1
HIV test per
beneficiary
1
Full lipogram
(Every 5 years, for members aged 20 and over)
0
Mammogram
(Every 2 years, women over 40)
1
Pap Smear

(Every 3 years, women between ages 21-65)
1
Pneumococcal vaccine
(Every 5 years, members aged 65 and over)
1
Prostate screening antigen
test

(Men between ages 45-69)
1
Stool test for colon cancer
(Members between ages 50-75)
1
Bone density screening
(Women aged 65 and men aged 70 and over)
0
Whooping cough booster
vaccine

(Every 10 years, members between 7-64)
0
Human Papillomavirus (HPV)
vaccines

(Girls between ages 9-14)
0
Wellness benefits
Wellness screening
(Benefit includes: GP and specialist consultations, Acute and over-the-counter medicine, Biokineticist and physiotherapist consultations and treatment, Paramedical services such as dietician, speech and occupational therapy consultations and treatment, Alternative healthcare such as homeopathic consultations and treatment and acupuncture, Non-surgical procedures and tests e.g. wart removal, X-rays, Blood tests)
R1 000 per family. Consultations and treatment paid at 100% of the Bonitas Rate. Subject to completion of an online wellness questionnaire or wellness screening
Wellness screening
(Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)
1 per beneficiary
Please Note: DSP = Designated Service Provider PMB = Prescribed Minimum Benefits *For full details refer to the 2023 Bonitas Product Brochure.