BonStart Plus

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What You Get

Basic Summary

Main Adult Children
Monthly Contribution: R1 670 R1 587 R735
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ADULT DEPENDANTS
CHILD DEPENDANTS
TOTAL: R 1670
In-hospital benefits
Hospital
network
Yes
Hospital
cover
Unlimited, at applicable Hospital Network. R1 060 co-payment per admission, except for PMB emergencies
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
Blood tests unlimited, 100% of the Bonitas Rate. X-rays unlimited, 100% of the Bonitas Rate
MRIs and CT
scans
R17 070 per family (R2 000 co-payment per scan, except PMB)
Internal and external
prostheses
Yes
Internal nerve
stimulators
N/A
Cochlear
implants
N/A
Mental health
hospitalisation
PMB only, subject to use of DSP
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 R415 per hospital stay
Physical
rehabilitation
R53 740 per family
Alternatives to hospital
(Hospice, step-down facilities)
R17 930 per family
Terminal
care
Unlimited for oncology
Cancer treatment
PMB only, at a DSP or a 30% co-payment applies
Non-cancer specialised
drugs (Including biological drugs)
PMB only
Kidney
dialysis
PMB only, at a DSP or a 30% co-payment applies
Organ
transplants
PMB only, at a DSP or a 30% co-payment applies
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
Unlimited Network GP consultations, R60 co-payment per visit. Pre-authorisation required from 10th visit.Unlimited Virtual Care GP and Nurse consultations
Specialist
consultations
Limited to 2 visit per family up to R2 120. R115 co-payment per visit. Including all acute medicine, basic radiology, specialised radiology and pathology prescribed by the specialist
X-rays and
ultrasounds
Limited to R2 970 per family (Combined benefit with blood tests and acute medicine)
Blood
tests
Limited to R2 970 per family (Combined benefit with X-rays and acute medicine)
Acute
medicine
A 20% co-payment will apply per script. Avoid a 40% co-payment by using a Bonitas Pharmacy Network. Subject to medicine formulary use
Over-the-counter
medicine
Limited to R155 per event, R735 per family per year. Subject to the medicine formulary, 40% co-payment for non-DSP use
Paramedical/Allied medical professionals
 (Such as occupational therapists and dieticians)
N/A
General medical
appliances
R5 890 per family
Hearing
aids
N/A
Optometry
(Once every 2 years)
1 eye test per beneficiary, R60 co-payment
Basic dentistry
(Subject to dental management protocols)
1 consultation per beneficiary, R60 co-payment
Specialised dentistry
(Subject to dental management protocols)
N/A
Chronic benefits
(Subject to Managed Care Protocols)
Unlimited for PMB, subject to use of DSP
Additional benefits
Contraceptives
(Per family)
R1 370 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 consultations with a midwife after delivery (1 of these 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
Infants under 1 month old
GP consultations
(Children between ages 2 and 12)
N/A
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)
0
Pap Smear
(Every 3 years, women between ages 21-65)
1
Pneumococcal vaccine
(Every 5 years, members aged 65 and over)
0
Prostate screening antigen
test
(Men between ages 45-69)
0
Stool test for colon cancer
(Members between ages 50-75)
0
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.
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