Unlimited, if you register on the HIV/AIDS programme
Co-payments for certain (Refer to product brochure for details)
Yes
Refractive surgery
N/A
Out-of Hospital benefits
Overall day-to-day limit
*Ranges from R5 000 - R11 000
GP consultations
Paid from available GP & specialist consultations sublimit. *Ranges from R2 000 - R4 500 (GP nomination applies to Primary Select)
Specialist consultations
Paid from available GP & specialist consultations sublimit. *Ranges from R2 000 - R4 500
X-rays and ultrasounds
Paid from available X-rays and blood tests sublimit. *Ranges from R2 000 - R3 000
Blood tests
Paid from available X-rays and blood tests sublimit. *Ranges from R2 000 - R3 000
Acute medicine
Paid from available acute and over-the-counter medicine sublimit. *Ranges from R1 500 - R3 000
Over-the-counter medicine (Formulary and Bonitas Pharmacy Network applies. 20% co-payment for non-network or non-formulary use)
Paid from available acute and over-the-counter medicine sublimit. Limited to R500 per beneficiary, R2 000 per family
Paramedical/Allied medical professionals (Such as occupational therapists and dieticians)
Paid from available auxiliary services sublimit. *Ranges from R2 000 - R3 000
General medical appliances
Subject to the available overall day-to-day limit
Hearing aids
N/A
Optometry (Once every 2 years)
R5 421 per family, every 2 years
Basic dentistry (Subject to dental management protocols)
Covered at the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme
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 760 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
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
According to the Expanded Programme on Immunisation in South Africa
Paediatric consultations (Infants between ages 1 and 2)
1
Paediatric consultations (Infants under the age of 1)
1
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) vaccine (Girls between ages 9-14)
0
Wellness benefits
Benefit Booster (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 500 per family which can be used for out-of-hospital claims. 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.
