Transcription of BonComprehensive BonClassic BonComplete …
1 BonComprehensiveBonClassicBonCompleteBon SaveBonFitStandardStandard SelectPrimaryBonCapMonthly contributions(4th and subsequent children covered free)M: R5 774A: R5 446 C: R1 1 7 5 M: R4 009 A: R3 4 4 2 C: R 990 M: R3 2 1 2 A: R2 572 C: R 873M: R2 304 A: R1 785 C: R 690M: R1 930 A: R1 495 C: R 578M: R3 265 A: R2 8 3 1 C: R 958M: R2 828 A: R2 447 C: R 828M: R2 076 A: R1 624 C: R 661R0 to R7 500R7 501 to R12 194M: R 9 1 8 A: R 870C: R 4 3 2M: R1 1 1 6 A: R1 055C: R 5 1 2R12 195 to R16 659R16 660+M: R1 820A: R1 620C: R 689M: R2 235A: R1 990C: R 847 SavingsM: R13 068 A: R12 324 C: R2 664M: R6 804 A: R5 844 C: R1 680M: R5 772 A: R4 620 C: R1 572M: R4 428 A: R3 432 C: R1 332M: R3 480 A: R2 700 C.
2 R1 044N/AGP benefit(based on family size)Paid from savingsPaid from savingsAdditional benefit for GP consultations when savings are depleted (limited to 3 per beneficiary, maximum 6 per family) paid at the Bonitas Rate Paid from savings*Ranges from R3 970 - R7 350*Ranges from R1 900 - R5 030 Unlimited consultations, using a maximum of 2 network GPs Maximum of 2 non-network GP consultations per family, limited to R1 000 20% co-payment appliesDay-to-day benefit(based on family size)N/A*Ranges from R5 540 - R11 600*Ranges from R2 010 - R4 920*Ranges from R1 750 - R4 230 Separate specialist consultation benefit, subject to referral from network GPSelf-payment gapM: R3 8 1 0 A: R3 1 5 0 C: R1 450N/AM: R1 660 A: R1 400 C: R 355N/AAbove threshold benefitUnlimitedN/AM: R4 390 A: R2 590 C.
3 R1 1 2 0N/AHOSPITAL BENEFITSH ospital networkN/AYe sN/AYe sN/AYe sHospital coverUnlimitedGP and specialist consultations(network doctors covered in full)Unlimited300% of the Bonitas RateUnlimited100% of the Bonitas RateUnlimited150% of the Bonitas RateUnlimited100% of the Bonitas RateBlood tests and x-raysUnlimited, 100% of the Bonitas RateBlood tests R24 230 per family X-rays unlimited, 100% of the Bonitas RateMRIs and CT scansUnlimited in hospitalR29 840 per family out of hospitalR27 610 per familyin and out of hospitalR22 220 per familyin and out of hospitalR15 000 per familyin hospitalR24 860 per family in and out of hospitalR12 380 per family in and out of hospitalR11 060 per familyInternal and external prosthesesR52 480 for internal per family R52 480 for external per familyR52 000 per familyR42 100 per familyR30 000 per family (internal only)Excluding joint replacement prothesisPMB onlyR42 100 per familyR30 000 per family (internal only)Excluding joint replacement prothesisPMB onlyInternal nerve stimulatorsR157 700 per family N/AR157 700 per family N/ACochlear implantsR264 500 per familyN/AR264 500 per familyN/AMental health hospitalisationR44 650 per familyR39 250 per familyR30 680 per familyR38 670 per familyR15 080 per familyPMB onlySublimit of hospitilisation forconsultations per familyR15 130 per familyPMB consultations onlyR15 130 per familyR9 1 00 per familyN/ATake-home medicineR520 per hospital stayR445 per hospital stayR390 per hospital stayR360 per hospital stayR445 per hospital stayR360 per hospital stayPhysical rehabilitationR47 250 per familyAlternatives to hospital (hospice, step-down facilities)
4 R15 760 per familyR13 600 per familyTerminal careUnlimitedCancer treatmentR589 000 per familyR233 700 of this can be used for specialised drugs (including biological drugs) R390 900 per familyR328 100 per familyR157 600 per familyPMB onlyNon-cancer specialised drugs(including biological drugs)R186 900 per familyR116 800 per family10% co-payment appliesN/AOrgan transplantsUnlimitedPMB onlyKidney dialysisUnlimitedHIV/AIDSU nlimited, subject to registration on the HIV/AIDS programmePMB only, subject to registration on the HIV/AIDS programmeCo-payments for certain proceduresN/AYe sN/AYe s*No benefit for specific surgical proceduresOUT-OF-HOSPITAL BENEFITSGP consultationsPaid from available savings and/or above threshold benefitPaid from available savingsPaid from available savings and/or above threshold benefitPaid from available savingsPaid from available GP benefitUnlimited consultations.
5 Using a maximum of 2 network GPsSpecialist consultationsPaid from available day-to-day benefitLimited to 5 visits or R4 400 per familyX-rays and ultrasoundsR2 960 per beneficiaryR4 950 per family*Ranges from R1 750 - R4 230 Blood testsR2 960 per beneficiaryR6 560 per familyAcute medicinePaid from available savingsOver-the-counter medicineR740 per beneficiaryR2 240 per familyR465per beneficiaryR1 360 per familyR250 per beneficiaryParamedical/Allied medical professionals(such as physiotherapists, occupational therapists, dieticians and biokineticists)Ranges fromR2 820 - R5 710based on family sizePaid from available day-to-day benefitPMB onlyGeneral medical appliancesR7 990 per familyStoma care and CPAP machines mayexceed the limit by R5 870 per familyR7 410 per familyR6 560 per familyStoma care and CPAP machines may exceed the limit by R6 240 per familyPaid from available savingsR7 300 per familyStoma care and CPAP machines may exceed the limit by R6 240 per familyR6 560 per familyStoma care and CPAP machines may exceed the limit by R6 240 per familyR5 180 per familyHearing aidsR24 550 per family10% co-payment will applyR16 080 per family10% co-payment will applyN/AR15 240 per family20% co-payment will applyN/AOptometry(once every 2 years)
6 R2 880 per beneficiarySubject to available savings and/or above threshold benefitR5 300 per familyPaid from available savingsR5 550 per familyR4 270 per familyManaged Care protocols applyRefractive surgeryR19 780 per familyN/ABasic dentistryPaid from available savings and/or above threshold benefitR4 450 per family, per yearRiskSavingsRiskManaged Care protocols applySpecialised dentistryR5 350 per family, per yearCovered at the Bonitas Dental TariffN/ARiskN/AChronic benefits60 chronic conditionsR1 3 1 7 0 per beneficiaryR26 240 per family 47 chronic conditionsR1 0 790 per beneficiaryR22 320 per family 31 chronic conditions UnlimitedUnlimited for PMBs45 chronic conditionsR9 1 50 per beneficiaryR18 360 per familyUnlimited for PMBsUnlimited for PMBs Please note: M = Main member, A = Adult dependant, C = Child dependant DSP = Designated Service Provider PMB = Prescribed Minimum Benefits* For full details refer to the 2018 Bonitas Product BENEFITS (in addition to savings and day-to-day benefits)International Travel Benefit(per trip)R5 million per beneficiary R10 million per familyN/AContraceptives(per family)R1 500R1 500 at the DSPR1 000 at the DSPM aternity benefits (per pregnancy)
7 Private ward after deliveryYe sN/AAntenatal consultations126126N/A2D ultrasound scans2 Antenatal classesR1 160N/AR1 160N/AAmniocentesis1 Postnatal consultations4 Childcare benefitsHearing screeningNewborns, in or out of hospitalCongenital hypothyroidism screeningInfants under 1 month old24/7 telephonic baby advice lineFor children under 3 yearsPaediatric consultations for children under 1 year3N/A21N/APaediatric consultations for children between ages 1 and 22121GP consultations for children between ages 2 and 122121 Preventative careHIV test per beneficiary1 Flu vaccine per beneficiary1 Full lipogram every 5 years, for members aged 20 and over1N/A1N/AMammogram every 2 years, women between ages 40 - 741N/A1N/APap smear every 3 years, women between ages 21 - 651 Prostate screening antigen test, men between ages 55 - 691N/APneumococcal vaccine every 5 years, members aged 65 and over1 Stool test for colon cancer, members between ages 50 - 751 Bone density screening, women aged 65 and men aged 70 and over1N/AWellness benefitsWellness screening (Blood pressure, glucose, cholesterol, body mass index and waist-to-hip ratio)1 per beneficiaryWellness extender Choose from the following: GP, biokineticist, dietician or physiotherapy consultation(s) or a programme to stop smokingR2 420 per familyConsultations paid at 100% of the Bonitas RateR1 670 per familyConsultations paid at 100% of the Bonitas RateR1 210 per familyConsultations paid at the 100% of Bonitas RateR1 670 per familyConsultations paid at the 100% of Bonitas RateR1 210 per familyConsultations paid at 100% of the Bonitas RateN/A