Bonitas: How claims are paid

By Staff Writer -

Bonfit
  • 100% Scheme tariff
  • There is a Savings Fund for out-of-hospital costs
  • There is cover for out of hospital maternity care, infant paediatric care, and childhood illness benefit. These are paid by scheme, not out of your Savings Fund
  • There are also preventative care benefits
  • See plan for more details
Primary
  • 100% Scheme tariff
  • There is a Day-to-Day Fund for out-of-hospital costs
  • There is cover for out of hospital maternity care, infant paediatric care, and childhood illness benefit. These are paid by scheme, not out of your Savings Fund
  • There are also preventative care benefits
  • See plan for more details
BonSave
  • 100% – 150% Scheme tariff
  • There is a Day-to-Day Fund for out-of-hospital costs
  • Dentistry is paid for by Scheme
  • If you run out of the savings, you can still get up to 6 consultations per year paid for by scheme
  • There is cover for out of hospital maternity care, infant paediatric care, and childhood illness benefit. These are paid by scheme, not out of your Savings Fund
  • There are also preventative care benefits
  • See plan for more details
Standard
  • 100% Scheme tariff
  • There is a Savings and Day-to-Day Fund for out-of-hospital costs
  • There is cover for out of hospital maternity care, infant paediatric care, and childhood illness benefit. These are paid by scheme, not out of your Savings Fund
  • There are also preventative care benefits
  • See plan for more details
BonClassic
  • 100% Scheme tariff
  • There is a Savings Fund for out-of-hospital costs
  • There is cover for out of hospital maternity care. This is paid by scheme, not out of your Savings Fund
  • There are also preventative care benefits
  • See plan for more details
BonComprehensive
  • 100% Scheme tariff
  • There is a Savings Fund for out-of-hospital costs. Once this is depleted, there is a self-payment gap. Once the gap is paid, you get unlimited benefits paid for by scheme, at scheme rate.
  • There is cover for out of hospital maternity care. This is paid by scheme, not out of your Savings Fund
  • There are also preventative care benefits
  • See plan for more details

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