Bonitas other benefits: 2017

Oct 16, 2016

Below is a full list of how each Bonitas plan pays for “other” benefits.

Use the menu bar above for more options. Or go to the Bonitas home page.

Bon series

Bonitas BonFit 2017: Other Benefits

In brief: 100% scheme rate for specialists. Some co-payments. Over and above the savings fund, scheme pays out-of-hospital claims for: maternity, infant paediatrics, preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

1. General Appliances:

Paid from day-to-day benefit

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Total Cost:	R1,789	R1,385	R535
Children:	Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
	Main:	Adult:	Child:
(S) Savings:	R3,228	R2,496	R960

Compare with these plans:

Bonitas Essential 2017

1.1. Hearing Aids:

Paid from day-to-day benefit

1.2. Wheelchairs:

Paid from day-to-day benefit

2. Dialysis:

Unlimited (in-hospital) at DSP

3. HIV:

In-hospital: Unlimited if you register on the HIV/AIDS programme
Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols

4. Emergency Transport:

5. International Coverage:

6. Other:

View this plan | Sign up for this plan

Bonitas BonSave 2017: Other Benefits

In brief: 100% scheme rate for specialists. Some co-payments. Over and above the savings fund, scheme pays out-of-hospital claims for: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

1. General Appliances:

General Appliances: R6,200 per family. paid by scheme.
Stoma products: Additional R5,900
Foot orthotics: day-to-day benefit

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Total Cost:	R2,135	R1,654	R640
Children:	Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
	Main:	Adult:	Child:
(S) Savings:	R4,104	R3,180	R1,236

Compare with these plans:

Bonitas Primary 2017

1.1. Hearing Aids:

See "General Appliances" limit

1.2. Wheelchairs:

See "General Appliances" limit

2. Dialysis:

Unlimited (in-hospital) at DSP

3. HIV:

In-hospital: Unlimited if you register on the HIV/AIDS programme
Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols

4. Emergency Transport:

5. International Coverage:

6. Other:

View this plan | Sign up for this plan

Bonitas BonComplete 2017: Other Benefits

In brief: 100% scheme rate for specialists. Over and above the savings/threshold fund, scheme pays out-of-hospital claims for: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings, or from above threshold benefit or from out of pocket, unless PMB.

1. General Appliances:

Paid from day-to-day benefit

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Total Cost:	R2,923	R2,340	R794
Children:	Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology, mental health, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings, or from above threshold benefit or from out of pocket, unless PMB.
	Main:	Adult:	Child:
(S) Savings:	R5,256	R4,200	R1,428
(SP) Self Payment:	R1,568	R1,326	R336
Threshold (S+SP):	R6,824	R5,526	R1,764
Above Threshold:	R4,150	R2,450	R1,060

Compare with these plans:

Bonitas Standard 2017

1.1. Hearing Aids:

See "General Appliances" limit

1.2. Wheelchairs:

See "General Appliances" limit

2. Dialysis:

Unlimited (in-hospital) at DSP

3. HIV:

In-hospital: Unlimited if you register on the HIV/AIDS programme
Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols

4. Emergency Transport:

5. International Coverage:

6. Other:

View this plan | Sign up for this plan

Bonitas BonClassic 2017: Other Benefits

In brief: 100% scheme rate for specialists. Over and above the savings fund, scheme pays out-of-hospital claims for: specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.

1. General Appliances:

General Appliances: R7,000 per family. paid by scheme.
Foot orthotics: paid from day-to-day benefit

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Total Cost:	R3,648	R3,132	R900
Children:	Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings or from out of pocket, unless PMB.
	Main:	Adult:	Child:
(S) Savings:	R6,192	R5,316	R1,524

Compare with these plans:

Bonitas BonComprehensive 2017

1.1. Hearing Aids:

R15,200 per family every three years, with a 10% co-payment

1.2. Wheelchairs:

See "General Appliances" limit

2. Dialysis:

Unlimited

3. HIV:

In-hospital: Unlimited if you register on the HIV/AIDS programme
Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols

4. Emergency Transport:

5. International Coverage:

6. Other:

View this plan | Sign up for this plan

Bonitas BonComprehensive 2017: Other Benefits

In brief: 300% scheme rate. Over and above the savings/threshold benefit, scheme pays out-of-hospital claims for: specialised radiology, mental health, refractive surgery, medical appliances, hearing aids, optometry, maternity, infant paediatrics and preventative benefits. Limits apply. Unlimited threshold with a self payment gap and sub-limits. All else paid from savings or from out of pocket, unless PMB.

1. General Appliances:

General Appliances: R7,550 per family. paid by scheme.
Stoma products: Additional R5,550
Foot orthotics: paid from savings

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Total Cost:	R5,254	R4,956	R1,069
Children:	Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: specialised radiology, mental health, refractive surgery, medical appliances, hearing aids, optometry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from savings, above threshold or from out of pocket.
	Main:	Adult:	Child:
(S) Savings:	R11,892	R11,220	R2,424
(SP) Self Payment:	R3,600	R2,980	R1,370
Threshold (S+SP):	R15,492	R14,200	R3,794
Above Threshold:	No limit	No limit	No limit

Compare with these plans:

Bonitas BonClassic 2017

1.1. Hearing Aids:

R23,200 per family every 2 years, with a 10% co-payment

1.2. Wheelchairs:

See "General Appliances" limit

2. Dialysis:

Unlimited

3. HIV:

In-hospital: Unlimited if you register on the HIV/AIDS programme
Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols

4. Emergency Transport:

5. International Coverage:

6. Other:

View this plan | Sign up for this plan

Other Plans

Bonitas Essential 2017: Other Benefits

In brief: 100% scheme rate for specialists. Some co-payments. Scheme pays out-of-hospital claims for: maternity and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.

1. General Appliances:

No benefit

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Total Cost:	R1,473	R1,127	R432
Children:	Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: maternity and preventative benefits. Limits apply. All else paid from out of pocket, unless PMB.
	Main:	Adult:	Child:
(S) Savings:	R0-	R0-	R0-

Compare with these plans:

Bonitas BonFit 2017

1.1. Hearing Aids:

No benefit

1.2. Wheelchairs:

No benefit

2. Dialysis:

Unlimited (in-hospital) at DSP

3. HIV:

In-hospital: Unlimited if you register on the HIV/AIDS programme
Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols

4. Emergency Transport:

5. International Coverage:

No benefit

6. Other:

View this plan

Bonitas Primary 2017: Other Benefits

In brief: 100% scheme rate for specialists. Some co-payments. Over and above the fund, scheme pays out-of-hospital claims for: GPs, mental health, specialised radiology, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.

1. General Appliances:

General Appliances: R6,200 per family. paid by scheme.
Stoma products: Additional R5,900
Foot orthotics: No benefit

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Total Cost:	R1,924	R1,505	R613
Children:	Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, mental health, specialised radiology, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
	Main:	Adult:	Child:
(S) Savings:	R0-	R0-	R0-

Compare with these plans:

Bonitas BonSave 2017

1.1. Hearing Aids:

See "General Appliances" limit

1.2. Wheelchairs:

See "General Appliances" limit

2. Dialysis:

PMBs only

3. HIV:

In-hospital: Unlimited if you register on the HIV/AIDS programme
Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols

4. Emergency Transport:

5. International Coverage:

6. Other:

View this plan | Sign up for this plan

Bonitas Standard 2017: Other Benefits

In brief: 100% scheme rate for specialists. Over and above the fund, scheme pays out-of-hospital claims for: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.

1. General Appliances:

General Appliances: R6,900 per family. paid by scheme.
Stoma products: Additional R5,900
Foot orthotics: No benefit

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Total Cost:	R2,998	R2,600	R880
Children:	Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
	Main:	Adult:	Child:
(S) Savings:	R0-	R0-	R0-

Compare with these plans:

Bonitas Standard Select 2017

1.1. Hearing Aids:

R14,400 per family every two years, with a 20% co-payment

1.2. Wheelchairs:

See "General Appliances" limit

2. Dialysis:

Unlimited

3. HIV:

In-hospital: Unlimited if you register on the HIV/AIDS programme
Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols

4. Emergency Transport:

5. International Coverage:

6. Other:

View this plan | Sign up for this plan

Bonitas Standard Select 2017: Other Benefits

In brief: 100% scheme rate for specialists. Network hospitals. Over and above the fund, scheme pays out-of-hospital claims for: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.

1. General Appliances:

General Appliances: R6,900 per family. paid by scheme.
Stoma products: Additional R5,900
Foot orthotics: No benefit

	Main:	Adult:	Child:
Overall Annual Limit (OAL):
Unlimited overall, with sub-limits
Contributions:
Total Cost:	R2,597	R2,247	R760
Children:	Pay for maximum 3 children
Day-to-Day Benefit:
Out-of-hospital, scheme pays for some: GPs, specialised radiology, mental health, medical appliances, hearing aids, optometry, dentistry, maternity, infant paediatrics and preventative benefits. Limits apply. All else paid from fund or from out of pocket, unless PMB.
	Main:	Adult:	Child:
(S) Savings:	R0-	R0-	R0-

Compare with these plans:

Bonitas Standard 2017

1.1. Hearing Aids:

R14,400 per family every two years, with a 20% co-payment

1.2. Wheelchairs:

See "General Appliances" limit

2. Dialysis:

Unlimited

3. HIV:

In-hospital: Unlimited if you register on the HIV/AIDS programme
Since HIV is a PMB certain out-of-hospital benefits are automatically covered by all schemes according to protocols

4. Emergency Transport:

5. International Coverage:

6. Other:

View this plan | Sign up for this plan

Medical Aid Bible helps South Africans choose the best medical aid plan for their needs. Quickly view the benefits on any open plan, and compare any two plans with a simple click.
.