Overall, the Bonitas BonComplete Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers GP or specialist consultations to its members. The Bonitas BonComplete Medical Aid Plan starts from R6,040 ZAR.
π Prescribed Minimum Benefits (PMB) | βοΈ Yes |
βοΈ Medical Savings Account | βοΈ Yes |
π₯ Hospital Cover | Unlimited |
π€ Main Member Contribution | R6,040 ZAR |
π Gap Cover | βοΈ Yes |
πΆ Maternity Benefits | βοΈ Yes |
πΌ Pre- and Postnatal Care | βοΈ Yes |
π Chronic Conditions | βοΈ Yes |
π Home Care | βοΈ Yes |
π Extended Cover for Oncology | βοΈ Yes |
Bonitas Medical Fund is a popular medical aid scheme in South Africa, registered with the Council of Medical Schemes (CMS) under FSP No. 1512.Β The Bonitas BonComplete Plan starts from R6,040.
It includes maternity, in- and out-of-hospital cover, international travel, PMBs, and more.Β Gap Cover is available on the Bonitas BonComplete Plan, along with 24/7 medical emergency assistance.
According to the Trust Index, Bonitas Medical Fund has a trust rating of 4.5.
ππΏ Download the BonComplete Plan for 2025
π Member | π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
βοΈ Contributions | R6,040 | R4,838 | R1,639 |
These benefits cover GP or specialist consultations, acute medicine, X-rays, blood tests, and other out-of-hospital medical expenses.
Please remember that when you complete a wellness screening or online wellness questionnaire, you gain access to the Benefit Booster, which can be used first to pay for out-of-hospital expenses.
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π Member | π€ Main member | π₯ Adult Dependent | π Child Dependent |
π³ Savings Account | R10,848 | R8,688 | R2,940 |
π Self-Payment Gap (SPG) | R2,260 | R1,910 | R495 |
π Threshold Level | R13,108 | R10,598 | R3,435 |
πΆ Above Threshold Benefit (ATB) | R6,010 | R3,520 | R1,540 |
π General Practitioner Consultations (Including Virtual/Online) | Paid from available Medical Savings Account balance or the above threshold benefits. |
π Specialist Consultations | Paid from available Medical Savings Account balance or the above threshold benefits. Your GP must refer you. |
π Blood and other lab tests | Paid from available Medical Savings Account balance or the above threshold benefits. |
β X-Rays and Ultrasounds | Paid from available Medical Savings Account balance or the above threshold benefits. |
π MRIs and CT scans | There is a limit of up to R30,430 per family for in and out-of-hospital scans. There is an R2,800 co-payment per scan unless it is a PMB. Pre-authorization is necessary. |
π Acute Medicine | Paid from available Medical Savings Account balance or the above threshold benefit. Formulary and Bonitas Pharmacy Network apply to the above threshold benefit. 20% co-payment for non-network/non-formulary use in the above threshold benefit |
π Over-the-Counter Medicine | Paid from available Medical Savings Account balance or the above threshold benefit. Formulary and Bonitas Pharmacy Network apply to the above threshold benefit. 20% co-payment for non-network/non-formulary use in the above threshold benefit |
β Homeopathic Medicine | Paid from available Medical Savings Account balance or the above threshold benefit. 20% co-payment for non-network/non-formulary use in the above threshold benefit |
βοΈ Allied Medical Professionals (including Dieticians, Occupational Therapists, etc.) | Subject to the available Medical Savings or above threshold benefits. |
β‘οΈ Physiotherapy, Podiatry, and Biokinetics | Subject to the available Medical Savings or above threshold benefits. |
π© Mental Health Consultations | In and out-of-hospital consultations are included as part of the Mental Health hospitalization benefit. There is a limit of up to R20,310 per family. |
π General Medical Appliances such as crutches and wheelchairs | Subject to the available Medical Savings or above threshold benefits. Frequency limits per the Managed Care Protocols apply. Must use a preferred supplier. |
π Insulin Pumps or Continuous Glucose Monitors | There is a limit of R89,420 per family every 5 years. Consumables are limited to R89,420 per family. There is only one device allowed per family yearly. |
π Optometry | Subject to the available Medical Savings or above threshold benefits. The benefit is available per beneficiary once every two years, depending on the date of the previous claim. Every beneficiary can choose between glasses and contact lenses but cannot have both. |
ποΈβπ¨οΈ Eye Tests | One consultation per beneficiary at a network provider or an eye examination at a non-network provider for R400 per beneficiary. |
ποΈ Single-vision Lenses (clear) | 100% of the cost of lenses at network rates of R215 per lens, per beneficiary, if purchased outside of the network. |
π€ Bifocal Lenses (clear) | 100% of the cost of lenses at network rates of R460 per lens, per beneficiary, if purchased outside the network. |
π Multifocal lenses | Base lens costs are fully covered at in-network providers or up to R860 per beneficiary at non-network locations. |
π Frames only | There is a limit of R990 per beneficiary. |
π Contact lenses | There is a limit of R2,435 per beneficiary. |
π Basic Dentistry | Covered according to the Bonitas Dental Tarif. Subject to the Dental Management Programme of Bonitas. |
π€ Consultations | Each beneficiary receives two annual check-ups (once every 6 months). |
π¦· Intra-Oral X-Rays | Managed Care Protocols apply to this benefit. |
πͺ₯ Extra-Oral X-Rays | Each beneficiary can receive one every three years. |
β Preventative Care | Beneficiary services include two scaling and polishing treatments once yearly (every 6 months). Only children under the age of 16 are eligible for fissure sealants. Fluoride treatments are only covered for children under the age of 16 years. |
βοΈ Fillings | Fillings are covered once every two years per tooth. The benefit of tooth re-treatment is subject to Managed Care protocols. Multiple fillings may necessitate a treatment plan and X-rays. |
π Root Canal Therapy and Extractions | Managed Care Protocols apply to this benefit. |
π Plastic Dentures and Associated Lab Costs | One set of plastic dentures (upper and lower) every 4 years per beneficiary. Pre-authorization is required for treatment. |
π¦· Specialized Dentistry | Subject to the Bonitas Dental Management Programme, covered at the Bonitas Dental Tariff. |
βοΈ Partial Chrome Cobalt frame dentures and lab costs | One partial frame (upper or lower) once every 5 years. Managed Care protocols apply. Pre-approval is required. |
π· Crowns, bridges, and lab costs | One crown per year per family. Crowns will be covered once every 5 years per tooth. A treatment plan, as well as X-rays, may be required. Pre-approval is required. |
β‘οΈ Orthodontics and lab fees | Orthodontic treatment is only available once per beneficiary per lifetime. An orthodontic needs analysis will be used to evaluate pre-authorization cases clinically. The outcome of the needs analysis determines benefit allocation, and funding can be granted up to 65% of the Bonitas Dental Tariff. Where function is impaired, orthodontic treatment will be covered (not granted for cosmetic reasons). In a calendar year, only one family member may begin orthodontic treatment. Beneficiaries must be under 18 to be eligible for fixed comprehensive treatment. |
π© Periodontics | Pre-authorization is required and Managed Care Protocols apply. The benefit is limited to conservative, non-surgical therapy and will only be available to Periodontal Programme members. |
π Surgery in the dental chair | Managed Care protocols apply. |
π Hospitalization and general anesthetic | A co-payment of R3 500 is required for children under the age of 5, and R5 000 is required for any other admission, including the removal of impacted teeth or any other medical condition. Children under the age of 5 are only eligible for general anesthesia for extensive dental treatment once in their lifetime. Using a hospital on the relevant network can avoid a 30% co-payment. For the removal of impacted teeth, general anesthesia is available. Pre-approval is required. Managed Care protocols are in effect. |
β‘οΈ Inhalation sedation in the dentistβs rooms | Managed Care Protocols will apply. |
π€ Moderate/deep sedation in the dentistβs rooms | This benefit is limited to conservative dental treatment and Managed Control Protocols apply. Members need pre-authorization for this procedure. |
BonComplete covers 32 chronic conditions by utilizing the applicable medication formulary. You must use Pharmacy Direct, the Bonitas Designated Service Provider, to obtain your medication.
If you do not use Pharmacy Direct or medication not on the formulary, you must pay a 40% co-payment.
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Furthermore, The Bonitas BonComplete Plan Covers the following PMBs:
and many more….
BonComplete covers the following additional chronic conditions:
Available upon completion of a wellness questionnaire or screening. There is an R2,070 limit per family that can be used for a range of out-of-hospital claims, including the following:
When an adult recipient has completed a wellness screening or online wellness questionnaire, dependent children are eligible for the Benefit Booster.
This benefit offers the following:
Four postpartum consultations with a midwife (1 can be used for a consultation with a lactation specialist).
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With this benefit, members can get the following benefits:
π New for 2025 :
Finally, A Baby bag containing baby care necessities.
There is one wellness examination per recipient at a participating pharmacy, biokinetics, or Bonita’s wellness day from Bonitas Medical Scheme. The health examination includes the following tests:
This benefit includes the following:
and many more!
A 40% co-payment applies if you choose not to use a Designated Service Provider.
This benefit is subject to authorization but provides in-hospital and out-of-hospital treatment at 100% of Bonita’s Rate.
This benefit offers the following benefits:
π New for 2025:
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Before departure, you must register for this benefit. The Bonitas BonComplete Plan International Travel Benefit covers up to R2.5 million in medical emergency cover per family when traveling outside South Africa.
Furthermore, an additional benefit for medical quarantine is up to R10,000 per recipient if Covid-19 is detected.
This benefit offers the following:
Hospital-at-Home requires prior authorization.
The Bonitas BonComplete Planβs Cancer Cover benefit works in the following ways:
Specialists from the Bonitas Oncology Network are utilized.
This benefit works in the following ways:
This benefit works in the following ways:
This benefit works in the following ways:
Members can use the DBC network.
This benefit works in the following ways:
Employs a multidisciplinary team dedicated to assisting with successful recovery Treatment is fully covered by the ICPS and Joint Care networks.
This benefit provides coverage for major medical events resulting in the beneficiaryβs hospitalization.
In addition, members have access to private hospital cover, and authorization in advance is mandatory.Β A co-payment may be required for admissions or procedures, and Managed Care Protocols may apply depending on the procedure or treatment.
Please note that if you utilize a hospital within the applicable network, you can avoid a 30% co-payment with the BonComplete option.
π Specialist Consultations in-hospital | At Bonita’s Rate, all network specialists are covered in full. Non-network specialists are paid at 100% of Bonita’s Rate. |
π GP Consultations in-hospital | Unlimited, with 100% cover according to Bonita’s Rate |
π Blood Tests and other lab tests | Unlimited, with 100% cover according to Bonita’s Rate |
π X-Rays and Ultrasounds | Unlimited, with 100% cover according to Bonita’s Rate |
π₯ MRI and CT scans | There is an R30,430 limit per family in and out-of-hospital. Pre-authorization is required for MRIs and CT scans. There is an R2,800 co-payment per scan unless it is for a PMB. |
π Allied Medical Professionals | Subject to a referral from a treating physician. Covered according to Bonita’s Rate. |
π Physiotherapy, Podiatry, and biokinetics | The benefit is covered according to Bonita’s Rate. A treatment practitioner referral is required. |
π Internal and External Prostheses | Subject to Managed Care Protocols. There is a limit of up to R57,630 There is a sub-limit of R6,860 for breast prostheses, which is limited to two per year. |
ποΈβπ¨οΈ Cataract Surgery | Members can avoid an R7,420 co-payment by only using a DSP. |
βοΈ Spinal Surgery | Conditional upon an evaluation or conservative treatment by the Designated Service Provider. |
𦡠Hip and Knee Replacements | Use the Designated Service Provider to avoid an R37 080 co-payment. |
βοΈ Mental Health Hospitalization | There is coverage up to R41,190 per family. Physiotherapy for mental health admissions is not covered. Utilize a hospital within the applicable network to avoid a 30% coinsurance. |
π Take-Home Medicine after discharge | Members receive up to 7 daysβ supply, up to R535 per hospital stay |
β Physical Rehabilitation | There is a limit of up to R64,680 per family. |
π₯ Hospitalization Alternatives | There is a limit of R21,570 per household. Managed Care rules apply. |
π© Palliative Care (Only for Cancer) | Unlimited but subject to the DSP. Includes hospice and private nursing, oxygen at home, pain management, and support from a psychologist and a social worker. |
π Cancer Treatment | Unlimited for PMBs. Bonitas covers up to R280,100 per family for non-PMBs, which is paid up to 80%, according to the DSP. There is no cover for non-DSPs once the limit is reached. There is a 30% co-payment when members use a non-DSP. There is a sub-limit of R60,680 that applies per beneficiary for Brachytherapy. |
π Cancer Medicine | Subject to the Medicine Price List and the Preferred Product List Use a Designated Service Provider to avoid a 20% co-payment. |
π Non-Cancer Specialized Medicine (such as biological medicine) | Only available to PMB conditions. |
π Organ Transplants | Unlimited Cover. There is a sub-limit of R41,070 for corneal grafts. |
π· Kidney Dialysis | Unlimited cover. Members can avoid a 20% co-payment by using a DSP. |
β‘οΈ HIV/AIDS | If you register for HIV/AIDS, the cover is unlimited. Chronic medicine can only be obtained from a DSP. |
βοΈ Defined List of Day Surgery Procedures | Use a network day hospital to avoid an R2,720 co-payment. |
The following is currently not covered by the Bonitas BonComplete Plan:
and more. A full list will be provided from Bonitas on request.
Depending on pre-existing or existing conditions, the following might apply when you register for medical cover with the Bonitas BonComplete Plan:
π Bonitas Plan | π₯ Bonitas BonComplete Plan (2025) | π₯ Profmed ProSecure Savvy (2024) | π₯ Umvuzo Health Extreme (2024) |
π° Prescribed Minimum Benefits (PMB) | βοΈ Yes | βοΈ Yes | βοΈ Yes |
πΌ Maternity Benefits | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π€ Main Member Contribution | R6,040 ZAR | R3,464 ZAR | R4,093 ZAR |
π₯ Adult Dependent Contribution | R4,838 ZAR | R3,464 ZAR | R3,847 ZAR |
πΆ Child Dependent Contribution | R1,639 ZAR | R1,570 ZAR | R1,371 ZAR |
π Gap Cover | βοΈ Yes | βοΈ Yes | β No |
π International Cover | R2.5 million | R8 million | β No |
βοΈ HIV Care Program | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π Cardio Care Program | β No | βοΈ Yes | βοΈ Yes |
π The Bonitas BonComplete Plan provides members with comprehensive coverage for both in-hospital and out-of-hospital medical expenses and a range of additional benefits.
π One of the unique features of the BonComplete plan is its unlimited private hospital cover, which means that members can receive treatment in any private hospital without having to worry about reaching a prescribed limit.
You might also like to consider the following plans Bonitas has to offer:
The Bonitas BonComplete plan offers many benefits, including unlimited private hospital cover, chronic medication cover, preventative care, and maternity benefits.
Yes, the Bonitas BonComplete plan covers pre-existing conditions, but there may be waiting periods for certain conditions.
Yes, there are co-payments for certain procedures on the Bonitas BonComplete plan. These co-payments vary depending on the procedure.
Yes, the Bonitas BonComplete plan covers dental and optical services, subject to certain limits.
No, there is no limit on the number of GP and specialist visits on the Bonitas BonComplete plan.
Yes, the Bonitas BonComplete plan provides unlimited private hospital cover, which means you can use any private hospital.
The waiting period for maternity benefits on the Bonitas BonComplete plan is 12 months.
Bonitasβ rates start from 1,378 ZAR and go up to 9,853 ZAR, depending on your plan and family size.
You can access day-to-day benefits such as unlimited GP consultations, virtual care layers, dental and optical consultations, a network of private hospitals, and more.
You can send the statement and claim form to Bonitas via post, email, or by handing it in at a walk-in center.
You must register chronic conditions with Bonitas and register the medicine you require.
If you are searching for new medical aid because you require immediate medical coverage, you will likely be subject to a waiting period unless you are fortunate enough to join an employer group with an exemption.
Unfortunately, however, it is not typical for medical aids to waive waiting periods for sick patients.
Medical plans such as Bonitas will assist you in paying for your healthcare expenses, such as doctorβs visits, nursing, surgery, dental work, optometry, medicine, and hospitalization, when necessary.
Because pregnancy is considered a pre-existing condition, it is excluded from all benefits for the first year of membership.
Unless you were already a medical aid member before becoming pregnant, there is no medical cover for the period leading up to the birth, nor for the birth itself.
Mothers without medical insurance should inquire about special maternity packages at their preferred private hospital. These packages typically cost less than medical aid rates but must be paid in full before delivery.
Bonitas offers Maternity care and a maternity program for existing members who were part of the scheme before becoming pregnant. This benefit includes antenatal consultations, classes, ultrasound scans, amniocentesis, consultations with a midwife after delivery, and more.
Call the Babyline number 0860 999 121 to register for the Bonita’s baby bag. When you call, you must have the following information available: Your membership number, authorization number (delivery pre-authorization), contact information, and desired delivery address.
Adriaan holds an MBA and specializes in medical aid research. With his commitment to perfection, he ensures the accuracy of all data presented on medicalaid.com every three months. When he is not conducting research, Adriaan can be found indulging in his passion for trout fishing amidst nature.
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