Overall, the Bonitas BonComprehensive Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers international cover and PMBs to its members. The Bonitas BonComprehensive Medical Aid Plan starts from R11,321 ZAR.
π Prescribed Minimum Benefits (PMB) | βοΈ Yes |
βοΈ Screening and Prevention | βοΈ |
π³ Medical Savings Account | Up to R25,632 (Main) |
π Oncology Cover | R448,200 ZAR |
πΌ Maternity Benefits | βοΈ |
π Annual Limit | Unlimited Hospital Cover |
π International Cover | R2.5 million |
β‘οΈ Gap Cover | βοΈ |
π€ Main Member Contribution | R11,321 ZAR |
π Home Care | βοΈ |
Overall, 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 BonComprehensive Plan starts from R11,321.
It includes maternity, in- and out-of-hospital cover, international travel, PMBs, and more.Β Gap Cover is available on the Bonitas BonComprehensive Plan, along with 24/7 medical emergency assistance.
According to the Trust Index, Bonitas Medical Fund has a trust rating of 4.5.
π Download the Boncomprehensive guide for 2025
π Members | π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
πΆ Contributions | R11,321 ZAR | R10,676 ZAR | R2,306 ZAR |
These benefits cover visits to your primary care physician or specialist, acute medicine, X-rays, blood tests, and other outpatient medical expenses.Β Please note that when you complete a wellness screening or online wellness questionnaire, the Benefit Booster is unlocked and can be used to pay for out-of-hospital expenses first.
ππΏ Discover the 5 Best Hospital Plans under R300
Once your annual savings are depleted, you will be responsible for your day-to-day medical expenses until you have paid the full self-payment gap.Β Then, you will have access to your benefit above the threshold. Please submit all claims you have paid towards the self-payment gap to Bonitas so that the scheme can inform you when you have access to your benefit above the threshold.Β However, members should note that not all claims will contribute to your self-payment gap. Furthermore, all claims will accumulate according to Bonita’s Rate.
π Members | π€ Main member | π₯ Adult Dependent | π Child Dependent |
π³ Savings Account | R25,632 | R24,168 | R5,220 |
πΆ Self-Payment Gap (SPG) | R5,210 | R4,320 | R1,970 |
π Threshold Level | R30,842 | R28,488 | R7,190 |
π Above Threshold Benefit (ATB) | Unlimited | Unlimited | Unlimited |
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. |
βοΈ 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 R38,470 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. |
βοΈ 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 There is an above threshold limit of R17,850 per family combined with OTC medicine. |
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. There is an above-threshold limit of R17,850 per family combined with acute medicine. |
β‘οΈ 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. |
π 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 | Paid from available savings or above-the-threshold benefit, R4,053 per beneficiary, once every two years (based on the date of your previous claim). Every beneficiary can choose between glasses and contact lenses but cannot have both. |
π Eye Tests | One consultation per beneficiary at a network provider or an eye examination at a non-network provider for R400 per beneficiary. |
ποΈβπ¨οΈ 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. |
ποΈ Bifocal Lenses (clear) | 100% of the cost of lenses at network rates of R460 per lens, per beneficiary, if purchased outside the network. |
β‘οΈ 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 | Subject to the available Medical Savings or above threshold benefits. Subject to the Optometry sub-limit. |
π Contact lenses | Subject to the available Medical Savings or above threshold benefits. Subject to the Optometry sub-limit. |
βοΈ Hearing Aids | R10 900 per device (maximum two devices per beneficiary), once every 3 years (based on the date of your previous claim) Avoid a 25% co-payment by using a DSP All tests and consultations limited to the Hearing Loss Management Programme and use of a network provider. Claims outside the Hearing Loss Management Programme paid from available savings and/or above threshold benefit |
π¦· Basic Dentistry | Subject to the available Medical Savings or above threshold benefits. Subject to the Dental Management Programme of Bonitas. Covered according to the Bonitas Dental Tariff. |
πͺ₯ Consultations | Each beneficiary receives two annual check-ups (once every 6 months). |
β Intra-Oral X-Rays | Managed Care Protocols apply to this benefit. |
βοΈ Extra-Oral X-Rays | Each beneficiary can receive one every three years. |
βοΈ Preventative Care | Beneficiary services include two scaling and polishing treatments once yearly (every 6 months). Only children under the age of 16 and above 5 years are eligible for fissure sealants. Fluoride treatments are only covered for children under the age of 16 years. |
β³οΈ 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. |
π Partial Chrome Cobalt frame dentures and lab costs | Two partial frames (upper or lower) once every 5 years. Managed Care protocols apply. Pre-approval is required. |
π¦· Crowns, bridges, and lab costs | Three crowns 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. |
πͺ₯ Implants and Associated Lab fees | Two implants per beneficiary every 5 years. There is a limit of R3,563 per implant to cover the cost of components. |
πΆ 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 100% of the Bonitas Dental Tariff. Where function is impaired, orthodontic treatment will be covered (not granted for cosmetic reasons). Only one family member may begin orthodontic treatment per year. Beneficiaries must be between 9 and 18 to be eligible for fixed comprehensive treatment. |
βοΈ 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. |
BonComprehensive covers 60 chronic conditions.
Your chronic medicine benefit is R18,040 per beneficiary and R35,920 per family on the applicable medicine formulary.Β If you use a medication that is not on the formulary, you must pay a 30% co-payment. However, after you have paid the above amount, you will still be covered for the 27 Prescribed Minimum Benefits listed.
In addition, your medication must be obtained from the Bonitas Pharmacy Network, and Pre-approval is required.Β The Bonitas BonComprehensive Plan Covers the following PMBs:
and many more….
ππΏ You might like: 5 Best Medical Aids for Students
BonComprehensive covers the following additional chronic conditions:
and many more….
Available upon completion of a wellness questionnaire or screening. There is an certain 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:
After-delivery private ward – up to 3 days.
ππΏ POLL: Best Medical Aids in South Africa Cover IVF
With this benefit, members can get the following benefits:
ππΏ Try our free Ovulation Calculator
There is one wellness examination per recipient at a participating pharmacy, biokinetics, or Bonita’s wellness day. The health examination includes the following tests:
This benefit includes the following:
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:
ππΏ Read more about Health Insurance for Children
Before departure, you must register for this benefit. The Bonitas BonComprehensive 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.
A digital platform intended to facilitate membersβ access to mental health information, community support, and professional assistance.
This benefit offers the following:
The Bonitas BonComprehensive Planβs Cancer Cover benefit works in the following ways:
This benefit works in the following ways:
Finds a registered therapist for face-to-face emotional support.
This benefit works in the following ways:
Accessible to all female members aged 18 and above:
β’ π Guidance, support, and education led by women’s healthcare experts.
β’ π Early detection of diseases and seamless access to specialised care.
β’ π Proactive support in accessing essential healthcare services.
β’ π Promotion of preventative healthcare strategies tailored to women’s needs.
β’ π Online health assessments tailored to female health concerns.
β’ π Empowerment of women to actively manage their health.
This benefit works in the following ways:
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 cover for major medical events resulting in the beneficiaryβs hospitalization. In addition, members have access to private hospital cover, and authorization in advance is mandatory.
A co-payment may be required for admissions or procedures, and Managed Care Protocols may apply depending on the procedure or treatment.
π Specialist Consultations in-hospital | Unlimited, with 150% cover according to the Bonitas Rate. |
π GP Consultations in-hospital | Unlimited, with 100% cover according to the Bonitas Rate. |
π Blood Tests and other lab tests | Unlimited, with 100% cover according to the Bonitas Rate. |
βοΈ X-Rays and Ultrasounds | Unlimited, with 100% cover according to the Bonitas Rate. |
β MRI and CT scans | There is an R38,470 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 | Unlimited, with 100% cover according to Bonita’s Rate. Covered according to Bonita’s Rate. |
π Physiotherapy, Podiatry, and biokinetics | Unlimited, with 100% cover according to Bonita’s Rate. A treatment practitioner referral is required. |
π Internal and External Prostheses | There is a limit of up to R67,640 for internal prostheses per family. There is a limit of up to R67,640 for external prostheses per family. There is a sub-limit of R6,450 for breast prostheses, which is limited to two per year. |
π Internal Nerve Stimulators | Cover of up to R203,200 is available per family. |
π Deep Brain Stimulation (excluding prostheses) | Cover of up to R286,500 is available per family. |
βοΈ Cochlear Implants | Cover of up to R341,000 is available per family. |
β Cataract Surgery | Members can avoid an R7,420 co-payment by only using a DSP. |
π Refractive Surgery | There is a limit of R25,500 per family, and pre-authorization is required for this procedure. |
π Spinal Surgery | Conditional upon an evaluation or conservative treatment by the Designated Service Provider. |
π Hip and Knee Replacements | Use the Designated Service Provider to avoid an R37,080 co-payment. |
π Mental Health Hospitalization | There is coverage up to R59,920 per family. Physiotherapy for mental health admissions is not covered. |
π Take-Home Medicine after discharge | Members receive up to 7 daysβ supply, up to R670 per hospital stay |
βοΈ Physical Rehabilitation | There is a limit of up to R60,900 per family. |
β Hospitalization Alternatives | There is a limit of R20,310 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 R448,200 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. There is R448,200 available for specialized medicine, including biological medicine. |
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) | There is R247,400 available per family. |
π Organ Transplants | Unlimited Cover. There is a sub-limit of R38,670 for corneal grafts. |
βοΈ Kidney Dialysis | Unlimited cover. Members can avoid a 20% co-payment by using a DSP. |
β HIV/AIDS | If you register for HIV/AIDS, the cover is unlimited. |
π 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 BonComprehensive Plan:
and more. a Fill list will be provided on request.
ππΏ You might like to read more about 5 Best Medical Aids under R300
Depending on pre-existing or existing conditions, the following might apply when you register for medical cover with the Bonitas BonComprehensive Plan:
A late-joiner contribution penalty will apply.
π Plan | Bonitas BonComprehensive Plan (2025) | Discovery Health Executive Plan (2025) | Keyhealth Platinum (2024) |
π Prescribed Minimum Benefits (PMB) | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π Screening and Prevention | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π³ Medical Savings Account | Up to R25,632 ZAR | Up to R34,284 ZAR | Up to R12,445 ZAR |
πΌ Maternity Benefits | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π Home Care | βοΈ Yes | βοΈ Yes | β No |
π International Cover | R2.5 million | Up to US$1 million | R6 million |
π€ Main Member Contribution | R11,321 | R11,430 | R11,308 |
π₯ Adult Dependent Contribution | R10,676 | R11,430 | R7,929 |
πΆ Child Dependent Contribution | R2,306 | R2,185 | R2,388 |
π The BonComprehensive medical aid plan is one of the most popular medical aid plans offered by Bonitas Medical Fund in South Africa.
π BonComprehensive is the top plan from Bonitas that provides members with extensive cover for both in-hospital and out-of-hospital medical expenses and a range of additional benefits.
You might also like to consider the following plans Bonitas has to offer:
The Bonitas BonComprehensive plan is a comprehensive medical aid plan offered by Bonitas Medical Fund in South Africa. It provides members with extensive cover for both in-hospital and out-of-hospital medical expenses and a range of additional benefits.
Yes, Bonitas covers two dental implants per beneficiary every 5 years. However, some limits apply to this benefit.
The Bonitas BonComprehensive plan offers many benefits, including unlimited private hospital coverage, coverage for chronic medication, preventative care, maternity benefits, and coverage for certain alternative therapies.
Bonitas offers comprehensive dental coverage on the BonComprehensive plan, including basic and specialized dentistry, crowns, braces, implants, bridges, dentures, and more.
Yes, there are exclusions on the Bonitas BonComprehensive plan, which may include cosmetic surgery, certain elective procedures, and experimental treatments.
Bonitasβ Plans provide a daily maximum with sub-limits for GP and specialist consultations, acute and over-the-counter medication, X-rays and blood tests, and other out-of-hospital medical expenses, as well as risk-based additional benefits, among other benefits.
Yes, the Bonitas BonComprehensive plan covers pre-existing conditions, but there may be waiting periods for certain conditions.
Ensure that you are on a medical aid plan that covers basic and specialized dentistry. Furthermore, ensure that you use a dentist on your medical aidβs Designated Service Provider list.
Yes, there are co-payments for certain procedures on the Bonitas BonComprehensive plan. These co-payments vary depending on the procedure.
Yes, the Bonitas BonComprehensive plan covers dental and optical services, subject to certain limits.
Bonitas provides members access to its βHospital at Homeβ benefit, including alternative ward admission, step-down facilities, remote patient monitoring, and more.
No, there is no limit on the number of GP and specialist visits on the Bonitas BonComprehensive plan.
There is no age limit on the dental treatment offered by Bonitas.
Yes, the Bonitas BonComprehensive plan provides unlimited private hospital cover, which means you can use any private hospital.
The waiting period for maternity benefits on the Bonitas BonComprehensive plan is 10 months.
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.
You might also like
Free Medical Aid Quote
MEDICAL AID FROM R1870 P/M
We work with leading medical aid companies in South Africa.
π Report a bug or outdated data to be updated to [email protected]
Β© Medicalaid.com | All rights Reserved |
Copyright 2024
Top 5 Medical Aids
Top 5 Gap Cover Plans
In the Media
Your compare list
BackAFFORDABLE HEALTH PLANS FROM R509 PER MONTH