Bonitas Hospital Standard Medical Plan
Overall, the Bonitas Hospital Standard Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and International cover for up to 3 Family Members. The Bonitas Hospital Standard Medical Aid Plan starts from R2722 ZAR.
| 👤 Main Member Contribution | R2,592 ZAR |
| 👥 Adult Dependent Contribution | R2,184 ZAR |
| 💙 Child Dependent Contribution | R986 ZAR |
| 🔁 Gap Cover | ☑️ Yes |
| 🏠 Home Care | ☑️ Yes |
| 🏥 Hospital Cover | Unlimited |
| 📊 Annual Limit | ☑️ Yes |
| 🌎 International Cover | R10 million ZAR |
| 📉 Prescribed Minimum Benefits (PMB) | ☑️ Yes |
| 📎 Screening and Prevention | ☑️ Yes |
Bonitas Hospital Standard Plan Review – 9 Key Point Quick Overview
- ☑️ Bonitas Hospital Standard Plan Overview
- ☑️ Bonitas Hospital Standard Plan Contributions
- ☑️ Bonitas Hospital Standard Benefits and Cover Comprehensive Breakdown
- ☑️ Bonitas Hospital Standard Plan Additional Benefits
- ☑️ Bonitas Hospital Standard Plan In-Hospital Benefits
- ☑️ Bonitas Hospital Standard Plan Exclusions and Waiting Periods
- ☑️ Bonitas Hospital Standard Plan vs. Other Bonitas Medical Fund Plan Options
- ☑️ Our Verdict on the Bonitas Hospital Standard Plan
- ☑️ Bonitas Hospital Standard Plan Frequently Asked Questions
Bonitas Hospital Standard Plan Overview
The Bonitas Hospital Standard Plan starts from R2,722. It includes maternity, in- and out-of-hospital cover, international travel, PMBs, and more.
Gap Cover is available on the Bonitas Hospital Standard Plan, along with 24/7 medical emergency assistance.
According to the Trust Index, Bonitas Medical Fund has a trust rating of 4.5.
Bonitas Hospital Standard Plan Contributions
| 👤 Main Member | 👥 +1 Adult Dependent | 💙 +1 Child Dependent |
| R2,592 ZAR | R2,184 ZAR | R986 ZAR |
Bonitas Hospital Standard Benefits and Cover Comprehensive Breakdown
Bonitas Hospital Standard Chronic Benefits
Hospital Standard provides coverage for the 27 Prescribed Minimum Benefits outlined in the applicable formulary.
You must obtain your medication from Pharmacy Direct, the Bonitas Designated Service Provider.
If you choose not to use Pharmacy Direct or if you use an off-formulary medication, you will be responsible for a 40% co-payment.
The Bonitas Hospital Standard Plan Covers the following PMBs:
- ✅ Addison’s Disease
- ✅ Asthma
- ✅ Bipolar Mood Disorder
- ✅ Bronchiectasis
- ✅ Cardiac Failure
- ✅ Cardiomyopathy
- ✅ Chronic Obstructive Pulmonary Disease
- ✅ Chronic Renal Disease
- ✅ Coronary Artery Disease
- ✅ Crohn’s Disease
- ✅ Diabetes Insipidus
- ✅ Diabetes Type 1
and many more.
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Bonitas Hospital Standard Plan Additional Benefits
Bonitas Hospital Standard Maternity Care
This benefit offers the following:
- ✅ Six antenatal appointments with a gynecologist, general practitioner, or midwife.
- ✅ Two 2-dimensional ultrasound scans.
- ✅ Amniocentesis was performed once.
Four post-delivery midwife consultations (one of which can be used for a lactation specialist consultation).
Bonitas Hospital Standard Plan Maternity Programme
With this benefit, members can get the following benefits:
- ✅ Access to a maternity advice line available around the clock.
- ✅ Dedicated maternity nurse/midwife to support and advise you during your pregnancy.
- ✅ Access to articles on prevalent pregnancy issues.
- ✅ You receive weekly pregnancy education emails and text messages.
- ✅ Online prenatal classes prepare you for childbirth and what to expect at home.
A Baby bag containing baby care necessities.
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Bonitas Hospital Standard Plan Wellness Benefit
There is one wellness examination per recipient at a participating pharmacy, biokinetics, or Bonita’s wellness day. The health examination includes the following tests:
- ✅ Blood pressure
- ✅ Glucose
- ✅ Cholesterol
- ✅ Body Mass Index
- ✅ Waist-to-hip ratio
Bonitas Hospital Standard Plan Preventative Care
This benefit includes the following:
- ✅ One HIV test and counseling for each recipient.
- ✅ One flu vaccine per beneficiary.
- ✅ One complete lipogram every 5 years for individuals aged 20 and older.
- ✅ One mammogram every two years for women over 40.
- ✅ Women aged 21 to 65 should undergo a pap smear every three years.
- ✅ Men between 45 and 69 qualify for one prostate screening antigen test yearly.
- ✅ Members 65 and older receive 1 pneumococcal vaccine every 5 years.
- ✅ One stool test for colon cancer for individuals aged 50 to 75.
- ✅ Dental fissure sealants prevent tooth decay in permanent teeth in children younger than 16 years.
Covid-19 vaccinations and boosters as directed by the National Health Service.
Bonitas Hospital Standard Plan Contraceptives
- ✅ R1,830 per household for the Bonitas Hospital Standard Plan (for women aged up to 50).
- ✅ It would help if you used the Designated Service Provider for contraceptives dispensed by a pharmacy.
A 40% co-payment applies if you choose not to use a Designated Service Provider.
Bonitas Hospital Standard Plan Africa Benefit
This benefit is subject to authorization but provides in-hospital and out-of-hospital treatment at 100% of Bonita’s Rate.
Bonitas Hospital Standard Plan Childcare
This benefit offers the following benefits:
- ✅ Hearing screening for infants up to 8 weeks of age, in or outside the hospital.
- ✅ Screening for congenital hypothyroidism in infants younger than one month.
- ✅ Babyline: 24-hour medical advice line for children younger than 3 years.
- ✅ Immunization according to South Africa’s Expanded Programme on Immunization until the age of 12.
- ✅ Two pediatrician or general practitioner consultations per child <1 year.
- ✅ One consultation with a pediatrician or general practitioner per child between the ages of 1 and 2.
One consultation per child between 2 and 12 years.
Bonitas Hospital Standard Plan International Travel Benefit
Before departure, you must register for this benefit. The Bonitas Hospital Standard Plan International Travel Benefit covers up to R10 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.
Bonitas Hospital Standard Plan Hospital-at-Home
This benefit offers the following:
- ✅ Care for any acute condition deemed necessary by your treating physician, such as pneumonia or Covid-19.
- ✅ Alternative to general ward admission and step-down facilities, enabling patients to receive quality, safe healthcare in the comfort of their own homes.
- ✅ Remote patient monitoring, including round-the-clock monitoring of vital signs from our clinical command center, continuous virtual visits and clinical support, continuous care from a physician, short-term oxygen (as prescribed), and emergency ambulance services.
- ✅ In addition to remote patient monitoring, daily visits, laboratory services, blood tests, wound dressings, medication/fluids via a drip, allied healthcare services, and physiotherapy, Bonita’s hospital setup at home also includes remote patient monitoring (as prescribed)
- ✅ A team of trained medical professionals, including skilled nurses, will bring all the essential elements of hospital care to your home.
- ✅ Re-admissions can be reduced with the help of a transitional care program.
Hospital-at-Home requires prior authorization.
LEARN more about Psychiatric/Mental Cover
Bonitas Hospital Standard Plan Cancer Cover
The Bonitas Hospital Standard Plan’s Cancer Cover benefit works in the following ways:
- ✅ Provides you with emotional and medical support.
- ✅ Consults your physician to confirm that your treatment plan is clinically appropriate for your needs.
- ✅ Social worker access for you and your loved ones.
- ✅ Utilizes the Bonitas Oncology Medicine Network. Non-network providers are subject to a 20% co-payment.
- ✅ Matches your treatment plan to your insurance benefits to ensure you have the necessary coverage.
Specialists from the Bonitas Oncology Network are utilized.
Bonitas Hospital Standard Plan HIV / AIDS Benefit
This benefit works in the following ways:
- ✅ Offers appropriate treatment and the means to live your best life.
- ✅ Provides HIV-related consultations to monitor your doctor’s clinical status.
- ✅ Provides access to telephone support from physicians.
- ✅ Includes drugs to prevent mother-to-child transmission and infection following a sexual assault or a needle-stick injury.
- ✅ Covers routine blood tests to monitor disease progression, therapy response, and possible treatment side effects.
- ✅ Provides ongoing patient support through a team of skilled and seasoned counselors.
- ✅ Prevention and treatment of opportunistic infections such as pneumonia, tuberculosis, and influenza.
Finds a registered therapist for face-to-face emotional support.
Bonitas Hospital Standard Plan Diabetes Management
This benefit works in the following ways:
- ✅ Enables you to make the best decisions to maintain your health.
- ✅ Offers cover tests necessary for managing diabetes and other chronic conditions.
- ✅ Provides access to diabetes specialists, dietitians, and podiatrists.
- ✅ Provides access to a Health Coach who will respond to any questions.
- ✅ Offers a tailored care plan to meet your specific requirements.
Provides education to improve your understanding of your condition.
Bonitas Hospital Standard Plan Back and Neck Programme
This benefit works in the following ways:
- ✅ Evaluation of back and neck pain to determine the level of care necessary before surgery for the best possible outcome.
- ✅ Provides a customized treatment plan for up to six weeks.
- ✅ Contains care from physicians, physiotherapists, and biokinetics.
- ✅ Provides access to a home care plan for long-term results maintenance and aids in managing severe back and neck pain.
- ✅ Highly efficient and low risk, with a high rate of success.
- ✅ Excluding X-rays, Bonitas will cover the cost of the program.
Members can use the DBC network.
Bonitas Hospital Standard Plan In-Hospital Benefits
| 🔎 Specialist Consultations in-hospital | Unlimited, with specialists fully covered according to Bonita’s Rate.
Non-network specialists are paid up to 100% of Bonita’s Rate. |
| 📌 GP Consultations in-hospital | Unlimited, with 100% cover according to Bonita’s Rate. |
| 📍 Blood Tests and other lab tests | Unlimited, with 100% cover according to Bonita’s Rate. |
| ☑️ X-Rays and Ultrasounds | Unlimited, with 100% cover according to Bonita’s Rate. |
| ✅ MRI and CT scans | There is an R28,600 limit per family in and out-of-hospital.
Pre-authorization is required for MRIs and CT scans.
There is an R2,500 co-payment per scan unless it is for a PMB. |
| 👁️ Cataract Surgery | Members can avoid an R6,620 co-payment by only using a DSP. |
| 📈 Allied Medical Professionals | Only PMBs are covered.
Subject to referral by a treating physician. |
| 📉 Physiotherapy, Podiatry, and biokinetics | Only PMBs are covered.
Subject to referral by a treating physician. |
| 📊 Internal Prostheses | There is a limit of up to R48,440 per family unless it is a PMB.
Bonitas Managed Care Protocols are in effect with this benefit. |
| 💊 External Prostheses | Only PMBs are covered and Managed Care Protocols apply. |
| 💉 Hospitalization for dentistry | A co-payment of R3 500 per hospital admission for children under five, and R5000 for all other admissions, is required.
Managed Care and admission protocols will apply.
Children under the age of 5 are only eligible for general anesthesia for extensive dental treatment once in their lifetime.
Pre-approval is required for this benefit.
Using a hospital in the applicable network can avoid a 30% co-payment.
Extraction of impacted teeth can be done under general anesthesia. |
| 💤 Moderate/Deep Sedation in the rooms | Managed Care Protocols will apply, and pre-approval is necessary.
This benefit only applies instead of general anesthetic for in-hospital dental benefits and procedures. |
| 💙 Mental Health Hospitalization | There is coverage up to R34,610 per family.
Physiotherapy for mental health admissions is not covered.
Members must use a hospital on their network to avoid the 30% co-payment. |
| 💙 Take-Home Medicine after discharge | Members receive up to 7 days’ supply, up to R510 per hospital stay |
| 📌 Physical Rehabilitation | There is a limit of up to R54,360 per family. |
| 🏥 Hospitalization Alternatives | There is a limit of R18,130 per household.
Managed Care rules apply. |
| ⚕️ 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. |
| 😷 Cancer Treatment | Unlimited for PMBs.
Bonitas covers up to R150,000 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 R54,160 per beneficiary with Brachytherapy. |
| ➡️ Cancer Medicine | Subject to the Medicine Price List and the Preferred Product List
Use a Designated Service Provider to avoid a 20% co-payment. |
| ❤️ Organ Transplants | Unlimited Cover.
There is a sub-limit of R34,520 for corneal grafts. |
| 🚩 Kidney Dialysis | Unlimited cover.
Members can avoid a 20% co-payment by using a DSP. |
| 🚀 HIV/AIDS | If you register for HIV/AIDS, the cover is unlimited.
Medicine must be obtained from a DSP. |
Bonitas Hospital Standard Plan Exclusions and Waiting Periods
Exclusions
The following is currently not covered by the Bonitas Hospital Standard Plan:
- ✅ Aromatherapy
- ✅ Ayurvedics
- ✅ Herbalists
- ✅ Iridology
- ✅ Reflexology
- ✅ Therapeutic Massage Therapy (Masseurs)
- ✅ Ambulance Services that are not authorized or already included in the contract with the provider
- ✅ Appliances, devices, and procedures not scientifically proven or appropriate
- ✅ Back rests and chair seats
- ✅ Bandages and dressings (except medicated dressings)
- ✅ Beds, mattresses, linen savers, pillows, and overlay
and many more.
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Waiting Periods
Depending on pre-existing or existing conditions, the following might apply when you register for medical cover with the Bonitas Hospital Standard Plan:
- ✅ A 3-month general waiting period in respect of all benefits.
- ✅ A 12-month exclusion in respect of a pre-existing condition.
A late-joiner contribution penalty fee will apply.
Bonitas Hospital Standard Plan vs. Other Bonitas Medical Fund Plan Options
| 🔎 Medical Plan | 🥇 Bonitas Hospital Standard Plan | 🥈 Platinum Health PlatCap | 🥉 LA Health KeyPlus |
| 👤 Main Member Contribution | R2,592 | R1,213 – R2,771 | R1,310 – R2,080 |
| 👥 Adult Dependent Contribution | R2,184 | R1,213 – R2,771 | R1,144 – R1,851 |
| 💙 Child Dependent Contribution | R986 | R495 – R963 | R479 – R777 |
| 🌎 International Cover | R10 million ZAR | None | R5 million ZAR |
| 💶 Prescribed Minimum Benefits (PMB) | ☑️ Yes | ☑️ Yes | ☑️ Yes |
| ➡️ Screening and Prevention | ☑️ Yes | No | ☑️ Yes |
| ⚕️ Hospital Cover | Unlimited | Unlimited for DSPs | Unlimited |
| 🔁 Mental Healthcare Program | None | ☑️ Yes | ☑️ Yes |
| 💳 Medical Savings Account | None | None | None |
Our Verdict on the Bonitas Hospital Standard Plan
The Bonitas Hospital Standard plan is a medical aid plan offered by Bonitas Medical Fund in South Africa. It is a hospital plan that primarily covers hospitalization and related medical expenses.
The Hospital Standard plan covers a range of in-hospital benefits, including specialist consultations, hospitalization, theatre fees, and pathology and radiology services.
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Bonitas Hospital Standard Plan Frequently Asked Questions
Does the Hospital Standard plan cover in-hospital treatments?
Yes, the Hospital Standard plan covers a range of in-hospital treatments, including specialist consultations, hospitalization, theatre fees, and pathology and radiology services.
Does the Hospital Standard plan cover maternity?
The Hospital Standard plan does not cover maternity-related services, such as antenatal consultations, childbirth, and postnatal care.
Does the Hospital Standard plan provide cover for HIV and AIDS?
Yes, the Hospital Standard plan provides cover for the treatment of HIV and AIDS, including antiretroviral medication and related healthcare services.
Does the Hospital Standard plan provide back and neck programs?
The Hospital Standard plan provides access to back and neck programs, rehabilitation, and physiotherapy benefits if the beneficiary is hospitalized for a related condition.
Does the Hospital Standard plan cover braces?
No, the Hospital Standard plan does not cover orthodontic treatment, including braces.
Does the Hospital Standard plan cover breast enlargements?
No, the Hospital Standard plan does not cover cosmetic surgery, including breast enlargements.
Does the Hospital Standard plan cover the treatment of diabetes?
The Hospital Standard plan covers treating certain chronic conditions, including diabetes. This will include certain medication and pathology tests.
Does the Hospital Standard plan cover cancer medication?
Yes, the Hospital Standard plan covers cancer treatment, including cancer medication and related healthcare services.
Does the Hospital Standard plan have a savings plan?
No, the Hospital Standard plan does not have a savings or medical savings account.
Does the Hospital Standard plan cover dentistry and optometry?
The Hospital Standard plan does not cover optometry but covers in-hospital dentistry procedures where an anesthetic is necessary.
Does the Hospital Standard plan cover internal and external prostheses?
The Hospital Standard plan covers certain internal prostheses, such as pacemakers and artificial joints. However, external prostheses are only covered with PMB conditions.
What are the exclusions on the Hospital Standard plan?
Some exclusions on the Hospital Standard plan may include cosmetic surgery, fertility treatments, and experimental treatments.
