Bonitas Primary Select Medical Aid Plan

 

Overall, the Bonitas Primary Select Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and unlimited Hospital Cover to up to 4 Family Members. The Bonitas Primary Select Medical Aid Plan starts from R2 619.

 

👤 Main Member Contribution	R2,619
👥 Adult Dependent Contribution	R2,048
💙 Child Dependent Contribution	R832
🌎 International Cover	R10 million
🔁 Gap Cover	☑️ Yes
💶 Prescribed Minimum Benefits (PMB)	☑️ Yes
⚕️ Screening and Prevention	☑️ Yes
➡️ Medical Savings Account	None
🏠 Home Care	☑️ Yes
🍼 Maternity Benefits	☑️ Yes

 

 

 

Bonitas Primary Select Review – 11 Key Point Quick Overview

 

1. ☑️ Bonitas Primary Select Plan Overview
2. ☑️ Bonitas Primary Select Plan Contributions
3. ☑️ Bonitas Primary Select Benefits and Cover Comprehensive Breakdown
4. ☑️ Bonitas Primary Select Out-of-Hospital Benefits
5. ☑️ Bonitas Primary Select Chronic Benefits
6. ☑️ Bonitas Primary Select Plan Additional Benefits
7. ☑️ Bonitas Primary Select Plan In-Hospital Benefits
8. ☑️ Bonitas Primary Select Plan Exclusions and Waiting Periods
9. ☑️ Bonitas Primary Select Plan vs. Other Bonitas Medical Fund Plan Options
10. ☑️ Our Verdict on the Bonitas Primary Select Plan
11. ☑️ Bonitas Primary Select Plan Frequently Asked Questions

 

 

Bonitas Primary Select Plan Overview

 

The Bonitas Primary Select Plan starts from R2,619. It includes maternity, in- and out-of-hospital cover, international travel, PMBs, and more.   Gap Cover is available on the Bonitas Primary Select Plan, along with 24/7 medical emergency assistance.

According to the Trust Index, Bonitas Medical Fund has a trust rating of 4.5.

 

 

Bonitas Primary Select Plan Contributions

 

👤 Main Member	👥 +1 Adult Dependent	💙 +1 Child Dependent
R2,619 ZAR	R2,048 ZAR	R832 ZAR

 

 

Bonitas Primary Select Benefits and Cover Comprehensive Breakdown

 

The Bonitas Primary Select Plan offers an overall day-to-day limit, subject to the applicable sub-limit per category and the out-of-hospital medical expenses covered by the day-to-day benefits include doctor and specialist visits

 

 

Bonitas Primary Select Out-of-Hospital Benefits

 

Bonitas Primary Select Plan members must note that once they complete the wellness screening or the online questionnaire, the Benefit Booster is activated and can be used to pay for out-of-hospital expenses first.

 

We reveal the 3 Best Hospital Plans Under R1000

 

 

Overall Day-to-Day Limits on the Bonitas Primary Select Plan

 

Up to the overall day-to-day limit, subject to the applicable sub-limit per category, the out-of-hospital medical expenses covered by the day-to-day benefits include doctor and specialist visits, acute medicine, X-rays, blood tests, and other similar procedures.

 

🔍 Members	💶 Day-to-Day Benefits
👤 Main Member (Only)	R5,330
👥 Main Member + 1 Dependent	R8,520
💙 Main Member + 2 Dependents	R10,650
➡️ Main Member + 3 (or more) Dependents	R11,720

➡️ The sub-limits below represent the maximum allowed for each category, subject to the total daily limit.

 

🔎 Feature	1️⃣ GP and Specialist Consultations	2️⃣ Acute and OTC Medicine	3️⃣ Radiology and Pathology	4️⃣ Auxiliary Services
🔍 Feature Overview	Specialist consultations require GP referral (Including virtual consults). Two non-nominated network GP visits per family per year. Two GPs per beneficiary on the network PMBs only consult non-network GPs.	Avoid a 20% co-payment using a Bonitas Pharmacy Network or formulary medicine. Over-the-counter medicine is limited to R500 per beneficiary and R2,000 per family.	This category includes blood, lab, X-ray, and ultrasound tests.	This category includes physiotherapy, podiatry, biokinetics, allied medical professionals (dieticians, speech, and occupational therapists), and alternative healthcare (20% co-payment for homeopathic medicine).
👤 Main Member	R2,130	R1,600	R2,130	R2,130
👥 Main Member + 1 Dependent	R3,730	R2,660	R2,660	R2,660
💙 Main Member + 2 Dependents	R4,790	R3,200	R3,200	R3,200
➡️ Main Member + 3 Dependents or more	R4,790	R3,200	R3,200	R3,200

 

➡️ The sub-limits below represent the maximum allowed for each category, subject to the total daily limit.

 

🔎 General Medical Appliances	Stoma Care and CPAP machines have a daily limit of R7 820 per family. Managed Care CPAP machines Managed Care protocols limit frequency. Use the preferred supplier. The Benefit is subject to the overall daily limit.
📌 MRIs and CT scans	There is a limit of R15,170 per family, in and out of the hospital. Pre-authorization is needed. There is a co-payment of R2,130 per scan event where needed, except for PMB.
💙 Mental Health Consultations	The mental health hospitalization benefit covers consultations in and out of the hospital. The benefit is limited to R11,630 per family. Members must use a DSP to avoid a 30% co-payment
👁️ Optometry	R5,695 per family every two years (based on your last claim). Beneficiaries must choose either glasses or contacts.
👁️‍🗨️ Eye Tests	Each beneficiary is entitled to one combined consultation with a network provider. Alternatively, they can have an eye examination at a non-network provider for a fee of R380.
👓 Single Vision Lenses	The cost of lenses is covered up to 100% according to network rates. There is a limit of R215 per beneficiary per lens if an out-of-network provider is used.
🤓 Bifocal Lenses	The cost of lenses is covered up to 100% according to network rates. There is a limit of R460 per beneficiary per lens if an out-of-network provider is used.
➡️ Multifocal Lenses	The cost of base lenses is covered up to 100%. Alternatively, it is limited to R860 per designer lens per beneficiary regardless of whether it is in or out-of-network.
☑️ Frames	R605 per recipient at a network provider or R454 per recipient at a non-network provider.
✅ Contact Lenses	R1,430 per person (included in the family limit)
🦷 Basic Dentistry	Covered by the Bonitas Dental Tariff if the Bonitas Dental Management Program is followed.
✔️ Consultations	2 check-ups per recipient per year (once every 6 months)
📈 Intra-Oral X-Rays	The Bonitas Managed Care Protocols will apply.
📉 Extra-Oral X-Rays	One allowed per beneficiary every 3 years.
📊 Preventative Care	2 scale and polish treatments per recipient per year (once every 6 months). Crack fillers are only covered for kids younger than 16 years old. Fluoride treatments are only paid for kids under 16 and under 5 years old.
📌 Fillings	Benefits for fillings are given once every two years for each tooth. Protocols for Managed Care decide whether a tooth can be treated again or not. If you need more than one filling, you may need a treatment plan and X-rays.
📍 Root Canal Therapy and Extractions	The rules for Managed Care apply.
✔️ Plastic Dentures and Various Laboratory Costs	One set of plastic dentures (upper and lower) every 4 years for each beneficiary 21 years and older. Pre-authorization required.
✳️ Surgery in the dentist’s rooms	Bonitas’ Managed Care Protocols Apply
🏥 Hospitalization and general anesthetic	A co-payment of R3,500 per hospital admission for children younger than 5 years of age and R5,000 for all other admissions and the application of admission protocols are required. For extensive dental treatment, children under five may only receive general anesthesia once in their lifetime. General anesthesia is covered for the extraction of impacted teeth. Utilize a hospital within the applicable network to avoid a 30% co-payment. Managed Care protocols apply. Pre-authorization is required for this procedure.
💤 Inhalation sedation in the dentist’s room	Managed Care Protocols will apply.
😴 Moderate/Deep Sedation in the dentist’s room	This is according to the extensive dental treatment limit. The Bonitas Managed Care Protocols will apply. This procedure requires pre-authorization.

 

Read more about The Medical Aid Act – The Ultimate Guide

 

 

Bonitas Primary Select Chronic Benefits

 

Bonitas Primary Select Plan covers the 27 Preferred Minimum Benefits from the relevant formulary. Therefore, the only acceptable method of obtaining your prescribed medication is through Pharmacy Direct, a designated service provider.

A 40% co-payment will be required if you choose not to use Pharmacy Direct or if you use a medication that is not on the formulary.  Furthermore, The Bonitas Primary Select 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

 

 

and many more.

 

 

Bonitas Primary Select Plan Additional Benefits

 

Available upon completion of a wellness questionnaire or screening. There is an R3,500 limit per family that can be used for a range of out-of-hospital claims, including the following:

 

• ✅ GP and specialist consultations.
• ✅ Acute and over-the-counter medicine.
• ✅ Biokineticists and physiotherapists consultations and treatment.
• ✅ Paramedical services include dietician, speech and occupational therapy consultations, and treatment.
• ✅ Alternative healthcare such as homeopathic consultations, treatment, and acupuncture.
• ✅ X-rays
• ✅ Blood tests

 

When an adult recipient has completed a wellness screening or online wellness questionnaire, dependent children are eligible for the Benefit Booster.

 

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Bonitas Primary Select Plan Maternity Care

 

This benefit offers the following:

 

• ✅ Six antenatal consultations with a gynecologist, GP, or midwife.
• ✅ Two 2D ultrasound scans.
• ✅ One amniocentesis

 

 

Four postpartum consultations with a midwife (1 can be used for a consultation with a lactation specialist).

 

Bonitas Primary Select 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.

 

 

Bonitas Primary Select 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 Primary Select 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 Primary Select Plan Contraceptives

 

• ✅ R1,870 per household for the Bonitas Primary Select 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 Primary Select 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 Primary Select 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.
• ✅ One pediatrician or general practitioner visit per child under one year.
• ✅ One consultation with a pediatrician or general practitioner per child aged 1 to 2.
• ✅ One doctor visit per child between the ages of 2 and 12.

 

 

Immunization according to South Africa’s Expanded Programme on Immunization until the age of 12.

 

Bonitas Primary Select Plan International Travel Benefit

 

Before departure, you must register for this benefit. The Bonitas Primary Select 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.

 

You might like to know what is Road and Transport Cover is.

 

 

Bonitas Primary Select 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.

 

Discover the 5 Best Hospital Plans for Unemployed 

 

 

Bonitas Primary Select Plan Cancer Cover

 

The Bonitas Primary Select 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 Primary Select 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 Primary Select 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.

 

 

rovides education to improve your understanding of your condition.

 

Bonitas Primary Select 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 Primary Select Plan In-Hospital Benefits

 

This benefit provides cover for major medical events that result in hospitalization of the beneficiary. In addition, members have access to private hospital coverage.  Authorization in advance is required. A co-payment may be required for admissions and or procedures.

Members should note that Managed Care Protocols will apply to these benefits.

 

🚑 GP Consultations in-hospital	Unlimited, with 100% cover according to Bonita’s Rate. Unlimited non-network specialists are compensated at 100% of Bonita’s Rate.
🏥 Specialist Consultations in-hospital	Unlimited, with 100% cover according to Bonita’s Rate.
🩸 Blood Tests	Unlimited, with 100% cover according to Bonita’s Rate.
🧪 Blood Transfusions	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 R15,170 limit per family in and out-of-hospital. Pre-authorization is required for MRIs and CT scans. There is an R2,130 co-payment per scan unless it is for a PMB.
👁️ Cataract Surgery	Members can avoid an R7,050 co-payment by only using a DSP.
🩺 Allied Medical Professionals	Subject to a referral from a treating physician. Subject to the Auxiliary Services Benefit Sub-limit unless it is a PMB.
🧪 Physiotherapy, Podiatry, and biokinetics	Subject to a referral from a treating physician. Subject to the Auxiliary Services Benefit Sub-limit unless it is a PMB.
📌 Internal and External Prostheses	There is a limit of R51,440 per family unless PMB applies. Subject to Managed Care Protocols. There is a sub-limit of R6,120 per breast prosthesis, limited to 2 yearly.
💙 Mental Health Hospitalization	There is coverage up to R18,120 per family. Physiotherapy for mental health admissions is not covered.
💊 Take-Home Medicine after discharge	Members receive up to 7 days’ supply, up to R445 per hospital stay
🦵 Physical Rehabilitation	There is a limit of up to R57,890 per family.
🚑 Hospitalization Alternatives	There is a limit of R19,310 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 R213,000 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 R57,680 that applies per beneficiary for 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	Only valid for PMBs
🔎 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. Buying chronic medicine from the Designated Service Provider avoids a 30% co-payment.
📌 Defined List of Day Surgery Procedures	Use a network day hospital to avoid an R2,590 co-payment.

 

 

Bonitas Primary Select Plan Exclusions and Waiting Periods

 

Exclusions

 

The following is currently not covered by the Bonitas Primary Select 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.

 

Waiting Periods

 

Depending on pre-existing or existing conditions, the following might apply when you register for medical cover with the Bonitas Primary Select 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 Primary Select Plan vs. Other Bonitas Medical Fund Plan Options

 

🔎 Medical Plan	🥇 Bonitas Primary Select Plan	🥈 Discovery Essential Core	🥉 Bestmed Beat 2
👤 Main Member Contribution	R2,619 ZAR	R2,855 ZAR	R2,545 ZAR
👥 Adult Dependent Contribution	R2,048 ZAR	R2,141 ZAR	R1,976 ZAR
💙 Child Dependent Contribution	R832 ZAR	R1,146 ZAR	R1,071 ZAR
🔁 Gap Cover	☑️ Yes	☑️ Yes	None
💶 Prescribed Minimum Benefits (PMB)	☑️ Yes	☑️ Yes	☑️ Yes
✔️ Screening and Prevention	☑️ Yes	☑️ Yes	☑️ Yes
🏠 Home Care	☑️ Yes	☑️ Yes	☑️ Yes
🍼 Maternity Benefits	☑️ Yes	☑️ Yes	☑️ Yes
⚕️ Chronic Conditions	☑️ Yes	☑️ Yes	☑️ Yes

 

 

Our Verdict on the Bonitas Primary Select Plan

 

Bonitas Primary Select is a comprehensive plan that is like the Primary Plan but differs in terms of the monthly contribution and some benefits. Bonitas Primary Select has certain co-payments that apply.

Therefore, members must ensure that they only use DSPs on this plan.  However, Primary Select offers additional Network GP visits per year to non-nominated providers. Furthermore, members get two GP visits per beneficiary for network PMBs.

Overall, the Bonitas Primary Select plan may be suitable for those looking for a more affordable option with basic coverage for medical expenses.

 

You might also like to consider the following plans Bonitas has to offer:

 

• 💙 Bonitas Standard Medical Aid Plan
• 💙 Bonitas Primary Medical Aid Plan
• 💙 Bonitas Hospital Standard Medical Aid Plan
• 💙 Bonitas Standard Select Medical Aid Plan
• 💙 Bonitas BonStart Plus Medical Aid Plan
• 💙 Bonitas BonStart Medical Aid Plan
• 💙 Bonitas BonSave Medical Aid Plan
• 💙 Bonitas BonFit Select Medical Aid Plan
• 💙 Bonitas BonEssential Select Medical Aid Plan
• 💙 Bonitas BonEssential Medical Aid Plan
• 💙 Bonitas BonComprehensive Medical Aid Plan
• 💙 Bonitas BonComplete Medical Aid Plan
• 💙 Bonitas BonClassic Medical Aid Plan
• 💙 Bonitas BonCap Medical Aid Plan

 

 

Bonitas Primary Select Plan Frequently Asked Questions

 

What does Bonitas Primary Select Cover?

The limited day-to-day network plan from Bonitas provides unlimited hospitalization coverage in addition to the prescribed minimum chronic benefits for 27 PMBs.  In addition, the plan includes basic dental care and prenatal care.

 

What are the Primary Select day-to-day Benefits?

Out-of-hospital care like doctor visits, X-rays, and blood tests are all covered by benefits.  In addition, regular benefits include transportation to and from medical facilities for outpatient diagnostics and specialty care visits as outlined in patient medical benefit plans.

 

Does Bonitas Primary Select cover braces?

Braces are covered according to DENIS dental protocols, scheme rules, and limits.

 

Does Bonitas cover pap smear?

On this plan, women between the ages of 21 and 65 are entitled to one free pap smear every three years.

 

How do I pay my Bonitas Medical Fund premiums?

You can pay your Bonitas Medical Fund premiums by debit order, direct deposit, or at selected retailers.

 

Does Bonitas pay for home care?

To ensure the longevity of your improvements, you will be provided with a home care plan. The program has a very high success rate and is also very safe.  In addition, the program is fully funded by Bonitas, so there will be no impact on your budget or day-to-day benefits.

 

Does Bonitas pay for blood tests?

Bonitas covers pathology, and there is a day-to-day benefit of R2,000 to R3,000 available.

 

How do I cancel my Bonitas Medical Fund membership?

You can cancel your Bonitas Medical Fund membership by submitting a written notice to them.  However, you may be required to give a certain amount of notice before your cancellation takes effect.

 

Does Bonitas offer a hospital plan?

Bonitas offers Hospital Standard, BonEssential, and BonEssential Select as dedicated hospital plans.

 

What benefits are included in the Bonitas Primary Select plan?

The Bonitas Primary Select plan is a low-cost option that offers a limited range of benefits, including unlimited GP visits, basic dentistry, and coverage for chronic conditions.

 

Is a hospital plan cheaper than medical aid?

If you want private healthcare but are on a tight budget or already in good health, a hospital plan may be better than full-coverage medical aid.

 

Is there a waiting period for Bonitas?

The waiting period is determined by a specific calculation considering the number of years you have not been a medical aid member.  A typical waiting period is three months. During this time, you and your dependents are not entitled to any benefits except for Prescribed Minimum Benefits in certain circumstances.

 

Does Bonitas pay for crowns?

Crown benefits are limited to one per tooth every five years. This transaction needs to be pre-approved. There are three crowns covered per year per household. However, this benefit is contingent upon the fulfillment of certain managed care requirements.

 

What is covered under PMB?

PMBs are any emergency condition. Furthermore, it includes 271 medical conditions and 26 chronic conditions according to the Diagnosis Treatment Pairs and Chronic Disease List, respectively.