Overall, the Bonitas Standard Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance to its family members. The Bonitas Standard Medical Aid Plan starts from R5,439 ZAR.
π€ Main Member Contribution | R5,439 ZAR |
π₯ Adult Dependent Contribution | R4,715 ZAR |
π Child Dependent Contribution | R1,596 ZAR |
π Gap Cover | βοΈ Yes |
βοΈ Hospital Cover | Unlimited |
πΆ Prescribed Minimum Benefits (PMB) | βοΈ Yes |
π©Ί Screening and Prevention | βοΈ Yes |
πΌ Maternity Benefits | βοΈ Yes |
πΌ Pre- and Postnatal Care | βοΈ Yes |
π Oncology Cover | R280,100 ZAR |
The Bonitas Standard starts from R5,439 and includes cover for maternity, in- and out-of-hospital, international travel, PMBs, and more.Β Gap Cover is available on the Bonitas Standard 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 Bonitas Standard Medical Aid Plan for 2025
π€ Main Member | π₯ +1 Adult Dependent | π +1 Child Dependent |
R5,439 ZAR | R4,715 ZAR | R1,596 ZAR |
The Bonitas Standard Plan offers access to day-to-day benefits that provide cover for GP and specialist consultations, acute medicine, X-rays, blood tests, and other out-of-hospital medical expenses up to the overall day-to-day limit, subject to the category-specific sub-limit.
Members of the Bonitas Standard Plan 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.
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The day-to-day benefits provide cover for GP and specialist consultations, acute medicine, X-rays, blood tests, and other out-of-hospital medical expenses up to the overall day-to-day limit, subject to the category-specific sub-limit.
Tests and consultations for PMB treatment plans are covered under a different benefit, which will not affect your regular coverage.
π Member | πΆ Day-to-Day Benefits |
π€ Main Member (Only) | R13,440 |
π₯ Main Member + 1 Dependent | R20,170 |
π Main Member + 2 Dependents | R22,410 |
β‘οΈ Main Member + 3 (or more) Dependents | R24,650 |
β‘οΈ The sub-limits below represent the maximum allowed for each category, subject to the total daily limit.
π Feature | π©Ί GP and Specialist Consultations | π Acute and OTC Medicine | βοΈ Radiology and Pathology | β‘οΈ Auxiliary Services |
π Feature Overview | Specialist consultations require GP referral (Including telemedicine) β’ You must nominate 2 GPs on our network for each beneficiary for the year β’ 2 non-nominated network GP visits allowed per family per year β’ Consultations with non-network GPs are limited to PMBs only | Avoid a 20% co-payment using a Bonitas Pharmacy Network or formulary medicine. Over-the-counter medicine is limited to R895 per beneficiary and R2,800 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). |
π€ Main Member | R3,370 ZAR | R3,370 ZAR | R3,370 ZAR | R3,370 ZAR |
π₯ Main Member + 1 Dependent | R5,040 ZAR | R5,040 ZAR | R5,040 ZAR | R5,040 ZAR |
π Main Member + 2 Dependents | R5,610 ZAR | R5,610 ZAR | R5,610 ZAR | R5,610 ZAR |
β‘οΈ Main Member + 3 Dependents or more | R6,720 ZAR | R6,720 ZAR | R6,720 ZAR | R6,720 ZAR |
β‘οΈ The sub-limits below represent the maximum allowed for each category, subject to the total daily limit.
π©Ί General Medical Appliances | Stoma Care and CPAP machines have a daily limit of R8,5500 per family. Managed Care CPAP machines Managed Care protocols limit frequency. Use the preferred supplier. |
𦻠Hearing Aids | R9 100 per family every 5 years (based on the date of your previous claim). There is a 25% co-payment that applies. After the family limit is exceeded, the balance is subject to the daily limit. All tests and consultations limited to the Hearing Loss Management Programme and use of a network provider |
π MRIs and CT scans | There is a limit of R34,020 per family, in and out of the hospital. Pre-authorization is needed. There is a co-payment of R1,860 per scan event where needed, except for PMB. |
π Mental Health Consultations | The mental health hospitalization benefit covers consultations in and out of the hospital. The benefit is limited to R20,310 per family. |
π Insulin Pump / Continuous Glucose Monitoring (Type 1 / 2 Diabetes for members <18 years) | Covered up to R89,420 per family every 5 years. Consumables are limited to R89,420 per family. One family device per year. |
π€ Optometry | Once every 2 years (based on the date of your previous claim) Each beneficiary can choose glasses or Contact lenses |
π °οΈ 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 R400. |
π 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. |
π 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. |
βοΈ 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. |
βοΈ Frames | R1,405 per recipient at a network provider or R1,054 per recipient at a non-network provider. |
β Contact Lenses | R2,120 per person (included in the family limit) |
π¦· Basic Dentistry | Covered by the Bonitas Dental Tariff if the Bonitas Dental Management Program is followed. |
πͺ₯ Consultations | 2 check-ups per recipient per year (once every 6 months) |
1οΈβ£ Intra-Oral X-Rays | The Bonitas Managed Care Protocols will apply. |
2οΈβ£ Extra-Oral X-Rays | One allowed per beneficiary every 3 years. |
3οΈβ£ 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. |
4οΈβ£ 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. |
5οΈβ£ Root Canal Therapy and Extractions | The rules for Managed Care apply. |
6οΈβ£ Plastic Dentures and Various Laboratory Costs | One set of plastic dentures (upper and lower) every 4 years for each person who gets them. Pre-authorization required. |
7οΈβ£ Specialized Dentistry | The Bonitas Dental Tariff covers this benefit. |
8οΈβ£ Partial Chrome Cobalt Frame Dentures and Associated Lab Costs | One partial frame (upper or lower) per patient, once every 5 years. Pre-authorization is needed for this. |
π Crowns, Bridges, Lab Costs | There is a limit of one crown per household per year. Crowns will be covered once per tooth every five years. Requests for a treatment plan and X-rays are possible. Pre-authorization is needed. |
π΅ Orthodontics, Lab Costs | Orthodontic treatment is provided once per lifetime beneficiary. Cases requiring pre-approval will be clinically evaluated using an orthodontic needs analysis. Up to 80% of the Bonitas Dental Tariff may be covered based on the findings of a needs assessment. Orthodontic treatment will be covered when a function is compromised (not granted for cosmetic reasons). Only one family member may initiate orthodontic treatment per year. The benefit of fixed comprehensive treatment is restricted to beneficiaries aged 9 to 18. Application of Managed Care protocols. Pre-authorization is required. |
π Periodontics | Benefits are restricted to conservative, non-surgical therapy and will only be applied to members who are enrolled in the Periodontal Programme Managed Care protocols apply. Pre-authorization is required. |
π Surgery in the dentistβs rooms | Bonitasβ Managed Care Protocols Apply |
βοΈ Hospitalization and general anesthetic | A co-payment of R3 500 per admission applies for children under the age of 5 and R5 000 for any other admission, including removal of impacted teeth or any other medical condition OR A R2 500 upfront co-payment if the dental treatment is done in a day hospital 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. Managed Care protocols apply. Pre-authorization is required for this procedure. |
β Inhalation sedation in the dentistβs room | Managed Care Protocols will apply. |
π€ Moderate/Deep Sedation in the dentistβs room | This is according to the extensive dental treatment limit. The Bonitas Managed Care Protocols will apply. This procedure requires pre-authorization. |
The Bonitas Standard Plan guarantees cover for the 45 chronic conditions outlined on the applicable formulary.Β There is a limit of R12 530 per beneficiary and R25 140 per family. Once the above amounts are finished you are still covered for the 27 PMB.
You must obtain your medication from Pharmacy Direct, the Designated Service Provider.Β If you choose not to use Pharmacy Direct or if you use an off-formulary medication, you will be responsible for a 30% co-payment.
Furthermore, The Bonitas Standard Plan Covers the following PMBs.
and many more…
The following additional conditions are covered under the Bonitas Standard Plan:
and many more…
Available upon completion of a wellness questionnaire or screening. There is an R5,000 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.
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This benefit offers the following:
With this benefit, members can get the following benefits:
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.
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This benefit offers the following benefits:
Before departure, you must register for this benefit. The Bonitas Standard 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.
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This benefit offers the following:
The Bonitas Standard Plan Cancer Cover benefit works in the following ways:
This benefit works in the following ways:
This benefit works in the following ways:
This benefit works in the following ways:
This benefit works in the following ways:
This benefit provides cover for major medical events resulting in the beneficiaryβs hospitalization. In addition, members have access to private hospital coverage.Β Authorization in advance is required. A co-payment may be required for certain admissions or procedures. Furthermore, the benefits are subject to Managed Care Protocols.
π©Ί 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. |
π₯ Specialist Consultations in-hospital | Unlimited, with 100% cover according to Bonita’s Rate. |
π©Έ Blood Tests | Unlimited, with 100% cover according to Bonita’s Rate. |
π °οΈ Blood Transfusions | Unlimited, with 100% cover according to Bonita’s Rate. |
βοΈ X-Rays and Ultrasounds | Unlimited, with 100% cover according to Bonita’s Rate. |
β MRI and CT scans | There is an R34,020 limit per family in and out-of-hospital. Pre-authorization is required for MRIs and CT scans. There is an R1,860 co-payment per scan unless it is for a PMB. |
π€ Allied Medical Professionals | Subject to a referral from a treating physician. Subject to the Auxiliary Services Benefit Sub-limit unless it is a PMB. |
βοΈ 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. |
𦡠Internal and External Prostheses | There is a limit of R57,630 per family unless PMB applies. Subject to Managed Care Protocols. There is a sub-limit of R6,860 per breast prosthesis, limited to 2 yearly. |
π© Spinal Surgery | This is subject to an assessment or conservative treatment by a DSP. |
π Hip and Knee Replacements | There is an R37,080 co-payment if members use a non-DSP. |
π Internal Nerve Stimulators | There is a yearly limit of R215,800 for this benefit. |
ποΈ Cochlear Implants | Only PMBs are covered. |
ποΈβπ¨οΈ Cataract Surgery | Members can avoid an R7,420 co-payment by only using a DSP. |
π Mental Health Hospitalization | There is coverage up to R51,900 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 R605 per hospital stay |
β Physical Rehabilitation | There is a limit of up to R64,680 per family. Pre-authorization is required. |
π Hospitalization Alternatives | There is a limit of R21,570 per household. Managed Care rules apply. |
π ±οΈ 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. Sublimit of R157 800 can be used for specialised drugs (including biological drugs) |
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. |
β€οΈ Organ Transplants | Unlimited cover. Sub-limit of R41,070 applies per beneficiary 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. Buying chronic medicine from the Designated Service Provider avoids a 30% co-payment. |
β³οΈ 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 Standard Plan:
and many more…
Depending on pre-existing or existing conditions, the following might apply when you register for medical cover with the Bonitas Standard Plan:
π Medical Aid Plan | π₯ Bonitas Standard Plan (2025) | π₯ LA Health Active (2025) | π₯ Fedhealth FlexiFED 4 (2025) |
π€ Main Member Contribution | R5,439 | 3,539 ZAR | R4,330 β R5,782 |
π₯ Adult Dependent Contribution | R4,715 | 2,380 ZAR | R4,035 β R5,277 |
π Child Dependent Contribution | R1,596 | 1,174 ZAR | R1,328 β R1,739 |
π Gap Cover | βοΈ Yes | None | None |
βοΈ Oncology Cover | R280,100 | R228,000 | R499,100 |
πΆ Prescribed Minimum Benefits (PMB) | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π Screening and Prevention | βοΈ Yes | βοΈ Yes | βοΈ Yes |
π₯ Hospital Cover | Unlimited | Unlimited | Unlimited |
π International Cover | βοΈ Yes | None | None |
π The Bonitas Standard Plan is the next-tier plan that offers more comprehensive in and out-of-hospital cover. Furthermore, the day-to-day cover is given for several treatments and procedures.
π However, many are subject to sub-limits.Β Members can avoid costly co-payments on procedures and items using only Bonitasβ DSPs. The Bonitas Standard Plan is perfect for families with young children and provides access to any private hospital in South Africa.
You might also like to consider the following plans Bonitas has to offer:
These 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, in addition to risk-based benefits.
Main Member is R5,439, Adult dependent is R4,715 and a Child dependent is R1,596 for the year 2025.
Bonitas covers the cost of orthodontic treatment per the DENIS dental protocols and other rules.
Through Improved Clinical Pathway Services (ICPS) and JointCare, Bonitas has a knee and joint program specializing in hip and knee replacements.Β Furthermore, the program is based on the most up-to-date international standardized clinical care pathways to ensure you receive the best care possible.
Vaccines are included in the Prescribed Minimum Benefits (PMB) and are therefore covered by the Risk/ Overall Annual Limits.
Contact the hospitalβs billing office and inquire about who manages its financial aid programs. Be forthright about your inability to afford the procedure and consider your options. Even if the hospital cannot assist, it may be able to refer you to a local nonprofit organization that can.
Yes. Certain Bonitas products cover Lasik eye surgery, dentistry, and optometry.
Bonitas offers 15 comprehensive medical aid plans tailored to the needs of various South African individuals and families.
Yes. Bonitas has an app for iOS and Android devices. Furthermore, Bonita’s app is packed with features and allows you to do much more from the palm of your hand.
Yes, there is a waiting period of 3 months for all benefits except for accidents and emergency medical conditions.
Yes, you can choose your healthcare providers, but you may pay more for out-of-network providers.
You can join the Bonitas Medical Aid Standard Plan by visiting their website, filling out an application form, and providing the necessary documentation.
Yes, the Bonitas Medical Aid Standard Plan covers pre-existing conditions, but there may be waiting periods or exclusions for certain conditions.
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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