Bonitas Standard Medical Aid Plan
Overall, the Bonitas Standard Medical Aid Plan is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance to up to 4 Family Members. The Bonitas Standard Medical Aid Plan starts from R4,922 ZAR.
| 👤 Main Member Contribution | R4,922 ZAR |
| 👥 Adult Dependent Contribution | R4,267 ZAR |
| 💙 Child Dependent Contribution | R1,444 ZAR |
| 🔁 Gap Cover | ☑️ Yes |
| ⚕️ Hospital Cover | Unlimited |
| 💶 Prescribed Minimum Benefits (PMB) | ☑️ Yes |
| 🩺 Screening and Prevention | ☑️ Yes |
| 🚼 Maternity Benefits | ☑️ Yes |
| 🍼 Pre- and Postnatal Care | ☑️ Yes |
| 💉 Oncology Cover | R250,000 ZAR |
Bonitas Standard Review – 11 Key Point Quick Overview
- ☑️ Bonitas Standard Plan Overview
- ☑️ Bonitas Standard Plan Contributions
- ☑️ Bonitas Standard Benefits and Cover Comprehensive Breakdown
- ☑️ Bonitas Standard Out-of-Hospital Benefits
- ☑️ Bonitas Standard Plan Chronic Benefits
- ☑️ Bonitas Standard Plan Additional Benefits
- ☑️ Bonitas Standard Plan In-Hospital Benefits
- ☑️ Bonitas Standard Plan Exclusions and Waiting Periods
- ☑️ Bonitas Standard Plan vs. Other Bonitas Medical Fund Plan Options
- ☑️ Our Verdict on the Bonitas Standard Plan
- ☑️ Bonitas Standard Plan Frequently Asked Questions
Bonitas Standard Plan Overview
The Bonitas Standard starts from R4,922 and includes cover for maternity, in- and out-of-hospital, international travel, PMBs, and more. 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.
Bonitas Standard Plan Contributions
| 👤 Main Member | 👥 +1 Adult Dependent | 💙 +1 Child Dependent |
| R4,922 ZAR | R4,267 ZAR | R1,444 ZAR |
Bonitas Standard Benefits and Cover Comprehensive Breakdown
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.
Bonitas Standard Out-of-Hospital Benefits
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.
Read more: 5 Best Hospital Plans for Students and Young Adults
Overall Day-to-Day Limits on the Bonitas Standard Plan
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.
| 🔎 Member | 💶 Day-to-Day Benefits |
| 👤 Main Member (Only) | R12,780 |
| 👥 Main Member + 1 Dependent | R19,170 |
| 💙 Main Member + 2 Dependents | R21,300 |
| ➡️ Main Member + 3 (or more) Dependents | R23,430 |
➡️ The sub-limits below represent the maximum allowed for each category, subject to the total daily limit.
| 🔎 Feature | 🩺 GP and Specialist Consultations | 💊 Acute and OTC Medicine | ⚕️ Radiology and Pathology | ➡️ Auxiliary Services |
| 📌 Feature Overview | Specialist consultations require GP referral (Including telemedicine) | Avoid a 20% co-payment using a Bonitas Pharmacy Network or formulary medicine.
Over-the-counter medicine is limited to R800 per beneficiary and R2,500 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 | R3,200 ZAR | R3,200 ZAR | R3,200 ZAR | R3,200 ZAR |
| 👥 Main Member + 1 Dependent | R4,790 ZAR | R4,790 ZAR | R4,790 ZAR | R4,790 ZAR |
| 💙 Main Member + 2 Dependents | R5,330 ZAR | R5,330 ZAR | R5,330 ZAR | R5,330 ZAR |
| ➡️ Main Member + 3 Dependents or more | R6,390 ZAR | R6,390 ZAR | R6,390 ZAR | R6,390 ZAR |
➡️ 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 R8,130 per family.
Managed Care CPAP machines
Managed Care protocols limit frequency.
Use the preferred supplier. |
| 🦻 Hearing Aids | R8 650 per family every 5 years (based on the date of your previous claim).
There is a 20% co-payment that applies.
After the family limit is exceeded, the balance is subject to the daily limit. |
| 📌 MRIs and CT scans | There is a limit of R32,340 per family, in and out of the hospital.
Pre-authorization is needed.
There is a co-payment of R1,770 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 R19,310 per family. |
| 💉 Insulin Pump / Continuous Glucose Monitoring (Type 1 / 2 Diabetes for members <18 years) | Covered up to R85,000 per family every 5 years.
Consumables are limited to R85 000 per family.
One family device per year. |
| 🤓 Optometry | R7 385 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 | R1,340 per recipient at a network provider or R1,005 per recipient at a non-network provider. |
| ✅ Contact Lenses | R2,060 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) |
| 1️⃣ Intra-Oral X-Rays | The Bonitas Managed Care Protocols will apply. |
| 2️⃣ Extra-Oral X-Rays | One allowed per beneficiary every 3 years. |
| 3️⃣ 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. |
| 4️⃣ 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. |
| 5️⃣ Root Canal Therapy and Extractions | The rules for Managed Care apply. |
| 6️⃣ 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. |
| 7️⃣ Specialized Dentistry | The Bonitas Dental Tariff covers this benefit. |
| 8️⃣ 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. |
| 👑 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. |
| 💵 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. |
| 📌 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. |
| 📍 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.
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. |
Bonitas Standard Plan Chronic Benefits
The Bonitas Standard Plan guarantees cover for the 27 Prescribed Minimum Benefits outlined on the applicable formulary. You must obtain your medication from Pharmacy Direct, the 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. Furthermore, The Bonitas 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
- ✅ Diabetes Type 2
- ✅ Dysrhythmias
- ✅ Epilepsy
and many more.
The following additional conditions are covered under the Bonitas Standard Plan:
- ✅ Acne
- ✅ Allergic Rhinitis
- ✅ Ankylosing Spondylitis
- ✅ Attention Deficit Disorder (in children aged 5-18)
- ✅ Barrett’s Esophagus
- ✅ Bechet’s Disease
- ✅ Dermatitis
- ✅ Depression
- ✅ Eczema
and many more.
Bonitas Standard Plan Additional Benefits
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:
- ✅ 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
- ✅ Non-surgical procedures and tests, for instance, wart removal.
When an adult recipient has completed a wellness screening or online wellness questionnaire, dependent children are eligible for the Benefit Booster.
You might consider 5 Best Medical Aids under R500
Bonitas Standard Plan Maternity Care
This benefit offers the following:
- ✅ Twelve antenatal consultations with a gynecologist, GP, or midwife.
- ✅ R1,500 for antenatal classes.
- ✅ Two 2D ultrasound scans.
- ✅ One amniocentesis
Four postpartum consultations with a midwife (1 can be used for a consultation with a lactation specialist).
Bonitas 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.
Bonitas 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 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.
- ✅ One dose of whooping cough booster vaccine every 10 years for those aged 7 to 64
Two human papillomaviruses (HPV) vaccinations for girls aged 9 to 14 years
Bonitas Standard Plan Contraceptives
- ✅ R1,950 per household for the Bonitas 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 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.
You might like Health Insurance for Travel
Bonitas 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.
- ✅ Two pediatrician or general practitioner visits per child under one year.
- ✅ Two consultations with a pediatrician or general practitioner per child aged 1 to 2.
- ✅ Two doctor visits 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 Standard Plan International Travel Benefit
Before departure, you must register for this benefit. The Bonitas 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.
Discover the 5 Best Travel Medical Insurances
Bonitas 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.
Bonitas Standard Plan Cancer Cover
The Bonitas Standard Plan 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 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 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 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 Standard Plan Hip and Knee Replacement Cover
This benefit works in the following ways:
- ✅ This uses the most recent international standard clinical care pathways.
- ✅ Before surgery, your condition is evaluated and treated to ensure the best possible outcome.
- ✅ Utilizes a multidisciplinary team that is committed to facilitating a successful recovery.
Full cover is provided by the ICPS and Joint Care networks.
Bonitas Standard Plan In-Hospital Benefits
This benefit provides cover for major medical events resulting in the beneficiary’s hospitalization. In addition, members have access to private hospital coverage. 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.
| 🩺 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 R32,340 limit per family in and out-of-hospital.
Pre-authorization is required for MRIs and CT scans.
There is an R1,770 co-payment per scan unless it is for a PMB. |
| 👤 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 R54,780 per family unless PMB applies.
Subject to Managed Care Protocols.
There is a sub-limit of R6,520 per breast prosthesis, limited to 2 yearly. |
| 🚩 Spinal Surgery | This is subject to an assessment or conservative treatment by a DSP. |
| 📌 Hip and Knee Replacements | There is an R35,250 co-payment if members use a non-DSP. |
| 📍 Internal Nerve Stimulators | There is a yearly limit of R205,100 for this benefit. |
| 👁️ Cochlear Implants | Only PMBs are covered. |
| 👁️🗨️ Cataract Surgery | Members can avoid an R7,050 co-payment by only using a DSP. |
| 💙 Mental Health Hospitalization | There is coverage up to R49,330 per family.
Physiotherapy for mental health admissions is not covered. |
| 💊 Take-Home Medicine after discharge | Members receive up to 7 days’ supply, up to R575 per hospital stay |
| ✅ Physical Rehabilitation | There is a limit of up to R61,480 per family.
Pre-authorization is required. |
| 🚑 Hospitalization Alternatives | There is a limit of R20,500 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. |
| 🤓 Cataract Surgery | If you use the Designated Service Provider, you can avoid an R7,050 co-payment. |
| 💉 Cancer Treatment | Unlimited for PMBs.
Bonitas covers up to R266,300 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 | Unlimited cover.
Sub-limit of R39,040 applies per beneficiary 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.
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 Standard Plan Exclusions and Waiting Periods
Exclusions
The following is currently not covered by the Bonitas 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.
Waiting Periods
Depending on pre-existing or existing conditions, the following might apply when you register for medical cover with the Bonitas 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 Standard Plan vs. Other Bonitas Medical Fund Plan Options
| 🔎 Medical Aid Plan | 🥇 Bonitas Standard Plan | 🥈 LA Health Active | 🥉 Fedhealth FlexiFED 4 |
| 👤 Main Member Contribution | R4,922 | 3,539 ZAR | R3,805 – R5,081 |
| 👥 Adult Dependent Contribution | R4,267 | 2,380 ZAR | R3,546 – R4,637 |
| 💙 Child Dependent Contribution | R1,444 | 1,174 ZAR | R1,167 – R1,528 |
| 🔁 Gap Cover | ☑️ Yes | None | None |
| ⚕️ Oncology Cover | R250,000 | R228,000 | R499,100 |
| 💶 Prescribed Minimum Benefits (PMB) | ☑️ Yes | ☑️ Yes | ☑️ Yes |
| 🔍 Screening and Prevention | ☑️ Yes | ☑️ Yes | ☑️ Yes |
| 🏥 Hospital Cover | Unlimited | Unlimited | Unlimited |
| 🌎 International Cover | ☑️ Yes | None | None |
Our Verdict on the Bonitas Standard Plan
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.
However, many are subject to sub-limits. Members can avoid costly co-payments on procedures and items using only Bonitas’ 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:
Bonitas Standard Plan Frequently Asked Questions
What does Bonitas Standard Option cover?
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.
What are the Bonitas Rates for 2024?
Depending on the plan, contributions will increase between 2.0% and 9.4% on April 1, with an average increase of 5.9% across all plans.
Does Bonitas Standard cover braces?
Bonitas covers the cost of orthodontic treatment per the DENIS dental protocols and other rules.
Does Bonitas cover knee surgery?
Through Improved Clinical Pathway Services (ICPS) and JointCare, Bonitas has a knee and joint program specializing in hip and knee replacements. Furthermore, the program is based on the most up-to-date international standardized clinical care pathways to ensure you receive the best care possible.
Does Bonitas pay for vaccines?
Vaccines are included in the Prescribed Minimum Benefits (PMB) and are therefore covered by the Risk/ Overall Annual Limits.
What happens if you get surgery but can’t afford it?
Contact the hospital’s 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.
Does Bonitas pay for laser eye surgery?
Yes. Certain Bonitas products cover Lasik eye surgery, dentistry, and optometry.
How many options does Bonitas have?
Bonitas offers 15 comprehensive medical aid plans tailored to the needs of various South African individuals and families.
Does Bonitas have an app?
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.
Is there a waiting period for the Bonitas Medical Aid Standard Plan?
Yes, there is a waiting period of 3 months for all benefits except for accidents and emergency medical conditions.
Can I choose my own healthcare providers on the Bonitas Medical Aid Standard Plan?
Yes, you can choose your healthcare providers, but you may pay more for out-of-network providers.
How do I join the Bonitas Medical Aid Standard Plan?
You can join the Bonitas Medical Aid Standard Plan by visiting their website, filling out an application form, and providing the necessary documentation.
Does the Bonitas Medical Aid Standard Plan cover pre-existing conditions?
Yes, the Bonitas Medical Aid Standard Plan covers pre-existing conditions, but there may be waiting periods or exclusions for certain conditions.
