Bonitas Primary:
dentistry, optometry and wellness (2024)

Monthly Costs:

Primary 2024 prices
	Main member:	Adult member:	Child member:
Total Cost pm:	R2,993	R2,341	R952 Only pay for 3 children
Savings (per year):	No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits.
Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account	Main= R5,300 Main+1= R8,520 Main+2= R10,650 Main+3= R11,720
Children Rates:	Child rates up to 24yrs Only pay for 3 children
Note:	Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list. All treatments and procedures are subject to authorisation and protocols All benefits are listed as an indication only. Please verify with your broker and scheme
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Bonitas plans, with costs and brief summary
.

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Dentistry benefits (2024):

Bonitas: Primary
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:	Paid by scheme (not from day-to-day). Includes: 2 annual checkups X-rays. (Extra-oral 1 every 3 years) 2 annual scale and polish treatments per person Fissure sealants for under 16yr olds Fluoride treatments for children 5-16yrs One filling per tooth every 2 years Root canals, except for primary teeth Plastic dentures, 1 set per person every 4 years, 20% co-payment
Specialised Dentistry:	No benefit
In-Hospital Dentistry:	Children under 5yrs: R3,500 co-payment, once per lifetime All other admissions: R5,000 co-payment or R2,500 co-payment if done at day hospital	PMBs are always covered by the scheme, and cannot have sublimits or co-payments imposed. These include fracture of face bones, orbit and/or jaw. You can see a full list of maxillo facial PMB benefits here.
Orthodontics:	No benefit
Note:	PMBs: Prescribed Minimum Benfits. To read more about PMBs click here DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit. Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Bonitas plans, with costs and brief summary
.

Optometry benefits (2024):

Bonitas: Primary

Assume scheme pays all these costs, unless otherwise stated

Optometry:

Limit:	R5,695, every 24 months. Paid by scheme.
Consult:	1 per person
Frames:	R605 from network provider
Single lenses	100% cost from network provider, or R215 per lens from non-network
Bifocals:	100% cost from network provider, or R460 per lens from non-network
Multifocals	100% cost from network provider, or R860 per lens from non-network
Contacts	R1,430
Refractive Surgery:	No benefit

This section does not apply to opthamology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here.

Wellness/Preventative benefits (2024):

Bonitas: Primary
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:	Covered
Pneumonia vaccines:	Covered , 65yrs+ every 5 yrs
Biometric Screening:	Covered
Child Immunisation:	Covered
Pap Smear:	Covered , every 3 years for women 21yrs-65yrs
Mammogram:	1 mammogram every 2 years, women 40-74yrs
PAS Test:	1 test for men 45-69yrs, who are high risk for prostate cancer
HIV Test:	Covered
Other:	One stool test for colon cancer, 50yrs-75yrs Wellness Extender: Available after completing a wellness screening or online wellness assessment. Get up to R3,500 per family and use for out of hospital claims like : GP consult(s), OTC medicine, etc
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Bonitas plans, with costs and brief summary
.

Other benefits for 2024:

Primary
International Insurance:	Up to R10 million for travel outside South Africa. You must register for this benefit. Covid-19 Compulsory test and quarantine: R10,000 per person Africa benefit: 100% Bonitas rate, in and out of hospital
Other:
♦️View all the other benefits for this plan:♦️ Inhospital \| Out of hospital \| Medication \| Maternity \| Cancer \| Mental Health \| Dentistry \| Optometry \| Other/Extra Benefits \| Wellness \| Prosthetics You can also: ♦️Compare any two plans, side by side \| ♦️View all the Bonitas plans, with costs and brief summary
.

Important!

Unless specified, assume that all benefits are paid are paid at 100% scheme rate
No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
"Unlimited" benefits are still subject to authorisation, protocols and sublimits
Assume that all benefits need to be pre-authorised

All the medical aid jargon explained (2024)

Medical aid and PMBs? DSPs? PPNs? We decipher the medical aid jargon in plain English so that you are not as confused 🙂

How do I make a medical aid plan change (2024)?

A quick guide to how you can change your medical aid plan, including the resignation procedure, and things to look out for, such as imposed waiting periods from your new scheme

Medical Aid waiting periods: what you need to know (2024)

Waiting periods can prevent you from getting the cover that you need – but they are not always applied. Find out rules here.

Bonitas Primary:
dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2024):

Optometry benefits (2024):

Wellness/Preventative benefits (2024):

Other benefits for 2024:

All the medical aid jargon explained (2024)

How do I make a medical aid plan change (2024)?

Medical Aid waiting periods: what you need to know (2024)

Also see these:

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Sizwe Value Core:
prosthetic benefits (2024)

Sizwe Value Core:
in-and-out of hospital benefits (2024)

Sizwe Value Core:
dentistry, optometry and wellness (2024)

Sizwe Silver Hospital:
prosthetic benefits (2024)

Bonitas Primary: dentistry, optometry and wellness (2024)

Monthly Costs:

Dentistry benefits (2024):

Optometry benefits (2024):

Wellness/Preventative benefits (2024):

Other benefits for 2024:

Also see these:

Bonitas Primary:
dentistry, optometry and wellness (2024)