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Bonitas BonClassic: in-and-out of hospital benefits (2021)

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This page shows the In-hospital, Out-of-hospital and Medicine benefits for Bonitas BonClassic.

Pricing:

BonClassic
Main member: Adult member: Child member:
Total Cost pm: R5,330 R4,577 R1,316
(Pay only for first 3)
Savings: R9,036 R7,764 R2,232
Children Rates:
  • Under 21yrs, unless a student. Then, under 24yrs
  • (Pay only for first 3)
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 other benefits:
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

In-hospital Procedures:

BonClassic
non-Network Specialists:
  • 100% scheme rate
network Specialists:
  • 100% scheme rate
non-Network GPs:
  • 100% scheme rate
network GPs:
  • 100% scheme rate
Hospital Choice:
  • Choose any hospital
Penalty for using other hospital:
  • n/a
Specialised Radiology:
  • R30,580 per family, in and out of hospital
  • R1,500 co-payment, unless PMB
Supplementary Services: (Physio, etc)
  • Up to 100% scheme rate
  • Physical rehabilitation: R52,320 per family
Transplants:
  • 100% scheme rate
  • Corneal grafts: R33,220
Dialysis:
  • Unlimited at DSP provider, or 20% co-payment
Day Hospitals:
  • Select day procedures: Must use a network day hospital or R2,200 co-payment.
Co-payments:
  • Specialised radiology: R1,500 co-payment
  • Dental admission: R3,500 -R5,000 co-payment
  • Spinal surgery: R15,000 co-payment if you do not go for assessment through back and neck program
  • Hip and knee replacements: R30,000 co-payment if you do not use the preferred provider
Alternatives to hospitals:
  • Alternatives to hospitalisation: R17,450 per family
  • Terminal care (oncology): Unlimited, including hospice/private nursing, home oxygen, pain management, psychologists, social workers
Casualty:
  • Accident and trauma related costs covered if authorised within 24hrs
Other:
  • Cataract surgery: R6,000 co-payment, unless DSP is used
Note:
  • PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
  • 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
  • Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones here, but you must consult with your scheme to get the full list.
View other benefits:
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

All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme. The benefits listed here are an indication only. Please verify all benefits and their conditions with the scheme.



Out-of-hospital Procedures:

BonClassic
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings /yr: R9,036 R7,764 R2,232
PMBs out of hospital:
  • All medical aids must pay for the diagnosis, treatment and management of all PMB conditions, in or out of hospital. You can see a full list of the conditions here.
  • This can include consults with specialists, blood or other tests, radiology and medicine
  • The benefit is paid by the scheme, and not out of your savings account
  • If you have no day-to-day funds, you still have cover for PMBs
  • Schemes usually impose the use of specific providers for treatment of PMBs. Read more about that here.
  • See our Guide to PMBs for more information.
General info:
GP consultations:
  • From day-to-day benefit, unless PMB
Childcare:
  • Hearing screening for newborns, in or out of hospital
  • Congenital hypothyroidism screening for infants under 1 month old
  • Vaccines: Covered
Specialists consultations:
  • From day-to-day benefit, unless PMB
Pathology:
  • Bonitas pays up to R3,280 per person and R7,270 per family
  • Benefit shared with standard radiology
General radiology:
  • Bonitas pays up to R3,280 per person and R7,270 per family
  • Benefit shared with pathology
Specialised radiology:
  • R30,580 per family, in and out of hospital
  • R1,500 co-payment, unless PMB
Supplementary Services: (Physio, etc)
  • From day-to-day benefit, unless PMB
General Appliances:
  • From day-to-day benefit
1.1. Hearing Aids:
  • R17,810 per family every 5 years, with a 10% co-payment
1.2. Wheelchairs:
  • From day-to-day 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 other benefits:
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

All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme. The benefits listed here are an indication only. Please verify all benefits and their conditions with the scheme.



Medication cover:

BonClassic
Summary of day-to-day benefits:
Main Member: Adult: Child:
Savings /yr: R9,036 R7,764 R2,232
Chronic:
  • An additional 20 non-CDL conditions are covered on this plan
  • Overall limit: R11,950 per person and R24,720 per family. Once depleted, only CDLs will continue to be covered by scheme
  • If you voluntarily use medicine that is not on Bonitas' list ("formulary"), you pay a 40% co-payment
Acute (presrcibed) medication:
  • From day-to-day benefit
Over-the-counter:
  • From day-to-day benefit
Birth Control:
  • R1,660 per family, paid by Bonitas
On Discharge:
  • R490 per person per admission
Biological:
  • No benefit, unless PMB level of care
Note:
  • Schemes have very strict rules about where you can get your medicine to get full benefit. We do not list the requirements here, so confirm with your scheme before you collect your medicine.
  • Formulary: A pre-defined list of approved medicines. Each plan has a different list, and might not pay for non-listed medicine. Confirm with your scheme whether your required medicine is covered by them.
  • 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 other benefits:
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

All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme. The benefits listed here are an indication only. Please verify all benefits and their conditions with the scheme.

Important!

  • Unless specified, assume that all benefits 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


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