Bonitas Primary: dentistry, optometry and wellness (2026)

This page has information on: Costs, Dentistry, Optometry, Wellness and Preventative and Other benefits for Bonitas Primary

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Terminology:

• 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 Providers. Where stipulated, you must use 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.
• All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2026)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Dentistry benefits (2026):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Bonitas: Primary
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: 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= R5,540 Main+1= R8,860 Main+2= R11,080 Main+3= R12,190 Other Day-to-Day Funds: Benefit Booster: R4,000 per family and use for out of hospital claims like GP consult(s), OTC medicine, etc Available after completing a wellness screening and mental health assessment.
Standard Dentistry:	Paid by scheme (not from day-to-day) at 75% scheme rate. 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
Specialised Dentistry:	No benefit	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
In-Hospital Dentistry:	In dental chair: Covered at 75% scheme rate Hospitalisation: PMBs only	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
Orthodontics:	No benefit

Optometry benefits (2026):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Bonitas: Primary
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: 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= R5,540 Main+1= R8,860 Main+2= R11,080 Main+3= R12,190 Other Day-to-Day Funds: Benefit Booster: R4,000 per family and use for out of hospital claims like GP consult(s), OTC medicine, etc Available after completing a wellness screening and mental health assessment.
Optometry:	Limit: Every 24 months, per person. Paid by scheme. Consult: 1 per person Frames: R665 from network provider Single lenses 100% cost from network provider, or R225 per lens from non-network Bifocals: 100% cost from network provider, or R485 per lens from non-network Multifocals 100% cost from network provider, or R900 per lens from non-network Contacts R1,520 Refractive Surgery: No benefit
Note:	This section does not apply to ophthalmology 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 (2026):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

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, 45yrs-75yrs Benefit Booster: Available after completing a wellness screening and mental health assessment. Get up to R4,000 per family and use for out of hospital claims like : GP consult(s), OTC medicine, etc
View other benefits for this plan: In-hospital | 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. Find all other open medical aid plans here.

Other benefits for 2026:

Primary
International Insurance:	Up to R1.2 million for travel outside South Africa. You must register for this benefit. Africa benefit: 100% Bonitas rate, in and out of hospital
Other:

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.