Bonitas Primary: dentistry, optometry and wellness (2026)

Table of Contents:

This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Bonitas Primary View all the Bonitas plans, with costs and brief summary.

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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 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
  • 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)

Bonitas: Primary (2026)
Main member: Adult member: Child member:
Total Cost pm:
  • R3,588
  • R2,807
  • R1141
  • Only pay for 3 children
Savings:
  • 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
Children Rates:
  • Up to 24yrs
  • Only pay for 3 children

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= R5,330
  • Main+1= R8,520
  • Main+2= R10,650
  • Main+3= R11,720
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= R5,330
  • Main+1= R8,520
  • Main+2= R10,650
  • Main+3= R11,720
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 lenses100% cost from network provider, or R225 per lens from non-network
Bifocals:100% cost from network provider, or R485 per lens from non-network
Multifocals100% cost from network provider, or R900 per lens from non-network
ContactsR1,520
Refractive Surgery:No benefit
Note:
  • 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 (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.

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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 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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What does a “PMBs only” restriction mean?
In this case, the scheme will only pay for diagnosis, treatment and management of a claim for one of 270 pre-defined conditions (PMBs). Read more, and see full list of PMB conditions. 

What does “From Risk” mean?
The scheme will pay for this claim from its own funds, not from your savings or other day-to-day benefits. 

What is a DSP?
A Designated Service Provider. The scheme has a network of providers, and will often only pay claims in full if you use a DSP. If you choose another provider, you might have a co-payment, or even no cover. 

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