BONSAVE :
No increase to the out-of-hospital benefit limits
BENEFIT
2021 BENEFIT
IN-HOSPITAL DENTISTRY PMB ONLY
2022 BENEFIT
REMOVAL OF IMPACTED TEETH COVERED ONLY , WITH A R5 000 CO-PAYMENT
BONFIT SELECT :
No increase to the out-of-hospital benefit limits
PRIMARY AND PRIMARY SELECT :
No increase to the out-of-hospital benefit limits
BENEFIT
AMBULATORY PMB COSTS ( SPECIALISTS VISITS & TESTS )
2021 BENEFIT
PAID FROM RISK
2022 BENEFIT
WILL BE PAID FROM THE DAY-TO-DAY BENEFIT FIRST
INTERNAL PROSTHESIS R33 220 PF
PMB ONLY
BONESSENTIAL AND BONESSENTIAL SELECT :
No increase to the out-of-hospital benefit limits
BENEFIT
INTERNAL PROSTHESIS
2021 BENEFIT
R33 220 PF
2022 BENEFIT
PMB ONLY
PAP SMEAR
REMOVAL OF IMPACTED TEETH
FISSURE SEALANTS FOR KIDS < 16 YEARS EVERY 3 YEARS
NO BENEFIT FOR GP CONSULTATIONS
NO BENEFIT
NO BENEFIT
GP OR NURSE VISIT TO OBTAIN THE SPECIMEN , COVERED AT 100 % RATE
COVERED , SUBJECT TO DENIS PROTOCOLS , R5 000 CO-PAYMENT
INCLUDED IN THE PREVENTATIVE CARE BASKET
BONCAP :
• No increase to the out-of-hospital benefit limits
• 5 % adjustment to income bands
BENEFIT
SPECIALIST CONSULTATIONS
2021 BENEFIT
NO SPECIALIST NETWORK LIMITED TO 3 VISITS OR R 3 280 PB 5 VISITS OR R 4 870 PF
2022 BENEFIT
INTRODUCE A SPECIALIST NETWORK LIMITED TO 3 VISITS OR R 3 280 PB 5 VISITS OR R 4 870 PF
NON-NETWORK SPECIALIST CONSULTATIONS
INCLUDE IN ABOVE LIMIT
LIMITED TO 1 VISIT OR R1 100 PB AND 2 VISIT OR R2 000 PF WITH A 10 % CO-PAYMENT
Bonitas Member Magazine Issue 4 | 2021
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