Bonclassic 2024 | Página 6

CHRONIC BENEFITS

BonClassic offers cover for the 47 chronic conditions listed below , limited to R14 050 per beneficiary and R29 040 per family on the applicable formulary . If you choose to use medicine that is not on the formulary , you will have to pay a 40 % co-payment . You must get your medicine from a Bonitas Network Pharmacy or Pharmacy Direct , our Designated Service Provider . If you choose to use a non-network pharmacy , you will have to pay a 40 % co-payment . Once the amount above is finished , you will still be covered for the 27 Prescribed Minimum Benefits , listed below – through Pharmacy Direct our Designated Service Provider . If you choose not to use Pharmacy Direct , you will have to pay a 40 % co-payment .
Pre-authorisation is required .
PRESCRIBED MINIMUM BENEFITS COVERED
1 .
Addison ’ s Disease
10 .
Crohn ’ s Disease
19 .
Hyperlipidaemia
2 .
Asthma
11 .
Diabetes Insipidus
20 .
Hypertension
3 .
Bipolar Mood Disorder
12 .
Diabetes Type 1
21 .
Hypothyroidism
4 .
Bronchiectasis
13 .
Diabetes Type 2
22 .
Multiple Sclerosis
5 .
Cardiac Failure
14 .
Dysrhythmias
23 .
Parkinson ’ s Disease
6 .
Cardiomyopathy
15 .
Epilepsy
24 .
Rheumatoid Arthritis
7 .
Chronic Obstructive Pulmonary Disease
16 .
Glaucoma
25 .
Schizophrenia
8 .
Chronic Renal Disease
17 .
Haemophilia
26 .
Systemic Lupus Erythematosus
9 .
Coronary Artery Disease
18 .
HIV / AIDS
27 .
Ulcerative Colitis
ADDITIONAL CONDITIONS COVERED
28 .
Alzheimer ’ s Disease ( early onset )
35 .
Gastro-Oesophageal Reflux Disease ( GORD )
42 .
Polyarteritis Nodosa
29 .
Ankylosing Spondylitis
36 .
Generalised Anxiety Disorder
43 .
Pulmonary Interstitial Fibrosis
30 .
Attention Deficit Disorder ( in children aged 5 -18)
37 .
Gout
44 .
Post-Traumatic Stress Disorder
31 .
Barrett ' s Oesophagus
38 .
Obsessive Compulsive Disorder
45 .
Scleroderma
32 .
Benign Prostatic Hypertrophy
39 .
Osteoporosis
46 .
Tourette ' s Syndrome
33 .
Depression
40 .
Paget ' s Disease
47 .
Zollinger-Ellison Syndrome
34 .
Eczema
41 .
Panic Disorder
All benefits and limits are per calendar year , unless otherwise stated . Managed Care protocols apply . All benefits are approved by the Council for Medical Schemes . PMB = Prescribed Minimum Benefits
6 BONCLASSIC 2024 CHRONIC BENEFITS