Boncomprehensive & Boncomplete 2024 | Page 6

Orthodontic treatment is granted once per beneficiary , per lifetime
Pre-authorisation cases will be clinically assessed by using an orthodontic needs analysis
Orthodontic treatment is granted once per beneficiary , per lifetime
Pre-authorisation cases will be clinically assessed by using an orthodontic needs analysis
ORTHODONTICS AND ASSOCIATED LABORATORY COSTS
Benefit allocation is subject to the outcome of the needs analysis and funding can be granted up to 100 % of the Bonitas Dental Tariff
Only 1 family member may begin orthodontic treatment in a calendar year
Benefit for orthodontic treatment will be granted where function is impaired ( not granted for cosmetic reasons )
Benefit for fixed comprehensive treatment is limited to beneficiaries from age 9 and younger than 18 years
Benefit allocation is subject to the outcome of the needs analysis and funding can be granted up to 65 % of the Bonitas Dental Tariff
Only 1 family member may begin orthodontic treatment in a calendar year
Benefit for orthodontic treatment will be granted where function is impaired ( not granted for cosmetic reasons )
Benefit for fixed comprehensive treatment is limited to beneficiaries from age 9 and younger than 18 years
Managed Care protocols apply Pre-authorisation required Managed Care protocols apply Pre-authorisation required
PERIODONTICS
Benefit is limited to conservative , non-surgical therapy only and will only be applied to members who are registered on the Periodontal Programme
Managed Care protocols apply
Benefit is limited to conservative , non-surgical therapy only and will only be applied to members who are registered on the Periodontal Programme
Managed Care protocols apply
Pre-authorisation required
Pre-authorisation required
MAXILLO-FACIAL SURGERY AND ORAL PATHOLOGY SURGERY IN THE DENTAL CHAIR Managed Care protocols apply Managed Care protocols apply
HOSPITALISATION ( GENERAL ANAESTHETIC )
General anaesthetic is only available to children under the age of 5 for extensive dental treatment once per lifetime
A co-payment of R3 500 per admission applies for children under the age of 5 and R5 000 for any other admission , including removal of impacted teeth or any other medical condition OR A R2 500 upfront co-payment if the dental treatment is done in a day hospital
General anaesthetic is only available to children under the age of 5 for extensive dental treatment once per lifetime
General anaesthetic benefit is available for the removal of impacted teeth
Managed Care protocols apply
Avoid a 30 % co-payment by using a hospital on the applicable network
General anaesthetic benefit is available for the removal of impacted teeth
Pre-authorisation required Pre-authorisation required Managed Care protocols apply
INHALATION SEDATION IN DENTAL ROOMS ( LAUGHING GAS )
Managed Care protocols apply Managed Care protocols apply
MODERATE / DEEP SEDATION IN DENTAL ROOMS ( IV CONSCIOUS SEDATION )
Limited to extensive dental treatment Managed Care protocols apply Limited to extensive dental treatment Managed Care protocols apply
Pre-authorisation required

ADDITIONAL BENEFITS

INTERNATIONAL TRAVEL BENEFIT
Up to R10 million cover per family for medical emergencies when you travel outside South Africa
You must register for this benefit prior to departure
Pre-authorisation required
Additional benefit for medical quarantine up to R10 000 per beneficiary if tested positive for Covid-19
AFRICA BENEFIT In and out-of-hospital treatment covered at 100 % of the Bonitas Rate Subject to authorisation
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 BONCOMPREHENSIVE & BONCOMPLETE 2024 OUT-OF-HOSPITAL BENEFITS