CHRONIC BENEFITS
BONCOMPREHENSIVE
BonComprehensive offers cover for the 60 chronic conditions listed below . Your chronic medicine benefit is R17 150 per beneficiary and R34 140 per family on the applicable medicine formulary . If you choose to use medicine that is not on the formulary , 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 .
You must get your medicine from a Bonitas Network Pharmacy or Pharmacy Direct , our Designated Service Provider . Preauthorisation is required .
PRESCRIBED MINIMUM BENEFITS COVERED
& BONCOMPLETE
BonComplete offers cover for 32 chronic conditions , using the applicable medicine formulary . You must use Pharmacy Direct , our Designated Service Provider , to get your medicine . If you choose not to use Pharmacy Direct or if you choose to use medicine that is not on the formulary , you will have to pay a 40 % co-payment .
Pre-authorisation is required .
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 BONCOMPREHENSIVE
28 . Acne 39 . Dermatomyositis 50 . Obsessive Compulsive Disorder 29 . Allergic Rhinitis 40 . Depression 51 . Osteoporosis 30 . Alzheimer ’ s Disease ( early onset ) 41 . Eczema 52 . Paget ’ s Disease 31 . Ankylosing Spondylitis 42 . Gastro-Oesophageal Reflux Disease ( GORD ) 53 . Panic Disorder 32 . Anorexia Nervosa 43 . Generalised Anxiety Disorder 54 . Polyarteritis Nodosa 33 . Attention Deficit Disorder ( in children aged 5-18 ) 44 . Gout 55 . Post-Traumatic Stress Disorder 34 . Barrett ’ s Oesophagus 45 . Huntington ’ s Disease 56 . Pulmonary Interstitial Fibrosis 35 . Behcet ’ s Disease 46 . Hyperthyroidism 57 . Psoriatic Arthritis 36 . Bulimia Nervosa 47 . Myasthenia Gravis 58 . Systemic Sclerosis 37 . Cystic Fibrosis 48 . Narcolepsy 59 . Tourette ’ s Syndrome 38 . Dermatitis 49 . Neuropathies 60 . Zollinger-Ellison Syndrome
BONCOMPLETE
28 . Acne ( children up to 21 years ) 30 . Allergic Dermatitis / Eczema ( children up to 21 years ) 32 . Depression ( medication up to R150 per beneficiary , per month ) 29 . Allergic Rhinitis ( children up to 21 years ) 31 . Attention Deficit Disorder ( in children aged 5-18 )
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
7 BONCOMPREHENSIVE & BONCOMPLETE 2024 CHRONIC BENEFITS