CHRONIC BENEFITS
BonEssential and BonEssential Select cover you for the 28 chronic conditions listed below on the applicable 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 .
BONESSENTIAL & BONESSENTIAL SELECT
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 CONDITION COVERED ( NEW )
28 . Depression ( medication up to R150 per beneficiary , per month )
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
5 BONESSENTIAL & BONESSENTIAL SELECT 2024 CHRONIC BENEFITS