OUT-OF-HOSPITAL BENEFITS
These benefits provide cover for emergency room consultations and other out-of-hospital medical expenses . Please note : When you complete a wellness screening or online wellness questionnaire , you unlock the Benefit Booster which can be used to pay for out-of-hospital expenses . See page 7 for more information .
BONESSENTIAL & BONESSENTIAL SELECT
EMERGENCY ROOM BENEFIT ( NEW ) ( FOR EMERGENCIES ONLY )
2 emergency consultations per family at a casualty ward or emergency room facility of a hospital
Benefit limited to emergencies only
IN-ROOM PROCEDURES ( NEW ) Cover for a defined list of approved procedures performed in the specialist ’ s rooms Pre-authorisation required
ADDITIONAL BENEFITS
BONESSENTIAL & BONESSENTIAL SELECT
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
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 BONESSENTIAL & BONESSENTIAL SELECT 2024 OUT-OF-HOSPITAL BENEFITS