IN-HOSPITAL BENEFITS
This benefit offers cover for major medical events that result in a beneficiary being admitted to hospital . Members have access to cover at a private hospital . Pre-authorisation is required . A co-payment may apply to specific admissions and / or procedures . Managed Care protocols apply .
Please note : On the BonSave and BonFit Select options you can avoid a 30 % co-payment by using a hospital on the applicable network .
SPECIALIST CONSULTATIONS / TREATMENT |
Unlimited , network specialists covered in full at the Bonitas Rate |
Unlimited , non-network specialists paid at 100 % of the Bonitas Rate |
Unlimited , network specialists covered in full at the Bonitas Rate |
Unlimited , non-network specialists paid at 100 % of the Bonitas Rate |
GP CONSULTATIONS / TREATMENT Unlimited , covered at 100 % of the Bonitas Rate Unlimited , covered at 100 % of the Bonitas Rate
BLOOD TESTS AND OTHER LABORATORY TESTS
Unlimited , covered at 100 % of the Bonitas Rate
Unlimited , covered at 100 % of the Bonitas Rate
X-RAYS AND ULTRASOUNDS Unlimited , covered at 100 % of the Bonitas Rate Unlimited , covered at 100 % of the Bonitas Rate
MRIs AND CT SCANS ( SPECIALISED RADIOLOGY )
R28 930 per family , in and out-of-hospital
R1 770 co-payment per scan event except for PMB
Pre-authorisation required R19 530 per family Pre-authorisation required
R1 770 co-payment per scan event except for PMB CATARACT SURGERY Avoid a R7 050 co-payment by using the Designated Service Provider Avoid a R7 050 co-payment by using the Designated Service Provider
ALLIED MEDICAL PROFESSIONALS ( SUCH AS DIETICIAN , SPEECH AND OCCUPATIONAL THERAPIST )
PHYSIOTHERAPY , PODIATRY AND BIOKINETICS
Subject to available savings , except for PMB
Subject to referral by treating practitioner
Subject to available savings , except for PMB
Subject to referral by treating practitioner
Covered at the Bonitas Rate
Covered at the Bonitas Rate
Subject to available savings , except for PMB
Subject to referral by treating practitioner
Subject to available savings , except for PMB
Subject to referral by treating practitioner
Covered at the Bonitas Rate
Covered at the Bonitas Rate
INTERNAL PROSTHESES
MENTAL HEALTH HOSPITALISATION ( ALSO SEE CARE PROGRAMMES PAGE 10 )
R39 040 per family ( no cover for joint replacement except for PMB )
R39 150 per family
Managed Care protocols apply PMB only Managed Care protocols apply
No cover for physiotherapy for mental health admissions
Avoid a 30 % co-payment by using a hospital on the applicable network
R39 150 per family
No cover for physiotherapy for mental health admissions
Avoid a 30 % co-payment by using a hospital on the applicable network TAKE-HOME MEDICINE Limited to a 7-day supply up to R475 per hospital stay Limited to a 7-day supply up to R475 per hospital stay PHYSICAL REHABILITATION R61 480 per family R61 480 per family
ALTERNATIVES TO HOSPITAL ( HOSPICE , STEP-DOWN FACILITIES )
R20 500 per family Managed Care protocols apply R20 500 per family Managed Care protocols apply
PALLIATIVE CARE ( CANCER ONLY ) |
Unlimited , subject to using the Designated Service Provider |
Including hospice / private nursing , home oxygen , pain management , psychologist and social worker support |
Unlimited , subject to using the Designated Service Provider |
Including hospice / private nursing , home oxygen , pain management , psychologist and social worker support |
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
12 BONSAVE & BONFIT SELECT 2024 IN-HOSPITAL BENEFITS