PHYSIOTHERAPY , PODIATRY AND BIOKINETICS
BONSAVE
Paid from available savings
BONFIT SELECT
Paid from available savings
OPTOMETRY Paid from available savings Paid from available savings
EYE TESTS
SINGLE VISION LENSES ( CLEAR ) OR
BIFOCAL LENSES ( CLEAR ) OR
MULTIFOCAL LENSES
1 consultation per beneficiary , at a network provider
OR
R380 per beneficiary for an eye examination , at a non-network provider
100 % towards the cost of clear lenses , limited to R215 per lens , per beneficiary , at a non-network provider
100 % towards the cost of clear lenses , limited to R460 per lens , per beneficiary , at a non-network provider
100 % towards the cost of base lenses at a network provider , or limited to a maximum of R860 per designer lens , per beneficiary , in and out of network
1 consultation per beneficiary , at a network provider
OR
R380 per beneficiary for an eye examination , at a non-network provider
100 % towards the cost of clear lenses , limited to R215 per lens , per beneficiary , at a non-network provider
100 % towards the cost of clear lenses , limited to R460 per lens , per beneficiary , at a non-network provider
100 % towards the cost of base lenses at a network provider , or limited to a maximum of R860 per designer lens , per beneficiary , in and out of network
FRAMES Paid from available savings Paid from available savings CONTACT LENSES Paid from available savings Paid from available savings
GENERAL MEDICAL APPLIANCES ( SUCH AS WHEELCHAIRS AND CRUTCHES ) |
Paid from available savings |
Subject to frequency limits as per Managed Care protocols |
Paid from available savings |
Subject to frequency limits as per Managed Care protocols |
IN-ROOM PROCEDURES |
Cover for a defined list of approved procedures performed in the specialist ’ s rooms |
Pre-authorisation required |
Cover for a defined list of approved procedures performed in the specialist ’ s rooms |
Pre-authorisation required |
EXTERNAL PROSTHESES Paid from available savings PMB only
MRIs AND CT SCANS ( SPECIALISED RADIOLOGY )
MENTAL HEALTH CONSULTATIONS ( ALSO SEE CARE PROGRAMMES PAGE 10 )
R28 930 per family , in and out-of-hospital
R1 770 co-payment per scan event except for PMB
In and out-of-hospital consultations ( included in the mental health hospitalisation benefit )
Pre-authorisation required
Limited to R19 310 per family
Paid from available savings
In and out-of-hospital consultations ( included in the mental health hospitalisation benefit )
Pre-authorisation required
PMB consultations only
BASIC DENTISTRY Covered at the Bonitas Dental Tariff Managed Care protocols apply Covered at the Bonitas Dental Tariff Managed Care protocols apply
CONSULTATIONS 2 annual check-ups per beneficiary ( once every 6 months ) 2 annual check-ups per beneficiary ( once every 6 months ) X-RAYS : INTRA-ORAL Paid from available savings Paid from available savings X-RAYS : EXTRA-ORAL Paid from available savings 1 per beneficiary , every 3 years Paid from available savings 1 per beneficiary , every 3 years
PREVENTATIVE CARE
FILLINGS
2 annual scale and polish treatments per beneficiary ( once every 6 months )
1 fissure sealant per tooth , once every 3 years for children under 16 years
2 annual fluoride treatments are only covered for children from age 5 and younger than 16 years
Paid from available savings
Benefit for re-treatment of a tooth is subject to Managed Care protocols
Benefit for fillings is granted once per tooth , every 2 years
A treatment plan and X-rays may be required for multiple fillings
2 annual scale and polish treatments per beneficiary ( once every 6 months )
1 fissure sealant per tooth , once every 3 years for children under 16 years
2 annual fluoride treatments are only covered for children from age 5 and younger than 16 years
Paid from available savings
Benefit for re-treatment of a tooth is subject to Managed Care protocols
Benefit for fillings is granted once per tooth , every 2 years
A treatment plan and X-rays may be required for multiple fillings
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
4 BONSAVE & BONFIT SELECT 2024 OUT-OF-HOSPITAL BENEFITS