Bonstart & Bonstart plus 2024 | Page 4

BONSTART
BONSTART PLUS
1 dental consultation per beneficiary R120 co-payment 1 dental consultation per beneficiary R65 co-payment
BASIC DENTISTRY
Managed Care protocols apply
Fissure sealants are only covered for children under 16 years . Limited to 1 per tooth every 3 years
1 annual scale and polish treatment per beneficiary
Fluoride treatments are only covered for children from age 5 and younger than 16 years . Limited to 1 treatment per year
Managed Care protocols apply
Fissure sealants are only covered for children under 16 years . Limited to 1 per tooth every 3 years
1 annual scale and polish treatment per beneficiary
Fluoride treatments are only covered for children from age 5 and younger than 16 years . Limited to 1 treatment per year
GENERAL APPLIANCES ( SUCH AS WHEELCHAIRS AND CRUTCHES )
PMB only
Subject to frequency limits as per Managed Care protocols
R6 270 per family
Subject to frequency limits as per Managed Care protocols
IN-ROOM PROCEDURES
PHYSIOTHERAPY
MENTAL HEALTH CONSULTATIONS ( ALSO SEE CARE PROGRAMMES PAGE 9 )
Cover for a defined list of approved procedures performed in the specialist ’ s rooms
2 consultations per beneficiary for sport-related injuries
Pre-authorisation required
R120 co-payment
You must get a referral from your network GP or medical specialist
PMB only
Cover for a defined list of approved procedures performed in the specialist ’ s rooms
4 consultations per beneficiary for sport-related injuries
Pre-authorisation required
R65 co-payment
You must get a referral from your network GP or medical specialist
PMB only
HIV / AIDS ( ALSO SEE CARE PROGRAMMES PAGE 10 )
Unlimited , if you register on the HIV / AIDS programme
Avoid a 30 % co-payment by obtaining your chronic medicine from the Designated Service Provider
Unlimited , if you register on the HIV / AIDS programme
Avoid a 30 % co-payment by obtaining your chronic medicine from the Designated Service Provider
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 BONSTART & BONSTART PLUS 2024 OUT-OF-HOSPITAL BENEFITS