Primary & Primary select 2024 | Page 3

Remember to unlock the Benefit Booster which can be used to pay for out-of-hospital expenses first ( See page 7 for more information ). Simply follow the steps below :

• To activate Level 1 , complete an online wellness questionnaire ( on the Bonitas app or website )

• To activate Level 2 and get the rest of the amount , complete a wellness screening ( at a participating pharmacy , biokineticist or Bonitas wellness day )

• To activate the total amount from the get-go , simply complete a wellness screening from the start

PRIMARY

PRIMARY SELECT

OVERALL DAY-TO-DAY LIMIT DAY-TO-DAY BENEFITS DAY-TO-DAY BENEFITS

The day-to-day benefits provide cover for consultations with your GP and specialist , acute medicine , X-rays , blood tests and other out-of-hospital medical expenses up to the overall day-to-day limit , subject to the relevant sublimit per category .

MAIN MEMBER ONLY R5 330 R5 330 MAIN MEMBER + 1 DEPENDANT R8 520 R8 520 MAIN MEMBER + 2 DEPENDANTS R10 650 R10 650 MAIN MEMBER + 3 OR MORE DEPENDANTS R11 720 R11 720

DAY-TO-DAY SUBLIMITS

The sublimits below are the maximum available for each category , subject to the overall day-to-day limit .

GP & SPECIALIST CONSULTATIONS

For specialist consultations you must get a referral from your GP . ( Including virtual care consultations ) On Primary Select :

• You must nominate 2 GPs on our network for each beneficiary for the year

• 2 non-nominated network GP visits allowed per family per year

• Consultations with non-network GPs are limited to PMBs only

PRIMARY & PRIMARY SELECT

ACUTE AND OVER-THE-COUNTER MEDICINE

• Avoid a 20 % co-payment by using a Bonitas Pharmacy Network

• Avoid a 20 % co-payment by using medicine that is on the formulary

• Over-the-counter medicine is limited to R535 per beneficiary and R2 130 per family

X-RAYS & BLOOD TESTS

This category applies to blood and other laboratory tests as well as X-rays and ultrasounds .

AUXILIARY SERVICES

This category applies to physiotherapy , podiatry and biokinetics , allied medical professionals ( such as dieticians , speech and occupational therapists ) and alternative healthcare ( 20 % co-payment applies to homoeopathic medicine ).

GENERAL MEDICAL APPLIANCES ( SUCH AS WHEELCHAIRS AND CRUTCHES )

Subject to the available overall day-to-day limit

R7 820 per family for Stoma Care and CPAP machines . Note : CPAP machines subject to Managed Care protocols

Subject to frequency limits as per Managed Care protocols

NON-SURGICAL PROCEDURES Subject to the available overall day-to-day limit Subject to the available overall day-to-day limit

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

3 PRIMARY & PRIMARY SELECT 2024 OUT-OF-HOSPITAL BENEFITS