20 HOSPITAL S 17 TANDARD
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- Rafe Warren
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1 2017
2 This hospital plan offers extensive hospital benefits with some value-added benefits. Unlimited cover up to 100% in hospital 27 PMB chronic conditions covered Network specialists paid in full in hospital Childhood illness, infant paediatric and maternity benefits Additional benefit for take-home medicine after hospital stay Generous preventative care benefits Reasonable co-payments for certain in-hospital procedures Annual wellness screening and R1 050 for Wellness Extender Main member Adult dependant Child dependant R1 665 R1 404 R 633 Your 4th and subsequent children will be covered free of charge. Page 1 All claims are paid at the Bonitas Rate, unless otherwise stated. All benefits and limits are per calendar year, unless otherwise stated.. Benefits are approved by the Council for Medical Schemes.
3 IN-HOSPITAL BENEFITS Cover for major medical events that result in a beneficiary being admitted into hospital. General anaesthetic is only available to children under the age of 5 years for extensive dental treatment Pre-authorisation is required. We negotiate extensively with hospitals to ensure the best possible value for our members. Members have access to all private hospitals. A 30% co-payment will apply to admissions at specific hospitals. Please call us on or log in to for a list of these hospitals. Hospitalisation for basic dentistry (general anaesthetic) General anaesthetic benefits are available for the removal of impacted teeth R3 000 co-payment for hospital admissions GP consultations Unlimited, covered at 100% of the Bonitas Rate Specialist consultations Unlimited, network specialists covered in full Unlimited, non-network specialists paid at 100% of the Bonitas Rate IV conscious sedation in rooms Limited to extensive dental treatment Blood tests and other laboratory tests X-rays and ultrasounds MRIs and CT scans (specialised radiology) Paramedical/Allied medical professionals (such as physiotherapists, occupational therapists, dieticians and biokineticists) Internal prosthesis Unlimited, covered at 100% of the Bonitas Rate Unlimited, covered at 100% of the Bonitas Rate R per family, in and out of hospital Unlimited, covered at 100% of the Bonitas Rate Your therapist must get a referral from the doctor treating you in hospital R per family You must use a preferred supplier No benefit for joint replacements, unless PMB External prosthesis Mental health hospitalisation Take-home medicine Physical rehabilitation Alternatives to hospital (hospice, step-down facilities) PMB only You must use a preferred supplier R per family Physiotherapy will be excluded for all mental health admissions You must use a Designated Service Provider R420 per beneficiary, per hospital stay R per family R per family R per family Cancer treatment You must use a preferred provider All claims are paid at the Bonitas Rate, unless otherwise stated. All benefits and limits are per calendar year, unless otherwise stated.. Benefits are approved by the Council for Medical Schemes. Page 2
4 Organ transplants Kidney dialysis HIV/AIDS Unlimited Unlimited, at a preferred provider Unlimited, if you register on the HIV/AIDS programme A co-payment will apply to the following procedures in hospital R1 300 co-payment R3 300 co-payment R6 500 co-payment 1. Colonoscopy 1. Arthroscopy 1. Back Surgery including Spinal Fusion 2. Conservative Back Treatment 2. Diagnostic Laparoscopy 3. Cystoscopy 3. Laparoscopic Hysterectomy 4. Facet Joint Injections 4. Laparoscopic Appendectomy 5. Flexible Sigmoidoscopy 5. Percutaneous Radiofrequency Ablations (Percutaneous Rhizotomies) 6. Functional Nasal Surgery 7. Gastroscopy 8. Hysteroscopy (not Endometrial Ablation) 9. Myringotomy 10. Tonsillectomy and Adenoidectomy 11. Umbilical Hernia Repair 12. Varicose Vein Surgery 2. Laparoscopic Pyeloplasty 3. Laparoscopic Radical Prostatectomy 4. Nissen Fundoplication (Reflux Surgery) CHRONIC BENEFITS Hospital Standard ensures that you are covered for the 27 Prescribed Minimum Benefits listed below on the applicable formulary. Pre-authorisation is required. If you choose not to use the Designated Service Provider or if you choose to use medicine that is not on the formulary, you will have to pay a 40% co-payment. Prescribed Minimum Benefits covered 1. Addison s Disease 10. Crohn s Disease 19. Hyperlipidaemia 2. Asthma 11. Diabetes Insipidus 20. Hypertension 3. Bipolar Mood Disorder 12. Diabetes Type Hypothyroidism 4. Bronchiectasis 13. Diabetes Type Multiple Sclerosis 5. Cardiac Failure 14. Dysrhythmias 23. Parkinson s Disease 6. Cardiomyopathy 15. Epilepsy 24. Rheumatoid Arthritis 7. Chronic Obstructive 16. Glaucoma 25. Schizophrenia Pulmonary Disease 8. Chronic Renal Disease 17. Haemophilia 26. Systemic Lupus Erythematosus 9. Coronary Artery Disease 18. HIV/AIDS 27. Ulcerative Colitis Page 3 All claims are paid at the Bonitas Rate, unless otherwise stated. All benefi ts and limits are per calendar year, unless otherwise stated.. Benefi ts are approved by the Council for Medical Schemes.
5 SUPPLEMENTARY BENEFITS We believe in giving you more value. These additional benefits will not affect your other benefit limits. Maternity care Per pregnancy Babyline For children under 3 years Infant paediatric benefit Children under 1 year 6 antenatal consultations with a gynaecologist, GP or midwife 2 2D ultrasound scans 1 amniocentesis 4 consultations with a midwife after delivery A Bonitas baby bag (you must register for this after obtaining pre-authorisation for the delivery) Access to telephone helpline for 24/7 medical advice, including weekends and holidays 2 consultations with a paediatrician Wellness benefits Wellness screening Wellness Extender 1 wellness screening per beneficiary at a participating pharmacy, biokineticist or a Bonitas wellness day Wellness screening includes the following tests: Blood pressure Glucose Cholesterol Body mass index Waist-to-hip ratio R1 050 per family Each beneficiary must complete a wellness screening and register for this benefit. You may then choose from the following additional benefits: GP consultation(s) Biokineticist consultation(s) Dietician consultation(s) Physiotherapy consultation(s) A programme to stop smoking All claims are paid at the Bonitas Rate Children between ages 1 and 2 Childhood illness benefit Children between ages 2 and 12 Preventative care General health Women s health Elderly health 1 consultation with a paediatrician 1 GP consultation per beneficiary 1 HIV test per beneficiary 1 flu vaccine per beneficiary 1 mammogram every 2 years, for women between ages 40 and 74 1 pap smear every 3 years, for women between ages 21 and 65 1 pneumococcal vaccine every 5 years, for members aged 65 and over 1 stool test for colon cancer, for members between ages 50 and 75 All claims are paid at the Bonitas Rate, unless otherwise stated. All benefi ts and limits are per calendar year, unless otherwise stated.. Benefi ts are approved by the Council for Medical Schemes. Page 4
6 Bonitas Medical Please note: Please note: Product rules, limits, terms and conditions apply. Where there is a discrepancy between the content provided in this brochure, the website and the Scheme Rules, the Scheme Rules will prevail. The Scheme Rules are available on request. Benefits are approved by the Council for Medical Schemes.CMS01-02FEB2017. Report fraud on the Whistleblower Hotline
20 BON ESS 17 ENTIAL
2017 This hospital plan offers rich hospital benefits with some value-added benefits. Unlimited cover up to 100% in hospital 27 PMB chronic conditions covered Network specialists paid in full in hospital
PRIMARY. Adult dependant. Main member. Child dependant R1 924 R1 505 R 613
2017 This traditional option offers simple day-to-day benefits and hospital cover. Unlimited cover up to 100% in hospital Separate benefit for GP consultations Network specialists paid in full in hospital
STANDARD. Adult dependant. Main member. Child dependant R2 998 R2 600 R 880
2017 This traditional option offers rich day-to-day benefits and comprehensive hospital cover. Unlimited cover up to 100% in hospital Network specialists paid in full in hospital Additional benefit for
Preventative care: HIV test & flu vaccine Mammogram Pap smear Pneumococcal vaccine. Prostate screening
What you get This traditional option uses a quality provider network to offer simple day-to-day benefits and hospital cover. 15% Cheaper than the PRIMARY OPTION R Day-to-day benefits and GP nomination
BONCLASSIC. Adult dependant. Child dependant. Main member R3 648 R3 132 R 900
2017 This generous savings option offers a wide range of medical benefits, in and out of hospital. Unlimited cover up to 100% in hospital Network specialists paid in full in hospital Separate benefits
20 STANDARD 17 SELECT
2017 This traditional option uses a quality provider network to offer rich day-to-day benefits and hospital cover. Unlimited cover up to 100% at hospitals on the Standard Select network Rich day-to-day
20 BON CO 17 MPREHENSIVE
2017 This first-class savings plan offers ample savings, an above and extensive hospital cover. Unlimited cover up to 300% in hospital Cancer benefit of R556 700 including benefit for specialised drugs
Preventative care: HIV test & flu vaccine Mammogram Pap smear Pneumococcal vaccine. Prostate screening
This income based entry-level plan offers basic day-to-day benefits and hospital cover using a network of doctors, providers and hospitals. What you get Basic day-to-day benefits and GP consultations with
60 conditions covered. R chronic benefit per family Comprehensive medicine list. Savings
BONCOMPREHENSIVE SAVINGS OPTION This first-class savings plan offers ample savings, an above threshold benefit and extensive hospital cover. In-hospital, consultations & treatment at 300% R589 000 cancer
Preventative care: HIV test & flu vaccine. Full lipogram Mammogram Pap smear Pneumococcal vaccine. Prostate screening. Bone density screening
This first-class savings plan offers ample savings, an above threshold benefit and extensive hospital cover. What you get R R Rich savings and unlimited above threshold benefit R1 220 antenatal classes
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