| BonCap Option |
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This option is ideal for those looking for a cost effective option with basic cover. The BonCap networks (Hospital, GP, Pharmacy, Optometry and Dental) will provide cover at 100% of the Bonitas tariff. BonCap is the definite choice for a good value for money option.
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| Major Medical |
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| Click below for the Major Medical Benefits |
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| Chronic Medicines |
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Click below for the
Chronic Cover |
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| Supplementary Benefits |
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| Click below for Supplementary Benefits |
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| Out Of Hospital |
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Click below for the Out
of Hospital cover |
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| Major Medical Benefits |
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| Major medical benefits cover major medical events and medical expenses in hospital. Hospital accounts are covered in full as per the negotiated rates between Bonitas and the hospital network. Hospital admissions are subject to pre-authorisation, except in the case of emergencies. Failure to use a network hospital will result in a co-payment. |
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| BonCap |
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| Overall Annual Limit |
Reimbursement Rate |
Hospital Network |
| R600 000 per family per annum |
100% Bonitas Rate |
Contracted hospitals only |
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| Chronic Medicine Benefits |
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| Chronic Medicine Benefits cover medicine for conditions that require medication on an ongoing basis. Subject to pre-authorisation by BonCap Chronic Medicine Management. |
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| BonCap |
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| Limit |
Formulary list |
Provider |
| A specified list of 26 conditions are covered. Refer to the detailed list on the BonCap Chronic Medicines page |
Subject to the BonCap Chronic Medicine Formulary |
Pharmacy Direct is the DSP for the delivery of medication |
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| HIV Management |
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| HIV management is a programme for all HIV positive patients. All associated care is managed in accordance with managed care protocols. Access to the benefits and programme is upon registration only. Contact the BonCap call centre for further assistance. |
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| Out of Hospital Benefits |
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| Out of hospital benefits cover day to day medical expenses incurred out of hospital. |
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| BonCap |
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Out of hospital expenses include:
- GP consultations – 12 consultations per beneficiary per annum
- Basic dentistry
- Optometry
- Acute Medication
- Specialist consultation
- Over the counter medication
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| Supplementary Benefits |
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| Additional benefits, medical expenses incurred in or out of hospital. All the following benefits are paid from the Overall Annual Limit and is subject to benefit limits. |
| BonCap |
- Maternity Care
- Immune Deficiency related to HIV infection
- Mental Health Benefits
- Specialised Radiology
- Internal Prostheses
- Emergency Medical Transportation
- General Appliances
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| What it will Cost |
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| BonCap |
| Income Band |
Principal Member |
Adult Dependant |
Chid Dependant |
| 0 to R5 400 |
R555 |
R526 |
R262 |
| R5 401 to R8 800 |
R675 |
R637 |
R309 |
| R8 801+ |
R1 416 |
R1261 |
R536 |
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