R1 275
per month, main member
Best for: Bonitas markets this as a digital-first hospital plan for younger members (roughly ages 22–35) wanting the cheapest possible entry-level cover with some GP/telehealth access, not a savings account
- Hospitals
- Restricted Bonitas network hospitals only
- Day-to-day
- None — no MSA option on this plan; a Benefit Booster of up to R1,000/family is available after a wellness screening
- Chronic meds
- 27 PMB/CDL conditions covered plus depression (R165/person/month non-CDL add-on); 30% co-payment for non-formulary medicine.
- Hospital cover
- Network hospital for long-stay and day procedures at 100% scheme rate for network doctors (non-network doctors paid at only 70% scheme rate); R14,680 penalty for using a non-network hospital; a flat R5,500 co-payment applies per admission (except motor vehicle accidents, maternity confinements, emergencies); notable exclusions include back/neck surgery, joint replacement, elective C-sections, hernia repair, all endoscopies, and in-hospital dental surgery.
- Maternity
- Natural birth: unlimited at network hospital, out-of-network specialist/GP cover capped at R2,500/family. C-section: emergency-approved PMB only. Neonatal care limited to R55,080/family except PMB.
- Dental
- Basic (out-of-hospital) dentistry paid from Benefit Booster funds if unlocked, otherwise PMB only; in-hospital dental treatment also PMB only via the DENIS network DSP.
- Optical
- No dedicated optometry benefit — paid from Benefit Booster funds if unlocked (via wellness screening + mental health assessment), otherwise PMB only.
- Mental health
- Out-of-hospital consultations: PMB only. Hospitalisation: PMB only; R14,680 co-payment applies for using a non-network hospital.
- Gap cover
- Yes, strongly — R5,500 flat hospital co-payment, 70% payment for non-network doctors, and a large exclusions list
- Family pricing
- Adult dependant R1 275 · Child R1 275
- Note
- Same rate for every person on the plan. You pay for a maximum of 3 children.