Bonitas has published its full 2027 rules, but we hold only the main rows so far. A row without a 2027 entry shows the 2026 rule, marked.
Benefits in force for 2026.
In hospital
Hospitals
Any hospital
2027 Bonitas All Plans Brochures, p46
Specialists in hospital
150% of Scheme tariff. A specialist who charges more leaves a shortfall.
Bonitas BonComprehensive BonComplete 2026, p14
Specialists in hospital
150% of Scheme tariff. A specialist who charges more leaves a shortfall.
2027 Bonitas All Plans Brochures, p58
Chronic and cancer
Chronic conditions
61 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
Chronic conditions
61 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
2027 Bonitas All Plans Brochures, p52
Cancer
Up to R448 200 a year.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p35
Cancer
Up to R467 500 a year.
2027 Bonitas All Plans Brochures, p59
Day to day
Medical savings account
15% of your contribution goes into a savings account for day-to-day costs.
Medical savings account
2027 not in our records yet. 2026: 15% of your contribution goes into a savings account for day-to-day costs.
(2026)
Maternity
Maternity Programme, paid from savings.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p27
Maternity
Maternity Programme, paid from savings.
2027 Bonitas All Plans Brochures, p12
Children on the plan
As dependants up to age 24.
Children on the plan
As dependants up to age 24.
GP visits
100% of Bonitas Tariff for general practitioners.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p12
GP visits
Paid from available savings and/or above-threshold benefit (including virtual care consultations).
2027 Bonitas All Plans Brochures, p47
Specialist visits
100% at Bonitas Tariff.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p13
Specialist visits
Paid from available savings and/or above-threshold benefit. GP referral required.
2027 Bonitas All Plans Brochures, p47
Prescribed medicine (acute)
limited to R18 560 per family when paid from the above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p28
Prescribed medicine (acute)
Paid from savings and/or above-threshold benefit. Above-threshold limit R19 360/family combined with over-the-counter medicine. Formulary & Bonitas Pharmacy Network apply to above-threshold; 20% co-payment for non-network/non-formulary.
2027 Bonitas All Plans Brochures, p47
Basic dentistry
Subject to available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p14
Basic dentistry
Paid from savings and/or above-threshold benefit. Covered at the Bonitas Dental Tariff; 2 annual check-ups per beneficiary.
2027 Bonitas All Plans Brochures, p47
Eyes (optometry)
Limited to R4 225 per beneficiary.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p38
Eyes (optometry)
Paid from savings and/or above-threshold benefit, limited to R4 435 per beneficiary, once every 2 years. Glasses OR contact lenses.
2027 Bonitas All Plans Brochures, p47
Basic X-rays
Subject to available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p45
Basic X-rays
X-rays and ultrasounds: paid from savings and/or above-threshold benefit.
2027 Bonitas All Plans Brochures, p47
Blood tests (pathology)
Subject to the available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p43
Blood tests (pathology)
Blood tests and other laboratory tests: paid from savings and/or above-threshold benefit.
2027 Bonitas All Plans Brochures, p47
Full benefit list
Every benefit we hold for BonComprehensive, in Bonitas’s own wording, from its 2026 documents. Bonitas’s full 2027 list is not in our records yet.
In hospital
Palliative care
No limit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p38
Fertility treatment
Limited to interventions and investigations as prescribed by the Regulations
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p25
Day procedures
Subject to a R38 560 co-payment:
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p50
Medicine on discharge
a maximum of R670 per beneficiary per admission
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p21
HIV/AIDS
No limit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p25
Hospital stay and theatre
No limit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p20
Travel cover
For medical emergencies when travelling outside the borders of South Africa.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p54
Birth (in hospital)
No limit, at 150% of the Bonitas Tariff for the medical specialist.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p26
Cancer treatment
R448 200 per family for oncology.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p35
Organ and stem cell transplants
No limit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p41
Planned PMB procedures
Limited to and included in D7.1.1 or D7.2.1.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p48
Internal prostheses
R67 640 per family,
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p44
Mental health admissions
R59 920 per family, unless PMB.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p31
MRI, CT and PET scans
R38 470 per family.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p46
Dialysis
No limit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p47
Surgery and anaesthetics
100% of the negotiated fee
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p3
Specialised (biological) medicine in hospital
R257 300 per family.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p31
Step-down and sub-acute care
R21 570 per family.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p24
Step-down and sub-acute care
R63 340 per family for all services.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p24
Day to day
Prescribed medicine (acute)
limited to R18 560 per family when paid from the above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p28
Alternative healthcare
Subject to available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p7
Medical appliances
Subject to available savings.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p8
Auxiliary services
Subject to available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p42
Chronic medicine (Chronic Disease List)
Above limits, PMBs apply.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p29
Chronic medicine (other conditions)
R37 360 per family. R18 760 per beneficiary. As specified in Annexure D paragraph 6.4.3. Subject to the Bonitas Pharmacy Network. Above limits, PMBs apply. 30% co-payment applies for non-formulary drugs used voluntarily and use of a pharmacy outside the Bonitas Pharmacy Network.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p29
Contraceptives
Limited to R2 050 per family.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p28
Specialised dentistry
Subject to available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p17
Basic dentistry
Subject to available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p14
Casualty visits
Limited to 2 emergency rooms visits per family
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p21
GP visits
100% of Bonitas Tariff for general practitioners.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p12
Hearing aids
Limited to R11 340 per device (maximum of two
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p8
Maternity care (out of hospital)
12 ante-natal consultations by a specialist, general practitioner or midwife.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p27
Psychologist and counselling visits
R20 310 per family, limited to and included in D12.1.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p32
Eyes (optometry)
Limited to R4 225 per beneficiary.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p38
Over-the-counter medicine
Limited to and included in D11.1.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p29
Blood tests (pathology)
Subject to the available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p43
Physiotherapy and other therapists
Subject to available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p44
Care after a hospital stay
No limit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p24
Basic X-rays
Subject to available savings and/or above threshold benefit.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p45
MRI, CT and PET scans
Limited to and included in D21.2.1.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p46
Specialist visits
100% at Bonitas Tariff.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p13
Procedures in the doctor’s rooms
Subject to available savings and/or threshold.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p33
Screening and prevention
Screening and prevention
1 basic cytology test per annum or the HPV PCR once every 5 years.
Bonitas Annexure B BonComprehensive BonClassic and BonComplete 2026 28112025, p51