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
Network hospitals only (Bonitas Start Hospital Network)
Bonitas 2026 Annexure B BonCore, p15
Hospitals
Network hospitals only (Bonitas Start Hospital Network)
2027 Bonitas All Plans Brochures, p121
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
Bonitas BonCore, p3
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
2027 Bonitas All Plans Brochures, p122
Hospital outside the network
A co-payment of R14 680 if you choose a hospital outside the network for a planned admission.
Bonitas 2026 Annexure B BonCore, p10
Hospital outside the network
A co-payment of R15 310 if you choose a hospital outside the network for a planned admission.
2027 Bonitas All Plans Brochures, p122
Chronic and cancer
Chronic conditions
28 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
Chronic conditions
28 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
2027 Bonitas All Plans Brochures, p125
Cancer
Cover at the PMB level of care, through Bonitas Oncology Network.
Bonitas 2026 Annexure B BonCore, p19
Cancer
Cover at the PMB level of care.
2027 Bonitas All Plans Brochures, p123
Day to day
Maternity
Maternity Programme, paid from savings.
Bonitas 2026 Annexure B BonCore
Maternity
Maternity Programme, paid from savings.
2027 Bonitas All Plans Brochures, p122
Children on the plan
As dependants up to age 24.
Children on the plan
As dependants up to age 24.
GP visits
Maximum of three face-to-face consultations per beneficiary per annum at a BonCore Network GP, including two non-network GP consultations.
Bonitas 2026 Annexure B BonCore, p7
GP visits
2027 not in our records yet. 2026: Maximum of three face-to-face consultations per beneficiary per annum at a BonCore Network GP, including two non-network GP consultations.
Bonitas 2026 Annexure B BonCore, p7 (2026)
Specialist visits
No benefit, except for PMBs.
Bonitas 2026 Annexure B BonCore, p8
Specialist visits
2027 not in our records yet. 2026: No benefit, except for PMBs.
Bonitas 2026 Annexure B BonCore, p8 (2026)
Prescribed medicine (acute)
Limited to PMBs, except as part of the Benefit Booster benefit in D27.2.
Bonitas 2026 Annexure B BonCore, p15
Prescribed medicine (acute)
2027 not in our records yet. 2026: Limited to PMBs, except as part of the Benefit Booster benefit in D27.2.
Bonitas 2026 Annexure B BonCore, p15 (2026)
Basic dentistry
Limited to PMBs
Bonitas 2026 Annexure B BonCore, p8
Basic dentistry
2027 not in our records yet. 2026: Limited to PMBs
Bonitas 2026 Annexure B BonCore, p8 (2026)
Eyes (optometry)
No benefit, unless PMB
Bonitas 2026 Annexure B BonCore, p21
Eyes (optometry)
2027 not in our records yet. 2026: No benefit, unless PMB
Bonitas 2026 Annexure B BonCore, p21 (2026)
Basic X-rays
No benefit unless PMB
Bonitas 2026 Annexure B BonCore, p26
Basic X-rays
2027 not in our records yet. 2026: No benefit unless PMB
Bonitas 2026 Annexure B BonCore, p26 (2026)
Blood tests (pathology)
No benefit, unless PMB
Bonitas 2026 Annexure B BonCore, p24
Blood tests (pathology)
2027 not in our records yet. 2026: No benefit, unless PMB
Bonitas 2026 Annexure B BonCore, p24 (2026)
Full benefit list
Every benefit we hold for BonCore, 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 benefit, except PMBs
Bonitas 2026 Annexure B BonCore, p20
Fertility treatment
Not covered. Assisted Reproductive Technology (ART),
Bonitas 2026 Annexure C including BonPrime and BonCore, p13
Day procedures
R14 680 co-payment to apply to all non-network admissions
Bonitas 2026 Annexure B BonCore, p10
Medicine on discharge
maximum of R400 per beneficiary, per admission
Bonitas 2026 Annexure B BonCore, p10
HIV/AIDS
Subject to PMBs
Bonitas 2026 Annexure B BonCore, p13
Hospital stay and theatre
No limit
Bonitas 2026 Annexure B BonCore, p10
Travel cover
60 days excluding USA – R1.2 million per Member
Bonitas 2026 Annexure B BonCore, p31
Birth (in hospital)
No limit for Natural Birth.
Bonitas 2026 Annexure B BonCore, p14
Cancer treatment
Limited to PMBs.
Bonitas 2026 Annexure B BonCore, p19
Organ and stem cell transplants
Prescribed Minimum Benefits only at a DSP.
Bonitas 2026 Annexure B BonCore, p21
Planned PMB procedures
No benefit except for PMBs.
Bonitas 2026 Annexure B BonCore, p18
Internal prostheses
No benefit, except for PMBs.
Bonitas 2026 Annexure B BonCore, p25
Mental health admissions
Limited to PMBs and subject to the DSP.
Bonitas 2026 Annexure B BonCore, p17
MRI, CT and PET scans
Limited to PMB only.
Bonitas 2026 Annexure B BonCore, p26
Dialysis
Prescribed Minimum Benefits only at a DSP.
Bonitas 2026 Annexure B BonCore, p26
Surgery and anaesthetics
The Bonitas Fund Tariff is defined as the Bonitas monetary tariffs applicable in 2025 increased by an average of 3.9%.
Bonitas 2026 Annexure B BonCore, p2
Specialised (biological) medicine in hospital
No benefit, unless PMB.
Bonitas 2026 Annexure B BonCore, p16
Step-down and sub-acute care
PMB only. Pre-authorisation required.
Bonitas 2026 Annexure B BonCore, p13
Step-down and sub-acute care
PMB only. Pre-authorisation required.
Bonitas 2026 Annexure B BonCore, p12
Day to day
Prescribed medicine (acute)
Limited to PMBs, except as part of the Benefit Booster benefit in D27.2.
Bonitas 2026 Annexure B BonCore, p15
Alternative healthcare
No benefit, except as part of the Benefit Booster benefit in D27.2.
Bonitas 2026 Annexure B BonCore, p4
Medical appliances
No benefit, except for PMBs.
Bonitas 2026 Annexure B BonCore, p5
Auxiliary services
No benefit, unless PMB
Bonitas 2026 Annexure B BonCore, p22
Chronic medicine (Chronic Disease List)
Prescribed Minimum Benefits only at the DSP.
Bonitas 2026 Annexure B BonCore, p16
Chronic medicine (other conditions)
R165 per beneficiary per month for Depression, subject to managed care protocols and the DSP. Restricted to a maximum of one month's supply unless pre-authorised.
Bonitas 2026 Annexure B BonCore, p16
Contraceptives
Limited to Benefit Booster benefit in D27.2.
Bonitas 2026 Annexure B BonCore, p15
Specialised dentistry
Not covered. No benefit.
Bonitas 2026 Annexure B BonCore, p9
Basic dentistry
Limited to PMBs
Bonitas 2026 Annexure B BonCore, p8
Casualty visits
maximum 2 emergency visits per family
Bonitas 2026 Annexure B BonCore, p10
GP visits
Maximum of three face-to-face consultations per beneficiary per annum at a BonCore Network GP, including two non-network GP consultations.
Bonitas 2026 Annexure B BonCore, p7
Hearing aids
Not covered. No benefit.
Bonitas 2026 Annexure B BonCore, p5
Maternity care (out of hospital)
Limited and included in D5.1.2 and D5.2.2.
Bonitas 2026 Annexure B BonCore, p15
Psychologist and counselling visits
Limited to PMBs
Bonitas 2026 Annexure B BonCore, p18
Eyes (optometry)
No benefit, unless PMB
Bonitas 2026 Annexure B BonCore, p21
Over-the-counter medicine
Limited to Benefit Booster benefit in D27.2.
Bonitas 2026 Annexure B BonCore, p16
Blood tests (pathology)
No benefit, unless PMB
Bonitas 2026 Annexure B BonCore, p24
Physiotherapy and other therapists
No benefit unless PMB
Bonitas 2026 Annexure B BonCore, p24
Care after a hospital stay
PMB only. Pre-authorisation required.
Bonitas 2026 Annexure B BonCore, p13
Basic X-rays
No benefit unless PMB
Bonitas 2026 Annexure B BonCore, p26
MRI, CT and PET scans
No benefit, unless PMB.
Bonitas 2026 Annexure B BonCore, p26
Specialist visits
No benefit, except for PMBs.
Bonitas 2026 Annexure B BonCore, p8
Procedures in the doctor’s rooms
No benefit, except for PMB
Bonitas 2026 Annexure B BonCore, p28
Screening and prevention
Screening and prevention
One HIV test per beneficiary per annum.
Bonitas 2026 Annexure B BonCore, p30