At a glance
- Plan type
- Hospital plan with a savings account
- Hospitals
- Network hospitals
- Hospital and specialists
- 100% of Scheme tariff
- Savings account
- R521 a month for the main member (16%)
- Chronic conditions
- 28
- Cancer
- R224 100 a year
- Children you pay for
- Up to 3
- Children on the plan to age
- 24
- Plan type
- Hospital plan with a savings account
- Hospitals
- Network hospitals
- Hospital and specialists
- 100% of Scheme tariff
- Day-to-day costs
- Day-to-day benefits
- Chronic conditions
- 28
- Cancer
- R233 740 a year
- Children you pay for
- Up to 3
- Children on the plan to age
- 24
Monthly contributions
2027 rates take effect on 1 January 2027. You pay for up to 3 children.
| Member | 2026 | 2027 | Change |
|---|---|---|---|
| Main member | R3 255 | R3 548 | +9.0% |
| Adult dependant | R2 546 | R2 776 | +9.0% |
| Child | R1 035 | R1 128 | +9.0% |
Benefits
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 (BonPrime Hospital Network)
Bonitas 2026 Annexure B BonPrime, p14
Hospitals
Network hospitals only (BonPrime Hospital Network)
2027 Bonitas All Plans Brochures, p87
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
Bonitas BonPrime 2026, p12
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
2027 Bonitas All Plans Brochures, p97
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, p91
Cancer
Up to R224 100 a year.
Bonitas 2026 Annexure B BonPrime, p22
Cancer
Up to R233 740 a year.
2027 Bonitas All Plans Brochures, p98
Day to day
Medical savings account
16% of your contribution goes into a savings account for day-to-day costs.
Medical savings account
2027 not in our records yet. 2026: 16% of your contribution goes into a savings account for day-to-day costs.
(2026)
Maternity
Maternity Programme, paid from savings.
Bonitas 2026 Annexure B BonPrime
Maternity
Maternity Programme, paid from savings.
2027 Bonitas All Plans Brochures, p88
Children on the plan
As dependants up to age 24.
Children on the plan
As dependants up to age 24.
GP visits
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p8
GP visits
Paid from available savings (including virtual care consultations)
2027 Bonitas All Plans Brochures, p88
Specialist visits
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p9
Specialist visits
Paid from available savings. You must get a referral from your GP
2027 Bonitas All Plans Brochures, p88
Prescribed medicine (acute)
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p18
Prescribed medicine (acute)
Acute medicine and over-the-counter medicine paid from available savings
2027 Bonitas All Plans Brochures, p88
Basic dentistry
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p10
Basic dentistry
Paid from available savings or Benefit Booster; covered at the Bonitas Dental Tariff
2027 Bonitas All Plans Brochures, p88
Eyes (optometry)
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p24
Eyes (optometry)
Paid from available savings; eye test 1/beneficiary network OR R433 non-network; lens/frame sublimits apply
2027 Bonitas All Plans Brochures, p88
Basic X-rays
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p28
Basic X-rays
X-rays and ultrasounds paid from available savings
2027 Bonitas All Plans Brochures, p88
Blood tests (pathology)
Subject to available savings, unless PMB.
Bonitas 2026 Annexure B BonPrime, p27
Blood tests (pathology)
Blood and other laboratory tests paid from available savings
2027 Bonitas All Plans Brochures, p88
Full benefit list
Every benefit we hold for BonPrime, 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 2026 Annexure B BonPrime, p23
Fertility treatment
Limited to interventions and investigations
Bonitas 2026 Annexure B BonPrime, p17
Day procedures
Subject to a R2 020 co-payment per event.
Bonitas 2026 Annexure B BonPrime, p32
Medicine on discharge
R470 per beneficiary per admission
Bonitas 2026 Annexure B BonPrime, p13
HIV/AIDS
Subject to PMBs.
Bonitas 2026 Annexure B BonPrime, p16
Hospital stay and theatre
No limit.
Bonitas 2026 Annexure B BonPrime, p13
Travel cover
R1.2 million per Member
Bonitas 2026 Annexure B BonPrime, p36
Birth (in hospital)
No limit.
Bonitas 2026 Annexure B BonPrime, p17
Cancer treatment
R224 100 per family for oncology
Bonitas 2026 Annexure B BonPrime, p22
Organ and stem cell transplants
Prescribed Minimum Benefits only.
Bonitas 2026 Annexure B BonPrime, p25
Planned PMB procedures
No benefit for Joint Replacements, unless PMB.
Bonitas 2026 Annexure B BonPrime, p13
Internal prostheses
No benefit, except for PMBs.
Bonitas 2026 Annexure B BonPrime, p27
Mental health admissions
R28 590 per family
Bonitas 2026 Annexure B BonPrime, p20
MRI, CT and PET scans
R15 960 per family.
Bonitas 2026 Annexure B BonPrime, p29
Dialysis
No limit.
Bonitas 2026 Annexure B BonPrime, p29
Surgery and anaesthetics
100% of the lower cost or Bonitas Tariff
Bonitas 2026 Annexure B BonPrime, p3
Specialised (biological) medicine in hospital
No benefit, unless PMB.
Bonitas 2026 Annexure B BonPrime, p19
Step-down and sub-acute care
R20 310 per family.
Bonitas 2026 Annexure B BonPrime, p16
Step-down and sub-acute care
R63 340 per family for all services.
Bonitas 2026 Annexure B BonPrime, p16
Day to day
Prescribed medicine (acute)
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p18
Alternative healthcare
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p6
Medical appliances
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p7
Auxiliary services
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p26
Chronic medicine (Chronic Disease List)
Prescribed Minimum Benefits only at the DSP.
Bonitas 2026 Annexure B BonPrime, p19
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 BonPrime, p19
Contraceptives
R1 970 per family
Bonitas 2026 Annexure B BonPrime, p18
Specialised dentistry
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p11
Basic dentistry
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p10
Casualty visits
2 emergency room visits per family
Bonitas 2026 Annexure B BonPrime, p14
GP visits
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p8
Hearing aids
Not covered. No benefit.
Bonitas 2026 Annexure B BonPrime, p7
Maternity care (out of hospital)
6 ante-natal consultations
Bonitas 2026 Annexure B BonPrime, p18
Psychologist and counselling visits
Subject to available savings, unless PMB.
Bonitas 2026 Annexure B BonPrime, p20
Eyes (optometry)
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p24
Over-the-counter medicine
Limited to and included in D11.1.
Bonitas 2026 Annexure B BonPrime, p19
Blood tests (pathology)
Subject to available savings, unless PMB.
Bonitas 2026 Annexure B BonPrime, p27
Physiotherapy and other therapists
Subject to available savings, unless PMB.
Bonitas 2026 Annexure B BonPrime, p27
Care after a hospital stay
No limit.
Bonitas 2026 Annexure B BonPrime, p16
Basic X-rays
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p28
MRI, CT and PET scans
R3 990 per family, unless PMB.
Bonitas 2026 Annexure B BonPrime, p29
Specialist visits
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p9
Procedures in the doctor’s rooms
Subject to available savings.
Bonitas 2026 Annexure B BonPrime, p30
Screening and prevention
Screening and prevention
Limited to R1 140 per vaccine.
Bonitas 2026 Annexure B BonPrime, p34
Conditions
The Chronic Disease List conditions are Prescribed Minimum Benefits on every medical aid. How each one works on a medical aid:
- Addison's Disease
- Asthma
- Bipolar Disorder
- Bronchiectasis
- Dysrhythmia
- Heart Failure
- Cardiomyopathy
- COPD
- Chronic Kidney Disease
- Coronary Artery Disease
- Crohn's Disease
- Type 1 Diabetes
- Type 2 Diabetes
- Epilepsy
- Glaucoma
- Haemophilia
- HIV (Human Immunodeficiency Virus)
- High Cholesterol
- Hypertension
- Hypothyroidism
- Multiple Sclerosis
- Parkinson's Disease
- Rheumatoid Arthritis
- Schizophrenia
- Systemic Lupus Erythematosus (SLE)
- Ulcerative Colitis
Bonitas also names these on BonPrime’s 2026 chronic list:
Questions about BonPrime
Answered from Bonitas’s documents.
How much does BonPrime cost in 2027?
From 1 January 2027: R3 548 a month for the main member, R2 776 for an adult dependant and R1 128 for a child. You pay for up to 3 children.
How much is BonPrime going up for 2027?
For the main member, from R3 255 to R3 548 a month, +9.0%.
Does BonPrime pay for GP visits and day-to-day costs?
It has day-to-day benefits; the fact sheet above lists what we hold.
How many chronic conditions does BonPrime cover?
28: the 27 on the Chronic Disease List and others the scheme adds.
Until what age can children stay on as dependants?
Up to age 24.
Will I have a shortfall if my specialist charges more?
BonPrime pays specialists in hospital at 100% of the Scheme tariff. If a specialist charges more than that, the difference is a shortfall. Gap cover is the product that pays shortfalls.
Factual information from Bonitas Medical Fund’s published documents. It is not advice. Compiled by Eldon de Waal, CFA, the licensed advisor behind AURA. Catalogue v175, built 2026-10-19.