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 (Hospital Standard Hospital Network)
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p12
Hospitals
Network hospitals only (Hospital Standard Hospital Network)
2027 Bonitas All Plans Brochures, p101
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
Bonitas Hospital Standard 2026, p3
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
2027 Bonitas All Plans Brochures, p102
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, p104
Cancer
Up to R168 100 a year.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p26
Cancer
Up to R175 330 a year.
2027 Bonitas All Plans Brochures, p103
Day to day
Maternity
Maternity Programme, paid from savings.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select
Maternity
Maternity Programme, paid from savings.
2027 Bonitas All Plans Brochures, p104
Children on the plan
As dependants up to age 24.
Children on the plan
As dependants up to age 24.
GP visits
No benefit, unless PMB at a network GP.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p8
GP visits
No benefit, unless PMB at a network GP.
2027 Bonitas All Plans Brochures, p101
Specialist visits
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p9
Specialist visits
No benefit, unless PMB.
2027 Bonitas All Plans Brochures, p101
Prescribed medicine (acute)
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p21
Prescribed medicine (acute)
No benefit, unless PMB.
2027 Bonitas All Plans Brochures, p101
Basic dentistry
Fissure sealants are available for beneficiaries younger than 16 years of age and limited to one per tooth in 3 years.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p10
Basic dentistry
Fissure sealants for beneficiaries under 16, limited to one per tooth in 3 years.
2027 Bonitas All Plans Brochures, p101
Eyes (optometry)
Not covered.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p29
Eyes (optometry)
Not covered.
2027 Bonitas All Plans Brochures, p101
Basic X-rays
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p34
Basic X-rays
No benefit, unless PMB (out-of-hospital MRI/CT PMB only, p103).
2027 Bonitas All Plans Brochures, p101
Blood tests (pathology)
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p32
Blood tests (pathology)
No benefit, unless PMB.
2027 Bonitas All Plans Brochures, p101
Full benefit list
Every benefit we hold for Hospital Standard, 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 Hospital Standard BonEssential and BonEssential Select, p28
Fertility treatment
Limited to interventions and investigations as prescribed by the Regulations to the Medical Schemes' Act 131 of 1998 in Annexure A, paragraph 9, Code 902M.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p18
Day procedures
Subject to a R2 020 co-payment
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p39
Medicine on discharge
Up to 7 days’ supply, to a maximum of R575 per beneficiary per admission, except anticoagulants post surgery which will be subject to the relevant managed healthcare programme.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p12
HIV/AIDS
No limit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p18
Hospital stay and theatre
No limit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p12
Travel cover
60 days excluding USA
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p43
Birth (in hospital)
No limit
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p19
Cancer treatment
R168 100 per family for oncology.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p26
Organ and stem cell transplants
No limit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p29
Planned PMB procedures
No benefit for Joint
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p12
Internal prostheses
R54 270 per family, unless
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p33
Mental health admissions
R19 060 per family, unless
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p23
MRI, CT and PET scans
R32 040 per family.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p34
Dialysis
No limit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p35
Surgery and anaesthetics
100% of the negotiated fee
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p3
Specialised (biological) medicine in hospital
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p22
Step-down and sub-acute care
R20 310 per family.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p17
Step-down and sub-acute care
R63 340 per family, for all services.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p17
Day to day
Prescribed medicine (acute)
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p21
Alternative healthcare
Not covered. No benefit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p5
Medical appliances
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p6
Auxiliary services
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p30
Chronic medicine (Chronic Disease List)
Prescribed Minimum Benefits
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p22
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 Hospital Standard BonEssential and BonEssential Select, p22
Contraceptives
Limited to R1 580 per family.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p21
Specialised dentistry
Not covered. No benefit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p11
Basic dentistry
Fissure sealants are available for beneficiaries younger than 16 years of age and limited to one per tooth in 3 years.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p10
Casualty visits
Limited to 2 emergency
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p13
GP visits
No benefit, unless PMB at a network GP.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p8
Hearing aids
Not covered. No benefit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p6
Maternity care (out of hospital)
6 ante-natal consultations by a specialist, general practitioner or midwife per pregnancy.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p20
Psychologist and counselling visits
Subject to D12.1.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p23
Eyes (optometry)
Not covered. No benefit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p29
Over-the-counter medicine
Not covered. No benefit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p21
Blood tests (pathology)
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p32
Physiotherapy and other therapists
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p33
Care after a hospital stay
No limit.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p17
Basic X-rays
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p34
MRI, CT and PET scans
No benefit, except for PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p35
Specialist visits
No benefit, unless PMB.
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p9
Procedures in the doctor’s rooms
Limited to and included in D7.1.1 or D7.2.1 at enhanced rates
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p37
Screening and prevention
Screening and prevention
Limited to 3 doses for females
Bonitas 2026 Annexure B Hospital Standard BonEssential and BonEssential Select, p41