Bonitas Primary: 2027 contributions and benefits

At a glance

Plan type: Comprehensive plan
Hospitals: Network hospitals
Hospital and specialists: 100% of Scheme tariff
Day-to-day costs: Day-to-day benefits
Chronic conditions: 28
Cancer: R224 100 a year
Children you pay for: Up to 3
Children on the plan to age: 24

Plan type: Comprehensive plan
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 588	R3 875	+8.0%
Adult dependant	R2 807	R3 032	+8.0%
Child	R1 141	R1 232	+8.0%

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 (Primary Hospital Network)

Bonitas 2026 Annexure B Primary, p12

Hospitals

Network hospitals only (Primary Hospital Network)

2027 Bonitas All Plans Brochures, p32

Specialists in hospital

100% of Scheme tariff. A specialist who charges more leaves a shortfall.

Bonitas Primary 2026, p12

Specialists in hospital

100% of Scheme tariff. A specialist who charges more leaves a shortfall.

2027 Bonitas All Plans Brochures, p42

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, p36

Cancer

Up to R224 100 a year.

Bonitas 2026 Annexure B Primary, p20

Cancer

Up to R233 740 a year.

2027 Bonitas All Plans Brochures, p42

Day to day

Maternity

Maternity Programme, paid from savings.

Bonitas 2026 Annexure B Primary

Maternity

Maternity Programme, paid from savings.

2027 Bonitas All Plans Brochures, p36

Children on the plan

As dependants up to age 24.

Children on the plan

As dependants up to age 24.

GP visits

Limited to and included in the Day-to-Day benefit.

Bonitas 2026 Annexure B Primary, p8

GP visits

GP & specialist consultations sublimit: R2 430 main only, R4 260 main+1, R5 470 main+2 or more. Nominate max 2 network GPs/beneficiary; 2 non-nominated GP visits per family/year; non-network GPs PMB only (30% co-payment); includes virtual care GP consultations.

2027 Bonitas All Plans Brochures, p32

Specialist visits

1 network specialist visit per family, per annum from OAL, subject to GP referral

Bonitas 2026 Annexure B Primary, p9

Specialist visits

Within GP & specialist sublimit, GP referral required. Additional (p34): 1 network specialist consultation per family, in addition to overall day-to-day limit, referral from nominated GP.

2027 Bonitas All Plans Brochures, p32

Prescribed medicine (acute)

Limited to and included in the Day-to-Day benefit.

Bonitas 2026 Annexure B Primary, p17

Prescribed medicine (acute)

Acute & over-the-counter medicine sublimit: R1 830 main only, R3 040 main+1, R3 650 main+2 or more. Avoid 20% co-payment by using Bonitas Pharmacy Network and formulary. OTC limited to R615/beneficiary, R2 430/family.

2027 Bonitas All Plans Brochures, p32

Basic dentistry

Covered at 75% of the BDT.

Bonitas 2026 Annexure B Primary, p10

Basic dentistry

Covered at 75% of the Bonitas Dental Tariff; subject to Bonitas Dental Management Programme and a DSP. 2 annual check-ups per beneficiary.

2027 Bonitas All Plans Brochures, p32

Eyes (optometry)

Biennial benefit.

Bonitas 2026 Annexure B Primary, p22

Eyes (optometry)

Biennial. Eye test 1/beneficiary network (or R433 non-network). Single-vision/bifocal 100% network (R230/R502 per lens out-of-network); multifocal 100% network base or max R930/designer lens. Frames R695 network/R521 non-network. Contacts R1 555/beneficiary.

2027 Bonitas All Plans Brochures, p32

Basic X-rays

Limited to and included in D18.

Bonitas 2026 Annexure B Primary, p27

Basic X-rays

X-rays & blood tests sublimit: R2 430 main only, R3 040 main+1, R3 650 main+2 or more.

2027 Bonitas All Plans Brochures, p32

Blood tests (pathology)

Limited to and included in the Day-to-Day benefit.

Bonitas 2026 Annexure B Primary, p25

Blood tests (pathology)

Blood and laboratory tests within the X-rays & blood tests sublimit: R2 430 main, R3 650 main+2 or more.

2027 Bonitas All Plans Brochures, p32

Full benefit list

Every benefit we hold for Primary, 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 Primary, p21

Fertility treatment

Not covered. In-vitro fertilization (IVF);

Bonitas 2026 Annexure C including BonPrime and BonCore, p13

Day procedures

Subject to a R2 020 co-payment per event.

Bonitas 2026 Annexure B Primary, p31

Medicine on discharge

Up to 7 days’ supply, to a maximum of R470 per beneficiary per admission, except anticoagulants post surgery which will be subject to the relevant managed healthcare programme.

Bonitas 2026 Annexure B Primary, p12

HIV/AIDS

No limit.

Bonitas 2026 Annexure B Primary, p15

Hospital stay and theatre

No limit.

Bonitas 2026 Annexure B Primary, p12

Travel cover

R1.2 million per Member,

Bonitas 2026 Annexure B Primary, p34

Birth (in hospital)

No limit.

Bonitas 2026 Annexure B Primary, p16

Cancer treatment

R224 100 per family for oncology.

Bonitas 2026 Annexure B Primary, p20

Organ and stem cell transplants

Prescribed Minimum Benefits only.

Bonitas 2026 Annexure B Primary, p23

Planned PMB procedures

No benefit for joint replacements, unless PMB.

Bonitas 2026 Annexure B Primary, p12

Internal prostheses

No benefit, except for PMBs.

Bonitas 2026 Annexure B Primary, p26

Mental health admissions

R38 780 per family, unless PMB.

Bonitas 2026 Annexure B Primary, p18

MRI, CT and PET scans

R15 960 per family.

Bonitas 2026 Annexure B Primary, p27

Dialysis

No limit.

Bonitas 2026 Annexure B Primary, p28

Surgery and anaesthetics

100% of the negotiated fee,

Bonitas 2026 Annexure B Primary, p3

Specialised (biological) medicine in hospital

No benefit, unless PMB.

Bonitas 2026 Annexure B Primary, p18

Step-down and sub-acute care

R20 310 per family.

Bonitas 2026 Annexure B Primary, p14

Step-down and sub-acute care

R63 340 per family, for all services.

Bonitas 2026 Annexure B Primary, p14

Day to day

Prescribed medicine (acute)

Limited to and included in the Day-to-Day benefit.

Bonitas 2026 Annexure B Primary, p17

Alternative healthcare

Limited to and included in the Day-to-Day benefit.

Bonitas 2026 Annexure B Primary, p6

Medical appliances

Limited to and included in the Day-to-Day benefit.

Bonitas 2026 Annexure B Primary, p7

Auxiliary services

Limited to and included in D1.1.

Bonitas 2026 Annexure B Primary, p24

Chronic medicine (Chronic Disease List)

Prescribed Minimum Benefits only at the DSP.

Bonitas 2026 Annexure B Primary, p17

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 Primary, p18

Contraceptives

Limited to R1 970 per family.

Bonitas 2026 Annexure B Primary, p17

Basic dentistry

Covered at 75% of the BDT.

Bonitas 2026 Annexure B Primary, p10

Specialised dentistry

No benefit.

Bonitas 2026 Annexure B Primary, p11

Casualty visits

Limited to 2 emergency rooms visits per family, limited

Bonitas 2026 Annexure B Primary, p12

GP visits

Limited to and included in the Day-to-Day benefit.

Bonitas 2026 Annexure B Primary, p8

Hearing aids

No benefit, unless PMB.

Bonitas 2026 Annexure B Primary, p8

Maternity care (out of hospital)

6 ante-natal consultations by a specialist, general

Bonitas 2026 Annexure B Primary, p16

Psychologist and counselling visits

R9 780 per family, limited to and included in D12.1.

Bonitas 2026 Annexure B Primary, p18

Eyes (optometry)

Biennial benefit.

Bonitas 2026 Annexure B Primary, p22

Over-the-counter medicine

Limited to R590 per beneficiary.

Bonitas 2026 Annexure B Primary, p17

Blood tests (pathology)

Limited to and included in the Day-to-Day benefit.

Bonitas 2026 Annexure B Primary, p25

Physiotherapy and other therapists

Limited to and included in D1.1.

Bonitas 2026 Annexure B Primary, p26

Care after a hospital stay

R63 340 per family, for all services.

Bonitas 2026 Annexure B Primary, p14

Basic X-rays

Limited to and included in D18.

Bonitas 2026 Annexure B Primary, p27

MRI, CT and PET scans

R15 960 per family.

Bonitas 2026 Annexure B Primary, p27

Specialist visits

1 network specialist visit per family, per annum from OAL, subject to GP referral

Bonitas 2026 Annexure B Primary, p9

Procedures in the doctor’s rooms

Limited to and included in the Day-to-Day benefit.

Bonitas 2026 Annexure B Primary, p29

Screening and prevention

Screening and prevention

Females age >40 years

Bonitas 2026 Annexure B Primary, p32

Conditions

The Chronic Disease List conditions are Prescribed Minimum Benefits on every medical aid. How each one works on a medical aid:

Bonitas also names these on Primary’s 2026 chronic list:

Depression

Questions about Primary

Answered from Bonitas’s documents.

How much does Primary cost in 2027?

From 1 January 2027: R3 875 a month for the main member, R3 032 for an adult dependant and R1 232 for a child. You pay for up to 3 children.

How much is Primary going up for 2027?

For the main member, from R3 588 to R3 875 a month, +8.0%.

Does Primary 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 Primary 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?

Primary 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.

Compare my picks →On this plan? Get help with it →All Bonitas plans →Bonitas 2027 price changes →Gap cover →

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.