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 (Standard hospital network)
2027 Bonitas All Plans Brochures, p18
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
Bonitas Standard Standard Select 2026, p14
Specialists in hospital
100% of Scheme tariff. A specialist who charges more leaves a shortfall.
2027 Bonitas All Plans Brochures, p29
Chronic and cancer
Chronic conditions
45 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
Chronic conditions
34 conditions (the 27 on the Chronic Disease List plus others the scheme adds).
2027 Bonitas All Plans Brochures, p23
Cancer
Up to R280 100 a year.
Bonitas 2026 Annexure B Standard and Standard Select, p26
Cancer
Up to R292 140 a year.
2027 Bonitas All Plans Brochures, p30
Day to day
Maternity
Maternity Programme, paid from savings.
Bonitas 2026 Annexure B Standard and Standard Select
Maternity
Maternity Programme, paid from savings.
2027 Bonitas All Plans Brochures, p19
Children on the plan
As dependants up to age 24.
Children on the plan
As dependants up to age 24.
GP visits
General Practitioners
Bonitas 2026 Annexure B Standard and Standard Select, p9
GP visits
GP & specialist consultations sublimit: R3 650 (M), R5 470 (M+1), R6 080 (M+2), R7 290 (M+3+), within the overall day-to-day limit. Nominate max 2 network GPs/beneficiary; 2 non-nominated GP visits/family/year; non-network GPs PMB only (30% co-payment); includes virtual care.
2027 Bonitas All Plans Brochures, p18
Specialist visits
2 network specialist visits per family, per annum from OAL, subject to GP referral.
Bonitas 2026 Annexure B Standard and Standard Select, p11
Specialist visits
Within the GP & specialist sublimit (GP referral required). Plus 2 additional network specialist consultations per family (in addition to the day-to-day limit, p20).
2027 Bonitas All Plans Brochures, p18
Prescribed medicine (acute)
Routine /(acute) medicine
Bonitas 2026 Annexure B Standard and Standard Select, p22
Prescribed medicine (acute)
Acute & over-the-counter medicine sublimit: R3 650 (M) ... R7 290 (M+3+), within the overall day-to-day limit. OTC limited to R970/beneficiary, R3 040/family. Avoid 20% co-payment by using a Bonitas Pharmacy Network and formulary medicine.
2027 Bonitas All Plans Brochures, p18
Basic dentistry
Limited to two general check-ups
Bonitas 2026 Annexure B Standard and Standard Select, p11
Basic dentistry
Covered at the Bonitas Dental Tariff; subject to the Bonitas Dental Management Programme; 2 annual check-ups per beneficiary (once every 6 months).
2027 Bonitas All Plans Brochures, p18
Eyes (optometry)
Biennial benefit.
Bonitas 2026 Annexure B Standard and Standard Select, p29
Eyes (optometry)
Biennial (once every 2 years). Eye test 1 composite/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 R1 550 network/R1 163 non-network. Contacts R2 250/beneficiary.
2027 Bonitas All Plans Brochures, p18
Basic X-rays
Limited to and included in D18.1.
Bonitas 2026 Annexure B Standard and Standard Select, p35
Basic X-rays
X-rays & blood tests sublimit: R3 650 (M) ... R7 290 (M+3+), within the overall day-to-day limit. Applies to blood/lab tests, X-rays and ultrasounds (frequency limits per Managed Care protocols).
2027 Bonitas All Plans Brochures, p18
Blood tests (pathology)
Subject to Pathology Management Program.
Bonitas 2026 Annexure B Standard and Standard Select, p33
Blood tests (pathology)
Blood and other laboratory tests within the X-rays & blood tests sublimit: R3 650 (M) ... R7 290 (M+3+). Subject to Pathology Management Programme.
2027 Bonitas All Plans Brochures, p18
Full benefit list
Every benefit we hold for 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 Standard and Standard Select, p28
Fertility treatment
Not covered. In-vitro fertilization (IVF);
Bonitas 2026 Annexure C including BonPrime and BonCore, p13
Day procedures
Subject to a R38 560 co-payment: • when hip or knee arthroplasty is performed by a non-DSP.
Bonitas 2026 Annexure B Standard and Standard Select, p40
Medicine on discharge
Up to 7 days’ supply, to a maximum of R605 per beneficiary per admission, except anticoagulants post surgery which will be subject to the relevant managed healthcare programme.
Bonitas 2026 Annexure B Standard and Standard Select, p15
HIV/AIDS
No limit.
Bonitas 2026 Annexure B Standard and Standard Select, p19
Hospital stay and theatre
No limit.
Bonitas 2026 Annexure B Standard and Standard Select, p15
Travel cover
R1.2 million per Member,
Bonitas 2026 Annexure B Standard and Standard Select, p43
Birth (in hospital)
No limit.
Bonitas 2026 Annexure B Standard and Standard Select, p20
Cancer treatment
R280 100 per family for oncology.
Bonitas 2026 Annexure B Standard and Standard Select, p26
Organ and stem cell transplants
No limit
Bonitas 2026 Annexure B Standard and Standard Select, p31
Planned PMB procedures
R316 470 per beneficiary
Bonitas 2026 Annexure B Standard and Standard Select, p15
Internal prostheses
R57 630 per family, unless
Bonitas 2026 Annexure B Standard and Standard Select, p34
Mental health admissions
R51 900 per family, unless
Bonitas 2026 Annexure B Standard and Standard Select, p24
MRI, CT and PET scans
R34 020 per family.
Bonitas 2026 Annexure B Standard and Standard Select, p35
Dialysis
No limit.
Bonitas 2026 Annexure B Standard and Standard Select, p36
Surgery and anaesthetics
100% of the negotiated fee,
Bonitas 2026 Annexure B Standard and Standard Select, p3
Specialised (biological) medicine in hospital
No benefit, unless PMB.
Bonitas 2026 Annexure B Standard and Standard Select, p24
Step-down and sub-acute care
R21 570 per family.
Bonitas 2026 Annexure B Standard and Standard Select, p19
Step-down and sub-acute care
R67 270 per family, for all services.
Bonitas 2026 Annexure B Standard and Standard Select, p19
Day to day
Prescribed medicine (acute)
Routine /(acute) medicine
Bonitas 2026 Annexure B Standard and Standard Select, p22
Alternative healthcare
Limited to and included in D1.1.
Bonitas 2026 Annexure B Standard and Standard Select, p6
Medical appliances
Blood pressure monitors for high risk beneficiaries, registered for Hypertension, are limited to R1 250 per family, subject to and included in the Day-to-Day benefit, once every 2 years.
Bonitas 2026 Annexure B Standard and Standard Select, p7
Auxiliary services
Limited to and included in D1.1.
Bonitas 2026 Annexure B Standard and Standard Select, p32
Chronic medicine (Chronic Disease List)
Above limits, PMBs and Bonitas Pharmacy Network apply.
Bonitas 2026 Annexure B Standard and Standard Select, p23
Chronic medicine (other conditions)
Limited to R13 030 per beneficiary. R26 150 per family. 30% co-payment applies for the voluntary use of non-formulary drugs. Subject to the Bonitas Pharmacy Network. Above limits, PMBs and Bonitas Pharmacy Network apply.
Bonitas 2026 Annexure B Standard and Standard Select, p23
Contraceptives
Limited to R2 050 per family.
Bonitas 2026 Annexure B Standard and Standard Select, p22
Basic dentistry
Limited to two general check-ups
Bonitas 2026 Annexure B Standard and Standard Select, p11
Specialised dentistry
1 Crown per family per year,
Bonitas 2026 Annexure B Standard and Standard Select, p13
Casualty visits
Limited to 2 emergency
Bonitas 2026 Annexure B Standard and Standard Select, p16
GP visits
General Practitioners
Bonitas 2026 Annexure B Standard and Standard Select, p9
Hearing aids
Limited to R9 460 per device
Bonitas 2026 Annexure B Standard and Standard Select, p7
Maternity care (out of hospital)
12 ante-natal consultations
Bonitas 2026 Annexure B Standard and Standard Select, p21
Psychologist and counselling visits
R20 310 per family, limited to and included in D12.1.
Bonitas 2026 Annexure B Standard and Standard Select, p25
Eyes (optometry)
Biennial benefit.
Bonitas 2026 Annexure B Standard and Standard Select, p29
Over-the-counter medicine
Limited to R930 per beneficiary.
Bonitas 2026 Annexure B Standard and Standard Select, p23
Blood tests (pathology)
Subject to Pathology Management Program.
Bonitas 2026 Annexure B Standard and Standard Select, p33
Physiotherapy and other therapists
Limited to and included in D1.1, unless PMB.
Bonitas 2026 Annexure B Standard and Standard Select, p34
Care after a hospital stay
R67 270 per family, for all services.
Bonitas 2026 Annexure B Standard and Standard Select, p19
Basic X-rays
Limited to and included in D18.1.
Bonitas 2026 Annexure B Standard and Standard Select, p35
MRI, CT and PET scans
R34 020 per family.
Bonitas 2026 Annexure B Standard and Standard Select, p35
Specialist visits
2 network specialist visits per family, per annum from OAL, subject to GP referral.
Bonitas 2026 Annexure B Standard and Standard Select, p11
Procedures in the doctor’s rooms
Day-to-Day benefit.
Bonitas 2026 Annexure B Standard and Standard Select, p38
Screening and prevention
Screening and prevention
Females age >40 years
Bonitas 2026 Annexure B Standard and Standard Select, p40