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WHY BONITAS<\/strong><\/p>\n Affordable, quality healthcare for all South Africans IMPORTANT INFORMATION<\/p>\n PREFERRED PROVIDERS AND DESIGNATED SERVICE PROVIDERS UNDERSTANDING THE BONITAS RATE<\/strong> UNDERSTANDING THE SELF-PAYMENT GAP<\/strong> DEPENDANTS<\/strong> UNDERWRITING<\/strong> PRORATION OF BENEFITS<\/strong> PROVIDERS ON THE NETWORK WILL BE PAID IN FULL<\/strong> WHY BONITAS Affordable, quality healthcare for all South Africans Largest GP network and a specialist network to give\u00a0more value for money A wide range of plans including savings, traditional, income\u00a0based and hospital options Cover for up to 60 chronic conditions and free medicine\u00a0delivery Partnerships with quality service providers and healthcare\u00a0professionals Preventative care and wellness benefits […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":6,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/profconsure.co.za\/index.php?rest_route=\/wp\/v2\/pages\/4027"}],"collection":[{"href":"https:\/\/profconsure.co.za\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/profconsure.co.za\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/profconsure.co.za\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/profconsure.co.za\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4027"}],"version-history":[{"count":9,"href":"https:\/\/profconsure.co.za\/index.php?rest_route=\/wp\/v2\/pages\/4027\/revisions"}],"predecessor-version":[{"id":5135,"href":"https:\/\/profconsure.co.za\/index.php?rest_route=\/wp\/v2\/pages\/4027\/revisions\/5135"}],"up":[{"embeddable":true,"href":"https:\/\/profconsure.co.za\/index.php?rest_route=\/wp\/v2\/pages\/6"}],"wp:attachment":[{"href":"https:\/\/profconsure.co.za\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4027"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nLargest GP network and a specialist network to give\u00a0more value for money
\nA wide range of plans including savings, traditional, income\u00a0based and hospital options
\nCover for up to 60 chronic conditions and free medicine\u00a0delivery
\nPartnerships with quality service providers and healthcare\u00a0professionals
\nPreventative care and wellness benefits paid from\u00a0risk so benefits last longer
\nAdditional benefits for maternity and children,\u00a0including access to 24\/7 paediatric telephonic
\nadvice, 365 days a year
\nManaged Care programmes to help members manage a\u00a0range of conditions including cancer, mental health,
\nHIV\/AIDS and diabetes
\nSeparate benefits for dentistry and optometry on\u00a0several options, paid from risk
\nSimple, easy to use benefits<\/p>\n
\nWe negotiate rates with preferred providers and Designated Service Providers to ensure\u00a0that they do not charge you more than the agreed rate. This will ensure that your benefits\u00a0last as long as possible and give you more value for money.
\nPlease note: Where you are required to use a Designated Service Provider and you do not\u00a0do so, a significant co-payment will apply.
\nYou can call us on 0860 002 108 or log in to www.bonitas.co.za to view the list of\u00a0preferred providers and Designated Service Providers.<\/p>\n
\nThe Bonitas Rate is the rate at which we reimburse healthcare providers.\u00a0Where we pay 100% of the Bonitas Rate and your healthcare provider charges more than\u00a0this, you will have to pay the outstanding amount. For example, if you visit a healthcare\u00a0provider that charges 200% of the medical aid rate and you receive a bill of R1 000, we will
\nonly pay R500.\u00a0If you visit a healthcare provider that charges the Bonitas Rate, we will pay the bill in full
\n(provided that you have benefits available).\u00a0On some options we pay more than 100% of the Bonitas Rate.<\/p>\n
\nOn BonComprehensive and BonComplete, once you have finished your savings for the\u00a0year, you will reach the self-payment gap. The self-payment gap shows an amount for\u00a0out-of-hospital expenses you must pay before you can access the above threshold\u00a0benefit.<\/p>\n
\nAn adult dependant is any dependant on your medical aid who is 21 years or older.\u00a0A child dependant is any dependant on your medical aid who is under 21 years.\u00a0If your child is a student and is registered on your medical aid, child rates will apply up to\u00a0and including the last day of the month in which he\/she turns 24 years old. We will require\u00a0valid proof of registration from a recognised tertiary institution for child rates to apply to\u00a0a student.<\/p>\n
\nLate-joiner penalties and waiting periods may apply to your membership. This is a\u00a0requirement of the Medical Schemes Act 131 of 1998.\u00a0A late-joiner penalty applies to members 35 years of age or older, who have had a break
\nin medical aid membership for more than 3 months from 1 April 2001. Late-joiner\u00a0penalties will result in your premium being increased. This is based on a specific\u00a0calculation considering the number of years you have not been a member of a\u00a0medical aid.\u00a0A general waiting period lasts 3 months. During this period you and your dependants are
\nnot entitled to claim any benefits, except, Prescribed Minimum Benefits (PMB) in some\u00a0circumstances.
\nA condition-specific waiting period lasts 12 months. During this period you and your\u00a0dependants are not entitled to claim benefits related to a specific condition.\u00a0Please refer to Annexure D of the Scheme Rules for more information. Visit\u00a0www.bonitas.co.za for the latest version.<\/p>\n
\nIf you join Bonitas during the year, benefits will automatically be prorated. This means\u00a0that you will only have access to a percentage of your benefits, based on the month you\u00a0join us, until the next benefit year begins. For example, if you join in July, you will have\u00a0access to six months\u2019 worth of benefits, which is 50% of the total benefits.<\/p>\n
\nWe encourage all our members to use providers on our network, as this will ensure that
\nproviders are paid in full (provided that you have benefits available).<\/p>\n","protected":false},"excerpt":{"rendered":"