2026 Rules Active
2026 Validated
Traditional Day-to-Day with Network Hospital Safety
Actuarial Objective
For families needing moderate day-to-day limits with sublimits for GP, specialist, acute medicine, and auxiliary services
Running Actuarial Simulation...
More Plan Options
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Momentum
Evolve Option
Strategy: Evolve Starter (Strict Network + State chronic)
Upgrade for +R323 pm
Sizwe Hosmed
Access Saver
Strategy: Access "Core": Non-DSP Usage Penalty Risk
Key Terms for this Strategy
- Network Restriction
- You must use hospitals and doctors listed in the scheme's specific network. Voluntary use of non-network providers will result in a heavy co-payment.
People Also Ask
What is the 2026 monthly premium for Bonitas Primary?
The main member contribution for 2026 is R3,588 per month.
Do I have to use specific hospitals on Bonitas Primary?
Yes, this is a network plan. You must use hospitals on the Bonitas Primary network to avoid a 30% co-payment.
Is there a limit on cancer treatment?
Yes, non-PMB cancer treatment is limited to R224,100 per family. PMB cancer conditions are covered without limit.
Are gastroscopies and colonoscopies covered in full?
No, there is a R2,020 co-payment for gastroscopies and colonoscopies performed in hospital.
Does the plan cover MRI scans?
Yes, but there is a limit of R15,960 per family and a co-payment of R2,240 per scan.
What is the day-to-day limit for a single member?
For a main member, the overall day-to-day limit is R5,540 per year.
Is dentistry covered?
Yes, basic dentistry is covered at 75% of the Bonitas Dental Tariff, subject to the Bonitas Dental Management Programme.
Are internal prostheses like hip replacements covered?
Internal prostheses are covered for PMB conditions only. There is no benefit for non-PMB prostheses.
How many chronic conditions are covered?
The plan covers 28 chronic conditions, including the 27 PMBs plus depression.
Is there a co-payment for cataract surgery?
Yes, you must use a Designated Service Provider (DSP) to avoid a R8,400 co-payment.