How do I claim money back from medical aid?

You can normally do this via email, fax or post. There are generally two ways to claim for medical aid: either you can do it yourself, or your healthcare professional can do it on your behalf. Many healthcare providers ask that you settle with them first and then claim the money back afterwards.

Who is the owner of Bonitas?

Mr P J Ribbens. Mr Ribbens started his business in 1997 and has been running it for the past 22 years.

How long is the waiting period for Bonitas medical aid?

3 months
A general waiting period lasts 3 months. During this period, you and your dependants are not entitled to claim any benefits, except, in some circumstances, Prescribed Minimum Benefits.

Does Bonitas pay for gym?

As a member of Fedhealth or Bonitas medical aid schemes, you can subscribe to the Sanlam Reality rewards programme. You’ll enjoy a gym benefit at Virgin Active that’s structured in such a way that the more you exercise the greater the cash rewards. At Planet Fitness you’ll benefit from reduced gym fees of up to 80%.

How do medical claims work?

A medical claim is a request for payment that your healthcare provider sends to your health insurance company. that lists services rendered. It ensures the doctor gets paid, your insurance pays covered benefits, and you get billed for the remainder. A claim is started the second a patient checks in to an appointment.

What happens to Gems medical aid when you resign?

If you resign from your public service job, your GEMS membership is terminated immediately. If you or your healthcare provider claims for services rendered after you resigned from the public service or from GEMS, you will be held liable the relevant medical costs.

Does Bonitas pay for therapy?

Bonitas. Bonitas offers sliding scale mental health benefits. Limits apply per family per annum, benefits are subject to pre-authorisation and there are sub-limits for consultations in and out of hospital.

Why is there a 3 month waiting period for medical aid?

According to the Medical Schemes Act, medical aid schemes are entitled to impose a 3 months general waiting period and / or a 12 months condition specific waiting period(s) for any pre-existing medical condition(s). This is done to protect the current membership pool of medical schemes from selective abuse.

What is day to day benefits Bonitas?

You get access to day-to-day benefits including unlimited GP consultations, layers of virtual care, dental and optical consultations, a private hospital network and more. These plans give you set limits for specific benefits for example a GP benefit, optical benefit and dental benefit.

Does Bonitas cover plastic surgery?

Even when medical aid schemes are prepared to cover the costs of plastic surgery, strict rules apply. As an example, Bonitas Medical Scheme will pay for medically backed breast reduction surgery within their protocols of the surgery being medically necessary.

Who qualifies for GEMS medical aid?

As GEMS is a restricted scheme for Government employees, only those employed within public service can become members.

Is the Bonitas medical fund a medical aid?

No Bonitas, as a medical aid you should ensure your members are not subjected to such rubbish!

What can I get for free with Bonitas?

With Bonitas you get access to great deals. This includes free discount vouchers on up to 300 lifestyle products from groceries and airtime to electricity and fashion. You can also get competitive discounts on life insurance, car insurance and gap cover.

What are the benefits of a Bonitas plan?

These plans cover you in hospital for emergency and planned procedures. You also get access to some additional benefits for wellness and preventative care. With Bonitas you get access to great deals. This includes free discount vouchers on up to 300 lifestyle products from groceries and airtime to electricity and fashion.

Are there hidden costs in the Bonitas plan?

Unlike other open healthcare policies that use big technical terms and have hidden costs Bonitas healthcare plans are straight forward with no hidden costs. They offer quality healthcare at affordable rates. Bonitas strives to eliminate any confusion so that their members know exactly what they are covered for.