Boncap

2020 Optical benefit design

Each beneficiary is entitled to the following benefits within a two year benefit cycle from last claiming date.

Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

Negotiated Tariff: PPN 1 (Lenses are dispensed in network at an agreed network rate. The same product out of network may result in co-payments if an out of network provider dispenses at industry rates.)

One Composite Examination

• One pair of either clear standard Single Vision or Bifocal lenses or Multifocal lenses
• IN NETWORK : A Frame to the value of R 225.00 towards an alternative Frame and or Lens enhancements
• OR 
• OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 158.00 towards an alternative Frame and or Lens enhancements

• Contact lenses to the value of R1 085.00
• 2 Yearly Benefit

BonClassic

2020 Optical Benefit Design

Each beneficiary can claim once every 24 months from last claiming date

Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

PPN 1 negotiated tariff structure applicable (Lenses are dispensed in network at an agreed network rate. The same product out of network may result in co-payments if an out of network provider dispenses at industry rates.)

Subject to a bi-annual Family limit of R5 845 - Sub-limits for each beneficiary defined below:

One Comprehensive Consultation

One pair of clear standard Single vision lenses or Bifocal lenses or Multifocal lenses

IN NETWORK : A Frame to the value of R 1 110.00 towards an alternative Frame and or Lens enhancements

OR

OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 777.00 towards an alternative Frame and or Lens enhancements

Contact lenses to the value of R 1 790.00

2 year limit

BonComplete

2020 Optical benefits:

Each beneficiary is entitled to the following benefits within a two year benefit cycle from last date of claiming.

Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

Negotiated Tariff : PPN 1 (Lenses are dispensed in network at an agreed network rate. The same product out of network may result in co-payments if an out of network provider dispenses at industry rates.)

Benefits are subject to available savings.

One Comprehensive consultation

A Frame and or Lens enhancements to the value of R 775.00 and one pair of lenses: 

Either clear standard Single vision lenses or Bifocal lenses or Multifocal lenses

Contact lenses to the value of R 1 910

2 Yearly limit

BonComprehensive

2020 Optical Benefit 

Each beneficiary can claim once in a 24 month cycle from last claiming date up to the limit of R 3 170.00 from available savings

Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

Negotiated tariff : PPN 1 (Lenses are dispensed in network at an agreed network rate. The same product out of network may result in co-payments if an out of network provider dispenses at industry rates.)

One Comprehensive Consultation

One pair of clear standard spectacle lenses : Single vision or Bifocal or Multifocal

One frame subject to available savings

Contact lenses are subject to the available savings limit

BonFit

2020 Optical Benefit Design

Each beneficiary can claim once in a 12 month cycle from last claiming date subject to available savings

PPN 1 tariffs applicable In Network Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

One Comprehensive Consultation

One pair of clear standard spectacle lenses : Single Vision or Bifocal or Multifocal

Frame subject to available savings

Contact lenses subject to available savings

BonSave

2020 Optical Benefit Design

Each beneficiary can claim once in a 12 month cycle from last claiming date subject to available savings

PPN 1 limits applicable In Network Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

One Comprehensive Consultation

One pair of clear standard spectacle lenses : Single vision or Bifocal or Multifocal

A frame subject to available savings

Contact lenses subject to available savings

Primary / Primary Select

2020 Optical benefit design

Each beneficiary is entitled to the following sub-limits within a two year benefit cycle from the last claiming date subject to available family limit.

Bi-annual Family limit of R 4 710.00  

Negotiated Tariff: PPN 1 (Lenses are dispensed in network at an agreed network rate. The same product out of network may result in co-payments if an out of network provider dispenses at industry rates.)

Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

One Composite Examination

• One pair of either clear standard Single Vision or Bifocal lenses or Multifocal lenses 
• IN NETWORK : A Frame to the value of R 525.00 towards an alternative Frame and or Lens enhancements
• OR
• OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 368.00 towards an alternative Frame and or Lens enhancements

• Contact lenses: R 1 295.00
• 2 Yearly Benefit

Standard / Standard Select

2020 Optical benefit design

Each beneficiary is entitled to the following benefits within a two year benefit cycle from the last claiming date.

Bi-annual Family limit of R 6 115.00 

Beneficiary sub-limits subject to family limit and defined below - Forensic protocols and AI screening included in design - The benefits are a guideline and scheme rules apply

Negotiated Tariff: PPN 1 (Lenses are dispensed in network at an agreed network rate. The same product out of network may result in co-payments if an out of network provider dispenses at industry rates.)

One Composite Examination

• One pair of either clear standard Single Vision or Bifocal lenses or Multifocal lenses
• IN NETWORK : A Frame to the value of R 1 275.00 towards frame and lens enhancements 
• OR
• OUT OF NETWORK/REFUND VALUE : A Frame to the value of R 893.00 towards an alternative Frame and or Lens enhancements

• Contact lenses: R 1 870.00
• 2 Yearly Benefit