WELCOME TO THE BONITAS 2019 PRODUCT PRESENTATION DATE: PRESENTER: - - PowerPoint PPT Presentation

WELCOME TO THE BONITAS 2019 PRODUCT PRESENTATION

DATE: PRESENTER:

01

SCHEME SUSTAINABILITY

PRODUCT RANGE AND ENHANCEMENTS - 2019

02

Hospital Plus members mapped to the Standard Option

15%

cheaper than Primary and BonEssential

LAUNCHING 2 NEW AFFORDABLE NETWORK OPTIONS

Ø Specialised radiology - Combined IH/OOH family limit Ø Hip and knee replacements: - Make subject to ICPS and other preferred providers, R6 000 copayment where PP not used Ø Spinal surgery - Promote conservative treatment by introducing R6 000 copayment for spinal surgery without prior DBC intervention Ø Oncology treatment: - Introduce ICON as preferred provider, similar to other options

BONCOMPREHENSIVE CHANGES

Ø Paramedical - Collapse separate Physio OOH benefit into Paramedical OOH benefit Ø Radiology & pathology - Collapse Radiology OOH benefit into Pathology OOH benefit, i.e. make it a combined benefit Ø Specialised drugs (non-oncology) - Benefit removed

BONCLASSIC CHANGES

Member : R 2 310 Member + 1 : R 4 140 Member + 2 : R 4 860 Member + 3 : R 5 230 Member + 4 : R 5 660

PRIMARY : DAY TO DAY BENEFIT OPTICAL PROVIDER :

On the BonComplete option, optical claims will now be allowed to pay from the above threshold benefit and not just savings as is currently the case.

15% benefit increase

PREVENTATIVE CARE BENEFITS 2019

BonComprehensive BonClassic BonComplete BonSave BonFit Standard, & Standard Select Primary & PrimarySelect Hospital Standard BonEssential / Select BonC

1 HIV test per beneficiary

P P P P P P P P P

1 flu vaccine per beneficiary

P P P P P P P P P

1 full lipogram every 5 years aged 20 and over

P P x x x P P x x x

1 mammogram every 2 years ,for women 40

P P P P P P P P

P P

1 pap smear every 3 years, for women over ages 21 & 65

P P P P P P P P P

1 pneumococcal vaccine every 5 years members 65 and over

P P P P P P P P P

1 stool test for colon cancer, for members between ages 50 and 75

P P P P P P P P P

1 bone density screening every 5 years, for women aged 65 and over and men aged 70 and over

P P x x x x x x x x

1 prostate screening antigen test for men between ages 45 and 69

P

P P P P P P P P P

CHILDCARE BENEFIT

BonComprehensive BonClassic BonComplete BonSave BonFit Standard & Standard Select Primary/ & PrimarySelect Hospital Standard BonEssential / Select BonCap Preventative care benefits (paid from risk) Childhood immunisations

✓

✓ ✓ ✓ ✓ ✓ ✓

Newborn hearing screening (In or out of hospital)

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

Congenital hypothyroidism screening for children under 1 month old

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

1 flu vaccine per

✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓

Paediatric and or GP consultations benefit (paid from risk) Consultations for children under 1 year 3 No benefit 2 2 2 2 1 2 No benefit No benefit Consultations for children between 1 and 2 years 2 No benefit 1 1 1 2 1 1 No benefit No benefit GP consultations (paid from risk) consultations per child between ages 2 and 12 2 No benefit 1 1 1 2 1 1 1 No benefit

ADDED EPI CHILDHOOD IMMUNISATIONS

PROSTHESIS ENHANCEMENTS 2019

Options

2019

* per family External Internal

BonComprehensive

R 55 100 R 55 100

BonClassic

R54 600

BonComplete

R 42 210

BonSave

R 31 500

Excluding joint replacement prosthesis

BonFit

PMB only

Standard/ Standard Select

R42 100

Primary/Primary Select

PMB only for external prosthesis

R 31 500

Excluding joint replacement prosthesis

Hospital Standard

PMB only for external prosthesis R 42 100

BonEssential/ BonEssential Select

R 31 500

Excluding joint replacement prosthesis

BonCap

PMB only

1 wellness screening per beneficiary at a participating pharmacy, biokineticist or a Bonitas wellness day Wellness screening includes the following tests:

§ Blood pressure § Glucose § Cholesterol § Body mass index § Waist-to-hip ratio

The above mentioned screening will open up your wellness extender benefit.

HEALTH RISK ASSESSMENT

Our wellness screening benefits have been enhanced to include treatment with an consultation up to the value of the Wellness extender benefit. GP consultations and treatment

Physiotherapist consultations and treatment

Dietician consultations and treatment Biokineticist consultations and treatment

Smoking cessation programme Wellness screening

WELLNESS EXTENDER BENEFIT

BonComprehensive R2 540 BonClassic R1 750 BonComplete R1 750 BonSave R1 270 BonFit R1 270 Standard /Standard Select R1 750 Primary/Primary Select R1 270 Hospital Standard R1 270 BonEssential / BonEssential Select R910

THE MY FAMILY BENEFIT

INCREASE 2019

8.9%

HOSPITALS PER PROVINCE

Standard Select, Primary Select, BonFit, BonEssential Select

HOSPITAL NETWORKS

119

31 7 13 13 15 9 4

102

HOSPITALS PER PROVINCE

BONCAP HOSPITAL NETWORKS

DOCTOR NETWORKS

BONCAP GP NETWORK GP NETWORK SPECIALIST NETWORK

03

BENEFITS SUMMARY

WE OFFER COMPETITIVE PRODUCTS TO MEET YOUR NEEDS

Out of Hospital Rich day-to-day & GP benefits Separate benefit for tests & consultations for PMB treatment plans (excluding GP consultations) R15 130 mental health benefit for consultations paid from risk Optical and dental benefits day-to-day benefits No co-payment for scans Additional Benefits 12 maternity consultations, antenatal classes 2 x 2D scans Wellness screening Preventative care prostate screening, flu vaccines & more Childcare benefits Babyline & cover for R1 580 per family for contraceptives International travel trip Chronic conditions In Hospital

Out of Hospital Rich day-to-day & GP benefits Separate benefit for tests & consultations for PMB treatment plans (excluding GP consultations) R15 130 mental health benefit for consultations paid from risk Optical and dental benefits day-to-day benefits GP nomination applies No co-payment for scans Additional Benefits 12 maternity consultations, antenatal classes 2 x 2D scans Wellness screening Preventative care prostate screening, flu vaccines & more Childcare benefits R1 580 per family for contraceptives Babyline & cover for International travel trip Chronic conditions In Hospital

Out of Hospital Rich day-to-day & GP Separate benefit for tests & consultations for PMB treatment plans (excluding GP consultations) R9 560 mental health benefit for consultations paid from risk Optical and dental benefits benefits No co-payment for scans Additional Benefits 6 maternity Wellness screening Preventative care prostate screening, flu vaccines & more Childcare benefits Babyline R1580 for contraceptives International travel Chronic conditions In Hospital

Out of Hospital Rich day-to-day & GP Separate benefit for tests & consultations for PMB treatment plans (excluding GP consultations) R9 560 mental health benefit for consultations paid from risk Optical and dental benefits benefits GP Nomination applies No co-payment for scans Additional Benefits 6 maternity Wellness screening Preventative care prostate screening, flu vaccines & more Childcare benefits Babyline R1 580 benefit for contraceptives International travel trip Chronic conditions In Hospital

Standard Member Member + spouse Member + spouse + adult Member + spouse + Child Member + spouse + 2 children Member + spouse + 3 children Member + child Member + 2 children Member + 3 children Employee (40%) R 1,422.40 R 2,655.60 R 5,738.60 R 3,463.83 R 4,506.83 R 5,549.83 R 1,839.60 R 2,256.80 R 2,674.00 Standard Select Employee (40%) R 1,232.00 R 2,298.00 R 4,963.00 R 2,658.80 R 3,330.83 R 4,232.83 R 1,592.80 R 1,953.60 R 2,314.40 Primary Employee (40%) R 896.00 R 1,596.80 R 3,348.80 R 1,882.00 R 2,167.20 R 2,452.40 R 1,181.20 R 1,466.40 R 1,751.60 Primary Select Employee (40%) R 761.60 R 1,357.20 R 2,846.20 R 1,599.60 R 1,842.00 R 2,084.40 R 1,004.00 R 1,246.40 R 1,488.80

40% EMPLOYEE CONTRIBUTION

WE OFFER COMPETITIVE PRODUCTS TO MEET YOUR NEEDS

Out of Hospital Rich savings and unlimited above threshold benefit R29 840 for MRIs & CT hospital R15 890 mental health benefit for consultations Additional Benefits 12 amniocentesis Wellness screening Preventative care prostate screening, flu vaccines & more Childcare benefits Babyline R1 580 International travel trip Chronic conditions In Hospital

Out of Hospital Rich savings and unlimited above threshold benefit Additional benefits for Paramedical Services, Radiology & pathology R29 840 for MRIs & CT hospital R15 890 mental health benefit for consultations Access to back and neck rehabilitation Additional Benefits 12 maternity amniocentesis Wellness screening Preventative care screening, flu vaccines & more Babyline R1 580 per family for contraceptives International travel Chronic conditions In Hospital

Out of Hospital Savings and a limited above threshold benefit R23 330 for MRIs & CT scans with no co-payments R15 890 mental health benefit for Dental benefits paid from risk Optical paid from Savings and Additional Benefits 6 maternity consultations, antenatal classes x 2D scans Wellness screening Preventative care screening, flu vaccines & more Childcare benefits Babyline & cover for R1 580 per family for contraceptives International travel trip Chronic conditions In Hospital

Out of Hospital Generous savings 16% R23 330 for MRIs & CT R15 890 mental health benefit for consultations Dental (basic) paid from Risk Additional Benefits 6 maternity x 2D scans Wellness screening Preventative care screening, flu vaccines & more Childcare benefits Babyline Additional GP International travel trip R1 580 Chronic conditions In Hospital

Out of Hospital Generous savings 15% R15 750 for MRIs & CT scans with no co-payments Dentistry (basic) paid from Risk Additional Benefits 6 maternity 2D scans Wellness screening Preventative care screening, flu vaccines & more Childcare benefits R1 580 per family for contraceptives Babyline & cover for childhood International travel Chronic conditions In Hospital

BonComprehensive Member Member + spouse Member + spouse + adult Member + spouse + child Member + spouse + 2 children Member + spouse + 3 children Member + child Member + 2 children Member + 3 children Employee (40%) R 2,575.20 R 8,291.83 R 14,363.83 R 9,601.83 R 10,911.83 R 12,221.83 R 3,529.83 R 4,839.83 R 6,149.83 BonClassic Employee (40%) R 1,788.00 R 4,089.83 R 7,927.83 R 5,193.83 R 6,297.83 R 7,401.83 R 2,229.60 R 2,671.20 R 3,563.83 BonComplete Employee (40%) R 1,432.40 R 2,579.60 R 5,447.60 R 3,203.83 R 4,176.83 R 5,149.83 R 1,821.60 R 2,210.80 R 2,600.00 BonSave Employee (40%) R 994.40 R 1,764.40 R 3,689.40 R 2,062.00 R 2,359.60 R 2,657.20 R 1,292.00 R 1,589.60 R 1,887.20 BonFit Employee (40%) R 810.80 R 1,438.80 R 3,008.80 R 1,681.60 R 1,924.40 R 2,167.20 R 1,053.60 R 1,296.40 R 1,539.20

40% EMPLOYEE CONTRIBUTION

Out of Hospital Unlimited GP consultations GP referred acute medicine, blood tests & x-rays Specialist benefit if referred by Network GP Optical and dental benefits Over the counter medication benefit No co-payment for scans Additional Benefits 2 x 2D scans Wellness screening Preventative care screening, flu vaccines & more Chronic conditions In Hospital

BonCap – R0 to R8 030 Member Member + spouse Member + spouse + adult Member + spouse + child Member + spouse + 2 children Member + spouse + 3 children Member + child Member + 2 children Member + 3 children Employee (40%) R 403.60 R 786.00 R 1,742.00 R 976.00 R 1,166.00 R 1,356.00 R 593.60 R 783.60 R 973.60 BonCap – R 8 031 to R13 050 Employee (40%) R 490.40 R 954.00 R 2,113.00 R 1,179.20 R 1,404.40 R 1,629.60 R 715.60 R 940.80 R 1,166.00 BonCap – R13 051 to R17 830 Employee (40%) R 800.00 R 1,512.00 R 3,292.00 R 1,814.80 R 2,117.60 R 2,420.40 R 1,102.80 R 1,405.60 R 1,708.40 BonCap –R17 831+ Employee (40%) R 982.40 R 1,857.20 R 4,044.20 R 2,229.60 R 2,602.00 R 3,217.83 R 1,354.80 R 1,727.20 R 2,099.60

40% EMPLOYEE CONTRIBUTION

Out of Hospital R26 100 MRI & CT scans benefit per family in and out of hospital No co-payment for scans Additional Benefits 6 maternity consultations, Wellness screening Preventative care screening, flu vaccines & more R1 580 for contraceptives Childcare benefits International travel Chronic conditions In Hospital

Out of Hospital R15 750 MRI & CT scans benefit per family in and out of hospital No co-payment for scans Additional Benefits 6 maternity consultations, Wellness screening Preventative care screening, flu vaccines & more R1 260 for contraceptives Childcare benefits International travel Chronic conditions In Hospital

Out of Hospital R15 750 MRI & CT scans benefit per family in and out of hospital No co-payment for scans Additional Benefits 6 maternity consultations, Wellness screening Preventative care screening, flu vaccines & more Childcare benefits International travel Chronic conditions In Hospital

Hospital Standard Member Member + spouse Member + spouse + adult Member + spouse + child Member + spouse + 2 children Member + spouse + 3 children Member + child Member + 2 children Member + 3 children Employee (40%) R 816.00 R 1,504.00 R 3,224.00 R 1,814.40 R 2,124.80 R 2,435.20 R 1,126.40 R 1,436.80 R 1,747.20 BonEssential Employee (40%) R 692.40 R 1,222.00 R 2,546.00 R 1,424.80 R 1,627.60 R 1,830.40 R 895.20 R 1,098.00 R 1,300.80 BonEssential Select Employee (40%) R 590.80 R 1,042.80 R 2,172.80 R 1,216.00 R 1,389.20 R 1,562.40 R 764.00 R 937.20 R 1,110.40

40% EMPLOYEE CONTRIBUTION

04

VALUE ADDED PRODUCTS

VALUE ADDED PRODUCTS

Karabo, 30 Years Old

Bonitas Members gets 10% extra invested each month into their bounty investment

SUPREME PRIMARY IMMEDIATE DISCOUNT BASED ON DEMOGRAPHICS GROUP / PAYPOINT DISCOUNT INDUSTRY AVERAGE PREMUIM

ON THE TABLE: PREMIUM

AD

R 317 R 342 R 269 R 273 R 254 R 212 R 142 R 180

• 48%
• 22%
• 8%

end to end e-vouchering solution

Over 100 000 transactions per day • 30 major retailers • 6 000 POS FREE VOUCHERS TO BONITAS MEMBERS

MEDGAP

BONITAS WEBSITE

Reasons why you should use the Bonitas website:

Saves time Efficient

You will be able to view:

Member details Claims queries Benefit certificates Apply for chronic/hospital authorisation Locate a GP or sspecialist Improved online application form A redesign of the online application form to allow for a more seamless application process for potential members.

FIND A NETWORK DOCTOR

BONITAS CONNECT

Exciting new features:

• Built in decision tree for new vs.

existing members. Realtime switching between bot and agent: new members will chat with the AI ChatBot, existing members will be serviced by a live agent

• Existing members’ chat history is

captured on NOC to enhance the single view of the member

• Sentiment analytics
• Real time bot training
• Automated email classification
• Grievance handling
• Educate existing and potential

members

• Simplify our products

0860 002 108 www.bonitas.co.za Bonitas Medical Fund BonitasMedicalFund